Renewals - EMS Responder Certification and Licensure
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.
Please 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
Beginning June 1, 2020, all EMS certificate/license holders will need to have completed a fingerprint-based background check before their renewal application can be approved. It is highly recommended that this process is completed in advance of the expiration date so there is not a lapse in certification. Please don’t wait to complete your online renewal application if your name does not appear on the list.
Please note, due to legal restrictions, an individual who completed a fingerprint-based background check for another agency will have to complete another one specifically for DSHS/EMS.
To verify if an EMS certificate/license holder has already completed a fingerprint-based background check for DSHS EMS, click on the appropriate level below.
Emergency Care Attendant
Emergency Medical Technician (EMT)
Advanced Emergency Medical Technician (AEMT)
Emergency Medical Technician Paramedic and Licensed Paramedic
FINGERPRINT BASED BACKGROUND LIST
These lists are updated on the 1st and 15th of each month. If these dates fall on the weekend or holiday, they will be posted the following business day. If an EMS certificate/license holder has completed a fingerprint based background check for DSHS/EMS but their name is not included on the list, they will need to contact Sabrina Lee Richardson at 512-834-6710 or email@example.com.
ECA, EMT, Advanced EMT, EMT-P, LP application submission:
Please log in to your EMS account at https://vo.ras.dshs.state.tx.us/datamart/login.do, verify you see your license information, select the application under Time to Renew, complete the renewal application, submit, and pay the non-refundable fee. Once completed, please go to your license home page, select Show Details, and make sure your expiration date changed.
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.
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.
On the application, 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 at www.nremt.org.
• 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
• 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.
Coordinator or Instructor
EMS coordinator, EMS instructor and EMS information operator instructor application submission:
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. You can verify your certification status and expiration date through the Regulatory Services Online Licensing System.
Inactive application submission:
Change active certification/licensure to inactive. Your inactive status will be given the same expiration date as your current certification/licensure. Submit inactive certification/licensure application and inactive non-refundable administrative fee of $30. Inactive status is not allowable for ECAs. Inactive status is not allowable if you are within 1 year of your expiration. You must renew as inactive.
Renew active or inactive certification as inactive. Submit inactive certification/licensure application, renewal application for EMS personnel, non refundable application fee, as listed on application form, PLUS inactive administrative fee. If renewing inactive certification as a current inactive, you do not owe the Inactive Administrative Fee. 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. Submit inactive certification/licensure application, renewal application for EMS personnel, non-refundable late fees, as listed on application form, PLUS inactive administrative fee. If you are applying within 90 days after expiration date, your non-refundable fee is one and one-half times the normal application fee (see application form for amount). If you are applying 91 days to one year past expiration date, your fee is double the normal non-refundable application fee. The inactive status period will be effective for four years from the date of issuance.
Inactive status is only available up to one year past your current expiration date. After one year past the expiration date, you must comply with the initial certification/licensure application requirements.
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.
Application processing takes up to four weeks. You will be responsible for scheduling an exam with National Registry at www.nremt.org.
Requirements for returning to active certification/licensure:
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.
Applicants completing ALL renewal requirements between date of expiration and one year after expiration date can choose to renew by any of the four available options above and must also submit a skills verification with the application.
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.
For applicants completing renewal within 90 days after expiration date, the fee schedule is: Basic level application fee (ECA or EMT) includes late fee = $94; advanced level application fee (Advanced EMT or EMT-P) includes late fee = $141; licensed paramedic = $186
For applicants completing renewal between 91 days and one year after expiration date, the fee schedule is: Basic level application fee (ECA or EMT) includes reentry late fee = $124; advanced level application fee (Advanced EMT or EMT-P) includes reentry late fee = $186; 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.