Maryland and the National Continued Competency Program (NCCP) Model for the National Registry Certification Renewal Process - Effective July 1, 2016 - Factsheet

Sep 23, 2026

Uploaded by Hazel

Maryland adopted the National Continued Competency Program (NCCP) model for National Registry certification renewal effective July 1, 2016. The NCCP model applies to EMR, EMT, CRT, and Paramedic clinicians and organizes continuing education into National, Local, and Individual categories, with reduced hours and greater use of distributive education. The factsheet compares Maryland and NREMT requirements by clinician level, including cycle length, education hour splits, skills verification, and notes special eligibility and recognition rules for CRT and EMSOP and for EMT/EMR recertification paths.

LanguageEnglish

CategoryHealthcare

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Clinician-level NCCP requirements comparison

Paramedic

CRT

EMT

EMR

Implementation notes and updates

Maryland and the National Continued Competency Program (NCCP) Model for the National Registry Certification Renewal Process Effective July 1, 2016, Maryland moved to the National Continued Competency Program (NCCP) model for the National Registry certification renewal process. The NCCP model applies to EMR, EMT, CRT, and Paramedic Clinicians. The model consists of three categories of continuing education: National, Local, and Individual; and for most levels, reduced hours and an increase in the amount of distributive education that can be used towards recertification. Below is a breakdown for each Maryland clinician level and information available on the NREMT website about the new NCCP model. | Clinician Level | Maryland Requirements | NREMT Requirements | | --- | --- | --- | | Paramedic* | • Active registration with NREMT
• State Content Renewal Courses | 60 hours in a 2-year cycle
• 30 hours National (10 can be distributive)
• 15 hours Local/State (10 can be distributive)
• 15 hours Individual (15 can be distributive)
• Skills Verification | | CRT | 60 hours in a 2-year cycle that meet the requirements of an NREMT Paramedic:
• 30 hours National (10 can be distributive)
• 15 hours Local/State (10 can be distributive)
• 15 hours Individual (15 can be distributive)
• Skills Verification from EMSOP
• State Content Renewal Courses | NREMT downgraded all Intermediates to AEMT. Maryland does not recognize AEMT for CRT renewal. | | EMT** | 24 hours in a 3-year cycle
• 4 hours Medical
• 4 hours Trauma
• 4 hours Local
• 12 hours Skills | 40 hours in a 2-year cycle
• 20 hours National (7 can be distributive)
• 10 hours Local/State (7 can be distributive)
• 10 hours Individual (10 can be Distributive)
• Skills Verification | | EMR** | 12 hours in a 3-year cycle
• 2 hours Medical
• 2 hours Trauma
• 2 hours Local
• 6 hours Skills | 16 hours ins a 2-year cycle
• 8 hours National (3 can be distributive)
• 4 hours Local/State (3 can be distributive)
• 4 hours Individual (4 can be distributive)
• Skills Verification | * Maryland Paramedics are required to maintain active NREMT certification. ** Maryland EMR and EMT clinicians are not required to maintain NREMT certification. However, those that do may use the NREMT process. Maryland EMR and EMT clinicians who do not choose the NREMT process must recertify through the Maryland process in order to maintain their Maryland certifications. Updated March 2021

FAQs

What does the NCCP model change for Maryland National Registry renewal, effective July 1, 2016?

Maryland moved to the NCCP model for renewal for EMR, EMT, CRT, and Paramedic clinicians. Renewal uses NCCP continuing education categories and, for most levels, reduced hours with more distributive education allowed.

How do Maryland and NREMT hour cycles differ for EMT clinicians under NCCP?

Maryland uses 24 hours in a 3-year cycle with Medical, Trauma, Local, and Skills breakdowns. NREMT uses 40 hours in a 2-year cycle with National, Local/State, and Individual categories, plus skills verification.

What is the specific issue noted for CRT renewal recognition in Maryland?

The factsheet states that NREMT downgraded all Intermediates to AEMT and that Maryland does not recognize AEMT for CRT renewal.

Sep 23, 2026

Uploaded by Hazel