Renewals - EMS Personnel Certification and Licensure (2024)

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We recommend you begin the recertification process three to four months prior to your expiration date. Certification does not extend beyond your expiration date. This applies in all cases; see late renewal option if applicable.

Note: Only criminal and/or disciplinary information that has never been reported to DSHS or that has occurred since the date of the applicant's last initial, or renewal application needs to be reported.

Fingerprinting Requirement for Renewal

Once licensees complete the initial fingerprinting process, there is no need to repeat the process for the Department. The Department will unsubscribe the licensee’s background check with the Department of Public Safety one year after certification/license expires. If the individual reapplies for certification/licensure after the one-year mark, he/she will be required to complete the fingerprint background check again. Please note that due to federal regulations, State agencies can not share the fingerprinting process or information.

Read the rule concerning renewal options. You can verify your certification status and expiration date through the Regulatory Services Online Licensing System.

All EMS Personnel (ECA, EMT, AEMT, EMTP, and Licensed Paramedic) renewal applicants must complete an EMS jurisprudence examination approved by the Department before submitting a renewal application. An EMS jurisprudence examination is a CE course covering information about Texas EMS Laws and Rules. The EMS jurisprudence examination is offered by Department approved continuing education (CE) programs.

Choose one of the four options below.

Option 1 - Examination
        • The Texas Department of State Health Services (DSHS) is using the National Registry
           Assessment Exam as the state-approved exam.  
        • You will be responsible for scheduling an exam with National Registry.
        • In addition to the state application non-refundable fee, you will be required to pay a testing fee
          to National Registry. Volunteers are not exempt from NR testing fees.
        • You MUST make a passing score of at least 70 percent.
        • If you fail the exam, you can not gain certification through another option.
        • If you fail the exam, you will be given opportunities to retake the exam. 

Option 2 - Continuing Education
        • Submit application as directed above.
        • CE must:
              - be preapproved and in specified content areas
              - meet minimum hours in content areas and meet total required for four-year period.
              - As of 9/1/02, reporting CE is no longer required (unless selected for audit).
        • CE participation/record keeping is your responsibility. You must maintain all CE records
           for five years. Your records may be audited.

Option 3 - National Registry
        • Submit application as directed above.
        • You must hold current NR certification at the time of renewing your Texas
          certificate.  
        • You must include your NR number and expiration date on your Renewal application. 

Option 4 - Formal Recertification Course
        • Submit application as directed above.
        • Complete course anytime during the 4 year certification period.
        • Minimum contact hours for course are as follows:
          ECA - 24; EMT - 48; Advanced EMT - 72; EMT-P and Licensed Paramedic - 96

Option 5 - Comprehensive Clinical Management Program (CCMP) Recertification. 

An applicant affiliated with an EMS provider that has a department-approved may be recertified if:

the applicant is currently credentialed in the provider's CCMP;

  • the applicant has been enrolled in the provider's CCMP for at least six continuous months;
  • the applicant submits to the department a signed written statement by the CCMP's medical director, attesting to the applicant's successful participation in and completion of the provider's CCMP; and
  • the applicant has completed a state approved jurisprudence examination to determine the knowledge that the applicant has on state EMS laws, rules, and policies.

Please log in to your online account,

  • Verify your license information
  • Select the application under Time to Renew
  • Complete and submit the renewal application
  • Pay the non-refundable fee

Once complete, please go to your license home page, select Show Details, and make sure your expiration date is updated. 

If you are employed or volunteer with an EMS talk to your administrator or director they may direct you to a CE program or view a list of CE programsoffering the EMS jurisprudence examination.

EMS Coordinator, EMS Instructor and EMS Information Operator

You can verify your certification status and expiration date through the Regulatory Services Online Licensing System.

Renew online. Application processing takes up to four weeks. If your application is incomplete, your renewal will be delayed.  If your application is incomplete or does not include all the required attachments, you will be contacted regarding how to correct the deficiency. Contact your local DSHS field office for information regarding specific details about application submission guidelines.

Find your local DSHS field office address, phone number and staff e-mail addresses.

Inactive application submission:Request an application by emailing emscert@dshs.texas.gov

  • Change active certification/licensure to inactive. Your inactive status will be given the same expiration date as your current certification/licensure. You must renew as inactive.
  • Renew active or inactive certification as inactive. The inactive certification period begins the day after current certification expiration and is effective for four years.
  • Renew expired, active or inactive certification as inactive.

Inactive status is only available up to one year past your current expiration date

While in inactive status you can not perform any activities regulated under the Health and Safety Code, Chapter 773. Performance in any capacity for compensation or as a volunteer is prohibited, and failure to comply shall be cause for decertification. Inactive status does not prohibit you from performing first aid, CPR or automatic external defibrillation in the capacity of a lay person. 

EMS Rule 157.34(f) Inactive to active certification.

(1) An inactive certificant prior to the expiration of the first four-year inactive certification period may obtain active certification by submitting an application and the non-refundable fee to the department, as described in subsection (a)(4) of this section and by completing one of the following options:

    (A) Option 1--meet the normal 4 year continuing education requirement for certification renewal as listed in subsection (b)(2) of this section, submit verification of skills proficiency from an approved education program, and pass the national registry assessment exam.

    (B) Option 2--complete a department approved recertification course, and pass the national registry assessment exam.

(2) A certificant who has held inactive certification for more than four years may return to active certification only by completing requirements described in §157.33(a) or (j) of this title. 

Application processing takes up to four weeks. You will be responsible for scheduling an exam with National Registry.

Late Renewal

Applicants completing ALL renewal requirements between date of expiration up to one year after expiration date may choose to renew by any of the four available options above and submit a late skills verification with the application. 

Renew online

Applicants whose certification has been expired for one year or more may not renew the certificate. The applicant may become certified by complying with initial or equivalency certification required. 

Fees

  • For applicants completing renewal within 90 days after expiration date, the fee schedule is:
    • Basic level -ECA or EMT
      $94 - Application fee (includes late fee)
    • Advanced level -Advanced EMT or EMT-P
      $141 - Application fee (includes late fee)
    • Licensed paramedic
      $186
  • For applicants completing renewal between 91 days and one year after expiration date, the fee schedule is:
    • Basic level -ECA or EMT
      $124 - Application fee (includes reentry late fee)
    • Advanced level -Advanced EMT or EMT-P
      $186- Application fee (includes reentry late fee)
    • Licensed paramedic
      $246

Even if you submitted the application and non-refundable fee at an earlier date but did not achieve renewal, you will be required to complete a new application and owe a new non-refundable fee of twice the normal fee. 

EMS and Trauma Systems

EMS and Trauma Systems

EMS Certification and Licensure

  • Initial Certification-Licensure
  • Renewals - EMS Personnel Certification and Licensure
  • EMS Coordinator - Instructor Certification
  • EMS Reciprocity Certification

  • EMS Application Fees
  • EMS Continuing Education

  • EMS Equivalency
  • EMS Exam Information
  • National Registry
  • Emergency Medical Services Resources
  • Live Online Certification-Licensee Search Verification

Get in Touch

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Get in Touch

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<! -- Contact Email address - Begin -->

Email 

EMSCert@dshs.texas.gov

<! -- Contact Email address - End --> <! -- Contact Phone Number - Begin -->

Phone 

512-834-6734

<! -- Contact Phone Number - End --> <! -- Contact Fax Number - Begin -->

Fax

512-206-3779

<! -- Contact Fax Number - End --> <! -- Contact Toll free Number - Begin -->

<! -- Contact Toll free Number - End -->

<! -- Contact Mailing Address - Begin --> <! -- Contact Mailing Address - End --> <! -- Contact Physical Address - Begin --> <! -- Contact Physical Address - End -->

Renewals - EMS Personnel Certification and Licensure (2024)

FAQs

What if a candidate whose certificate has been expired for 90 days or less? ›

(2) A candidate whose certificate has been expired for 90 days or less may renew the certificate by submitting an application accompanied by a non-refundable renewal fee that is equal to 1-1/2 times the normally required application renewal fee for that level as listed in subsection (a)(4) of this section.

Which of the following is not an option to renew an EMS certification of personnel? ›

The correct answer is C) Submit application and fee only. Submitting an application and fee only is NOT an option to renew an EMS certification of personnel. To renew an EMS certification, options include: Written exam through National Registry.

How often must EMTs and paramedics recertify in order to maintain certification? ›

Nationally Registered EMTs (NREMT) are required to renew their certification every two years. NREMTs can recertify by either taking the cognitive examination or by completing continuing education.

Who is responsible for keeping up with EMS continuing education hours accrued required for renewal? ›

The individual who is responsible for keeping up with EMS Continuing Education hours required for renewal is C) The certified or licensed EMS personnel. It is the duty of the emergency medical professionals themselves to ensure that they meet the education requirements set forth by their certifying or licensing body.

Can you renew an expired certificate? ›

Renewing an expired SSL/TLS certificate is like buying a new digital certificate. Depending on the certificate authority you use, you may (or may not) have to undergo the full validation process to get your certificate renewed. DigiCert solves this problem with pre-validation and instant issuance.

What happens when a certificate authority expires? ›

CA certificates have a fixed lifetime, or validity period. When a CA certificate expires, all of the certificates issued directly or indirectly by subordinate CAs below it in the CA hierarchy become invalid. You can avoid CA certificate expiration by planning in advance.

Which of the following situations would most likely disqualify a person for EMS certification? ›

The situation that would most likely disqualify a person for Emergency Medical Services (EMS) certification would be Driving under the influence of alcohol.

Which of the following typically issues an EMS licensure? ›

State EMS Offices issue licenses to EMS professionals and ambulance service providers, along with a variety of other tasks. Currently 46 states require their EMS professionals to be certified by the National Registry of EMTs in order to obtain a license to practice as an EMS professional in their state.

Who is ultimately responsible for maintaining an EMS provider's certifications? ›

The EMS Personnel Standards Division develops and implements regulations for training, certification, licensing and scope of practice for emergency medical personnel, including emergency medical technician, advanced EMT, paramedic, firefighter, peace officer and lifeguard.

What is the difference between a paramedic and an EMT? ›

Paramedics are more highly trained EMTs capable of more advanced medical procedures, such as providing oral and intravenous medication, monitoring electrocardiograms (EKG), and performing tracheotomies. Paramedics provide care to patients as they enter hospitals and emergency rooms from ambulances.

How often do you need to reassess EMT? ›

Reassessment should be performed approximately every 15 minutes for stable patients and every 5 minutes for unstable patients when time and priorities permit (Figure 4). Purpose: To perform a rapid exam that will help identify major injuries and end with the patient being placed on a spine board.

What happens if you fail the NREMT three times? ›

If you fail three times, we require you to complete remedial education.In order to take the remaining attempts, you will have to send us documentation of your remedial education. Send the documentation to support@nremt.org.

What are the EMS personnel responsibilities during the certification license period? ›

During the license period, the EMS Personnel responsibilities shall include: (1) making accurate, complete and/or clearly written patient care reports including documenting a patient's condition upon the EMS personnel's arrival at the scene and patient's status during transport, including signs, symptoms, and responses ...

Which of the following reasons is not a valid reason for denial of EMS certification or paramedic licensure? ›

Final answer: Among the provided options, failure to report a charge for a class C misdemeanor offense not directly related to EMS is not a valid reason to deny EMS certification or paramedic licensure.

How long are EMS providers required to maintain the patient care report for adult patients? ›

The regulation requires you to maintain medical records for 7 years from the date of service (DOS).

Texas Administrative Codethe Texas Secretary of Statehttps://texreg.sos.state.tx.us ›


Texas Administrative Code

the Texas Secretary of State
https://texreg.sos.state.tx.us
the Texas Secretary of State
https://texreg.sos.state.tx.us
(9) failing to maintain a substantial amount of skill, knowledge and/or academic acuity to timely and/or accurately perform the duties or meet the responsibilit...
Nationally Registered EMTs (NREMT) are required to renew their certification every two years. NREMTs can recertify by either taking the cognitive examination or...
EMT recertification is a straightforward process, but you can't miss the deadlines · How do I renew my EMT license? · NREMT recertification by...

Are expired certificates revoked? ›

The certificate loses its validity when it expires. Therefore, you can safely remove a certificate from the CA database after it has expired.

What does certificate expiration date mean? ›

To that end, these certificates expire after a predetermined period of time. Their specific duration has changed through the years — but currently, you can expect all SSL certificates to expire after 13 months. Expiration means that the certificate is no longer valid and that communications are no longer protected.

How long should certificates be valid? ›

SSL certificates expire at maximum 398 days from their issuance date, but most CAs will set their expiration date sooner, offentimes around 395 days.

Does renewing a CA certificate invalidate the old one? ›

Beyond labeling that relationship, there is no operational correspondence between the "original" and "renewed" certificates. So no, renewing a cert doesn't revoke the old one, and you shouldn't revoke the old one--just let it expire. Only revoke a cert if you suspect its private key has been compromised.

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