Learn how to reinstate your expired EMT certification

If your EMT-Basic, Advanced EMT, or Paramedic certification has expired within the past two years, you can apply to reinstate it.

Reinstatement is the procedure that must be followed when an EMT is no longer eligible for recertification because requirements were not met or were not met within time limits of either regular recertification or renewal of a certification that had lapsed for 30 days or less.

Massachusetts EMTs who held Massachusetts and NREMT Certification within two years of expiration

EMTs with National Registry of Emergency Medical Technicians (NREMT) certification must maintain that certification in order to qualify for renewal of Massachusetts certification, and the NREMT certification must be valid at the time they apply for Massachusetts recertification.

EMTs who were certified by the NREMT, and whose NREMT certification has expired, where the year of expiration is within two years of when their Massachusetts certification has expired or will expire, must reinstate their NREMT certification and then apply for Massachusetts initial or renewal certification.

Learn more about reinstating an NREMT certification.

Massachusetts-certified EMTs within two years of expiration who do not hold NREMT Certification

In order for an individual to reinstate their expired Massachusetts EMT certification, at any level, they must obtain EMT certification from the NREMT. The entry requirements for a previously state licensed EMT who is applying for NREMT certification can be found on the NREMT website or by contacting the NREMT at (614) 888‐4484 regarding the application process.

The NREMT requires that previously state-licensed EMTs applying for NREMT certification take a state-approved psychomotor examination. In order to receive authorization to take the Department approved psychomotor exam, a candidate must meet the following requirements:

  • Successfully complete a Department‐approved course(s) meeting the 20‐hour NREMT National Continued Competency Requirements (NCCR) no more than one year prior to the submission of the application for reinstatement (30-hour NCCR for Paramedics).
  • Complete and submit a reinstatement application form (provided by the Department) with the $150 non‐refundable fee, made out to the Commonwealth of Massachusetts, and postmarked no later than March 31, two years after the year of expiration.
  • Submit a copy of both sides of your current Basic Cardiac Life Support (BCLS) course or equivalent. Paramedics must also submit a copy of both sides of your current Advanced Cardiac Life Support (ACLS) course or equivalent.
  • AEMTs and Paramedics reinstating their certifications must take the NREMT psychomotor exam.

An EMT reinstatement candidate must successfully complete the DPH‐approved psychomotor and NREMT cognitive examinations and gain current NREMT certification at the level of certification they are applying to reinstate. A candidate will be eligible for Massachusetts certification based on their current NREMT certification. A candidate’s reinstatement application will remain on file for one year from the date it is received at OEMS.

Massachusetts-certified EMTs beyond two years of expiration

Massachusetts-certified EMTs whose certification has been expired for more than two years must: