Renewals - EMS Personnel Certification and Licensure

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 programs offering the EMS jurisprudence examination.

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.

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.

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.