EMS Recertification Courses
CAPCE Accredited
CAPCE-accredited EMS continuing education for EMRs and EMTs, built to the NREMT 2025 NCCP model. Work at your own pace, and your hours land in your National Registry transcript in the right categories.
Complete your continuing education online — on your schedule, at your pace, from home.
MCIT6084
MissionCIT CAPCE provider number
One of three
CAPCE-accredited providers in Connecticut
Auto-populates
No manual entry in your NREMT transcript
No sorting your hours by hand. Your continuing education hours are automatically organized into the correct NREMT categories. When you recertify, simply select this CAPCE course and your transcript auto-populates — no manual entry, no sorting, no guesswork.
Every EMR and EMT continuing education program on this page is CAPCE accredited under provider number MCIT6084, so it counts toward your National Registry recertification without a state office having to approve it first.
What your state needs, and what we can cover
Every state sets its own recertification rules. Select yours to see how much of your refresher you can do with us, what else the state asks for, and which course to take.
Available now: the 8-Hour EMR and 20-Hour EMT Refreshers, which cover the NCCP National Component. The full 16-hour EMR and 40-hour EMT refreshers are coming soon — where a state below lists one, it is not on sale yet.
Color is set by the EMT answer, since that is the volume. Where the EMR answer differs, the state says so.
Select a state on the map, or from the list below.
Alabama
Your full refresher, with us
Alabama renews through the National Registry, so our full refresher covers your hours.
You’ll also need: Alabama protocol training (free from the state) and a current CPR card.
Alaska
Your full refresher, with us
Alaska accepts National Registry renewal, and its rules specifically allow nationally accredited online courses. Our full refresher covers your hours.
You’ll also need: a current CPR card.
Note: Alaska doesn’t license EMRs, so there’s no EMR course to buy.
Arizona
Your full refresher, with us
Arizona accepts National Registry renewal. Our courses give you the continuing education hours you need.
- 40-Hour EMT Refresher $250
- 16-Hour EMR Refresher — coming soon
You’ll also need: a current CPR card.
Arkansas
Part of your refresher, with us
Arkansas asks for 40 hours built around its own topic list. We cover 36 of them.
You’ll also need: 4 hours of Arkansas-specific training, which the state offers free on Arkansas TRAIN, and a CPR card that includes a hands-on skills check — Arkansas doesn’t accept online-only CPR cards.
California
Part of your refresher, with us
California accepts our courses, but limits self-paced online learning to 12 of your 24 hours.
- California 12-Hour Package — coming soon
You’ll also need: 12 hours of instructor-led training, and a skills check through your local EMS agency.
Heads up: California won’t count more than 12 hours of any training completed in a single day, so plan your hours across more than one day.
Colorado
Your full refresher, with us
Colorado accepts your National Registry card as proof of both your hours and your skills — you skip the state skills test entirely.
Connecticut
Your full refresher, with us
Connecticut follows the national refresher model, and we run Connecticut recertification as its own program — courses, skills verification and the state’s own rules all in one place.
Delaware
Your full refresher, with us
Delaware requires you to keep your National Registry card current. Our full refresher covers your hours.
You’ll also need: a current CPR card.
Note: Delaware’s EMR renewal is a 12-hour hands-on first aid, CPR and AED class, so there’s no online EMR course we can offer.
District of Columbia
No verdict yet
Our state-by-state research covers the 50 states. We do not have an answer for the District of Columbia yet — check with its EMS office before you buy.
Florida
None of your refresher, with us
Florida only accepts training from providers it has approved itself, and it doesn’t accept National Registry renewal. We can’t currently provide any of your Florida refresher.
Georgia
Part of your refresher, with us
Georgia accepts our continuing education directly — you don’t need a National Registry card. But Georgia asks for 8 hours of pediatrics at the EMT level, which is more than our standard course includes.
- Georgia 40-Hour EMT Package — coming soon
- 16-Hour EMR Refresher — coming soon — covers your full Georgia EMT-R renewal
You’ll also need: a CPR card from a state-approved sponsor, and you’ll enter each course into Georgia’s online license system yourself.
Hawaii
Your full refresher, with us
Hawaii accepts National Registry renewal, and its own route accepts nationally accredited online courses with no limit on how many hours you do online.
- 40-Hour EMT Refresher $250
- 16-Hour EMR Refresher — coming soon
You’ll also need: a current CPR card.
Idaho
Your full refresher, with us
Idaho accepts a National Registry card renewed in the last two years in place of state hours. Our full refresher gets you there.
- 40-Hour EMT Refresher $250
- 16-Hour EMR Refresher — coming soon
You’ll also need: to be signed on with an Idaho EMS agency, sign-off from that agency’s medical director, and a skills check.
Illinois
None of your refresher, with us
Illinois asks for 60 hours over four years, limits how much can be in any one subject, and doesn’t accept National Registry renewal. An Illinois package is coming soon.
Indiana
Your full refresher, with us
Indiana asks for 40 hours, and 34 of those can be continuing education. Our full refresher covers them.
You’ll also need: 6 hours of case review with your agency, a skills check by your medical director, and a few short state courses offered free through Indiana’s system.
EMR: Indiana asks for 20 hours, including 4 specifically on defibrillation and airway. An Indiana EMR package is coming soon.
Iowa
Your full refresher, with us
Iowa asks for 20 hours for EMT and 8 for EMR — and renewal is free at both levels.
Kansas
None of your refresher, with us
Kansas asks for 28 hours for EMT across its own six subject areas, and doesn’t accept National Registry renewal. A Kansas EMT package is coming soon.
- 16-Hour EMR Refresher — coming soon — matches Kansas’s 16-hour EMR requirement
Kentucky
Your full refresher, with us
Kentucky asks for 20 hours for EMT and 8 for EMR. That’s exactly what these courses are.
You’ll also need: a current CPR card, plus three short trainings the state provides free.
Louisiana
Your full refresher, with us
Louisiana asks you to complete the National Registry’s renewal requirements and nothing more.
- 40-Hour EMT Refresher $250
- 16-Hour EMR Refresher — coming soon
You’ll also need: a current CPR card.
EMR heads up: your paperwork is due September 30 of your expiration year, and missing October 31 means starting over with a full initial course.
Maine
Your full refresher, with us
Maine accepts nationally accredited online courses with no limit on online hours — Maine’s own route actually allows more online learning than the National Registry does.
- 40-Hour EMT Refresher $250
- 16-Hour EMR Refresher — coming soon
You’ll also need: a skills check every renewal, through your service or a Maine training center. Our courses cover your hours but don’t complete your renewal on their own.
Maryland
None of your refresher, with us
Maryland requires each course to be approved by the state individually, and asks for 24 hours over three years on set topics. We’re not currently a Maryland-approved provider.
- 16-Hour EMR Refresher — coming soon — Maryland accepts a current National Registry EMR card on its own, so this covers your EMR renewal
You’ll also need: three years of Maryland protocol updates and a state skills check.
Massachusetts
Your full refresher, with us
Massachusetts lets you complete all of your continuing education online. Our full refresher matches the structure Massachusetts uses.
Important: a current National Registry card does not renew you in Massachusetts on its own — you still file with the state separately.
Note: Massachusetts doesn’t certify EMRs, so there’s no EMR course to buy.
Michigan
None of your refresher, with us
Michigan asks for 30 hours for EMT and 15 for Medical First Responder over three years, on its own list of twelve subject areas, and doesn’t accept National Registry renewal. A Michigan package is coming soon.
Minnesota
Part of your refresher, with us
Minnesota accepts national online EMS courses toward its 48-hour EMT requirement. Our full refresher covers most of it.
You’ll also need: 8 more hours of continuing education and a current CPR card. You’ll also file separately with Minnesota and with the National Registry.
EMR: Minnesota requires a state-approved refresher class for EMR renewal, so we can’t cover it.
Mississippi
Part of your refresher, with us
Mississippi says National Registry renewal meets all of its requirements — but sets aside part of your hours for Mississippi-specific topics. We cover 30 to 34 of your 40.
- 40-Hour EMT Refresher $250
- 16-Hour EMR Refresher — coming soon — covers your full Mississippi EMR renewal
You’ll also need, at EMT: Mississippi documentation and hazmat training, 5 hours chosen by your training officer, a skills sign-off from that training officer, and a medical control agreement.
Missouri
Your full refresher, with us
Missouri accepts your current National Registry card in place of 100 hours of state training.
You’ll also need: a current CPR card.
Note: Missouri doesn’t license EMRs, so there’s no EMR course to buy.
Montana
Your full refresher, with us
Montana accepts a National Registry card — active or even inactive — as your complete continuing education requirement.
- 40-Hour EMT Refresher $250
- 16-Hour EMR Refresher — coming soon
Heads up: Montana renews everyone on March 31, and you can only renew online between February 1 and March 31.
Nebraska
Your full refresher, with us
Nebraska asks for 20 hours for EMT and 8 for EMR.
Heads up: EMTs renew March 31 of even years, EMRs March 31 of odd years.
Nevada
None of your refresher, with us
Nevada asks for 24 hours for EMT and 12 for EMR, limits any one subject to 10 hours, and only accepts the National Registry if you renew by exam. A Nevada package is coming soon. If you work in Clark County: Las Vegas runs its own separate EMS certification with different requirements.
New Hampshire
Your full refresher, with us
New Hampshire requires you to keep your National Registry card current, and places no limits on online continuing education.
- 40-Hour EMT Refresher $250
- 16-Hour EMR Refresher — coming soon
You’ll also need: the state protocol and scope of practice courses, both free from the New Hampshire Bureau of EMS.
Heads up: EMTs expire April 30, EMRs October 31.
New Jersey
None of your refresher, with us
New Jersey runs a closed system — only New Jersey training agencies can offer approved continuing education, half your hours must be completed in a classroom, and the state doesn’t accept National Registry renewal. We can’t provide any of your New Jersey refresher.
New Mexico
Part of your refresher, with us
New Mexico limits self-paced online learning to half your hours — 20 of 40 for EMT, 10 of 20 for First Responder.
- New Mexico 20-Hour EMT Package — coming soon
- New Mexico 10-Hour First Responder Package — coming soon
You’ll also need: the other half of your hours in a live, instructor-led class, and a sign-off from your service medical director.
New York
None of your refresher, with us
New York requires a state-certified instructor coordinator to review and sign off on your core training, and doesn’t accept National Registry renewal. We cannot provide your New York refresher yet.
- 40-Hour EMT Refresher — coming soon to New York
North Carolina
Your full refresher, with us
North Carolina accepts your National Registry card as a complete renewal route, and accepts our continuing education.
- 40-Hour EMT Refresher $250
- 16-Hour EMR Refresher — coming soon
Important: North Carolina and the National Registry are separate — you file with both.
North Dakota
Your full refresher, with us
North Dakota renews through the National Registry, so our full refresher covers your hours.
- 40-Hour EMT Refresher $250
- 16-Hour EMR Refresher — coming soon
You’ll also need, at EMT and above: either to be signed on with a North Dakota EMS service, or medical direction from a North Dakota physician.
Ohio
Part of your refresher, with us
Ohio asks for 40 hours for EMT and 15 for EMR over three years, and includes a few topics our standard courses don’t yet carry — an hour on dementia at both levels, plus Ohio trauma triage.
- Ohio EMT Package — coming soon
- Ohio EMR Package — coming soon
Heads up: Ohio won’t count more than 12 hours completed in one day, and won’t count the same online class twice in a year.
Oklahoma
Your full refresher, with us
Oklahoma accepts National Registry renewal and follows the national refresher structure.
- 40-Hour EMT Refresher $250
- 16-Hour EMR Refresher — coming soon
You’ll also need: a current CPR card that meets or exceeds American Heart Association standards.
Heads up: Oklahoma renews everyone June 30, and won’t renew a license more than 90 days past that.
Oregon
Part of your refresher, with us
Oregon gives our online courses full hour-for-hour credit, with no limit on online learning.
- 40-Hour EMT Refresher $250
- 16-Hour EMR Refresher — coming soon
You’ll also need: 2 hours on culture, race, gender and ethnicity — an Oregon topic we don’t cover yet — and a CPR card that includes a hands-on skills check. Oregon doesn’t accept online-only CPR cards.
Pennsylvania
None of your refresher, with us
Pennsylvania requires continuing education providers to be approved by the state, asks for 24 credits for EMT over three years, and doesn’t accept National Registry renewal. We’re not currently a Pennsylvania-approved provider.
Rhode Island
Your full refresher, with us
Rhode Island asks you to keep your National Registry card current and adds no continuing education of its own.
- 40-Hour EMT Refresher $250
- 16-Hour EMR Refresher — coming soon
South Carolina
Your full refresher, with us
South Carolina requires National Registry renewal, accepts our continuing education, and places no limit on online hours.
- 40-Hour EMT Refresher $250
- 16-Hour EMR Refresher — coming soon
You’ll also need: a skills check through your agency’s medical control physician, a current CPR card, and a background check with your state renewal.
Important: a National Registry card alone doesn’t finish your South Carolina renewal — you still file with the state.
South Dakota
Your full refresher, with us
South Dakota asks for 20 hours for EMT and 8 for EMR, and renewal is free at both levels.
Heads up: South Dakota licenses expire April 30. Some older state handouts still say March 31 — April 30 is correct.
Tennessee
Part of your refresher, with us
Tennessee asks for 20 hours for EMT with at least 5 in pediatrics, and 10 hours for EMR. Our courses cover the hours but not yet the pediatric minimum.
- Tennessee EMT Package — coming soon
- Tennessee EMR Package — coming soon
You’ll also need, at EMR: a skills check signed by an instructor.
Texas
Your full refresher, with us
Texas recognizes our accreditation and accepts National Registry renewal. Texas runs a four-year cycle, so your hours stretch further than in most states.
- 40-Hour EMT Refresher $250
- 16-Hour EMR Refresher — coming soon
Heads up: Texas keeps several renewal routes open, but failing the state exam route locks you out of the others — so don’t start there.
Utah
Part of your refresher, with us
Utah requires National Registry renewal plus 10 hours on Utah-specific topics, and at least 3 of your 40 hours can’t be self-paced online.
- 40-Hour EMT Refresher $250
- 16-Hour EMR Refresher — coming soon
You’ll also need: 10 hours on Utah topics — patient advocacy, protocol review, documentation, disaster preparedness and pediatrics — with at least 3 of those completed live rather than self-paced, plus a current CPR card and a background check.
Heads up: EMTs expire March 31, EMRs September 30.
Vermont
Part of your refresher, with us
Vermont requires you to keep your National Registry card current, plus 10 hours on Vermont-specific topics.
You’ll also need: Vermont’s state and local topic hours, the statewide protocol update, and to be signed on with a licensed Vermont EMS service — Vermont requires that to renew.
Note: Vermont provides every licensee a free online training account when you’re licensed, which may already cover some of this.
Virginia
None of your refresher, with us
Virginia only lets approved providers report continuing education hours to the state, and doesn’t accept National Registry renewal. We’re not currently on Virginia’s approved list.
Washington
Part of your refresher, with us
Washington doesn’t accept National Registry renewal, and requires hands-on skills plus a written and practical exam. We can cover your classroom hours only, and your county medical director has to approve them.
- 40-Hour EMT Refresher $250 — as supplemental classroom hours
You’ll also need: your skills training, a written and practical exam, Washington-specific topics, and your county medical director’s approval. Our courses don’t complete a Washington renewal on their own.
West Virginia
Your full refresher, with us
West Virginia requires you to keep your National Registry card current. Our full refresher covers your hours.
You’ll also need: the state Protocol Update Course every year, an in-person skills check through your squad or a state-endorsed training site, and a healthcare-provider CPR card.
EMR: West Virginia adds 3 hours of hazmat awareness and 2 hours of mass casualty training on top of the 16. A West Virginia EMR package is coming soon.
Heads up: EMTs expire March 31 and must file between October 1 and December 31. EMRs expire September 30 and file between January 1 and June 30.
Wisconsin
Your full refresher, with us
Wisconsin accepts a National Registry card that’s current on the first day of your three-year renewal period — and places no limits on online learning.
- 40-Hour EMT Refresher $250
- 16-Hour EMR Refresher — coming soon
You’ll also need: your service director and medical director to both sign your training record, and a healthcare-provider CPR card. Wisconsin requires you to be signed on with a service to renew.
Wyoming
Your full refresher, with us
Wyoming accepts your current National Registry card in place of all state continuing education hours.
- 40-Hour EMT Refresher $250
- 16-Hour EMR Refresher — coming soon
You’ll also need: a current CPR card from a state-approved organization.
Heads up: Wyoming renews everyone December 31, with renewal open October 1 through December 31.
Find your state in a list
Recertifying in Connecticut?
The courses
Available now: the full 40-hour EMT refresher, which carries all three NCCP components, plus the National Component on its own for EMRs and EMTs. The 16-hour EMR full refresher is coming soon.
Available now
8-Hour EMR Refresher
8 continuing education hours · National Component
$75
one recert cycle, all courses included
Hours by category
| Airway | 1.5 |
| Cardiology | 2 |
| Trauma | 1 |
| Medical | 2.5 |
| Operations | 1 |
| National Component | 8 |
This covers the National Component. For a full National Registry recertification you still need 8 Local/State and Individual hours.
- 8 hours of CAPCE courses for EMRs — the full NCCP National Component
- Hours auto-populate in your National Registry transcript
Available now
20-Hour EMT Refresher
20 continuing education hours · National Component
$125
one recert cycle, all courses included
Hours by category
| Airway | 4 |
| Cardiology | 5 |
| Trauma | 3 |
| Medical | 6 |
| Operations | 2 |
| National Component | 20 |
This covers the National Component. For a full National Registry recertification you still need 20 Local/State and Individual hours.
- 20 hours of CAPCE courses for EMTs — the full NCCP National Component
- Hours auto-populate in your National Registry transcript
Available now
40-Hour EMT Refresher
40 continuing education hours · all three components
$250
one recert cycle, all courses included
Hours by category
| Airway | 4 |
| Cardiology | 5 |
| Trauma | 3 |
| Medical | 6 |
| Operations | 2 |
| Local/State | 10 |
| Individual | 10 |
| Total | 40 |
All three components in one package. There are no other hours to find, and nothing else to track.
- 40 hours of CAPCE courses for EMTs — the complete NCCP requirement
- Hours auto-populate in your National Registry transcript
16-Hour EMR Refresher — coming soon
The EMR equivalent of the 40-hour: all three NCCP components in one package, $150. Not on sale yet — EMRs who need hours now can take the 8-hour National Component above.
Not National Registry certified? These are the same courses. States that accept CAPCE take them for state-only recertification — check yours on the map above.
How NCCP recertification is built
These are the National Registry’s requirements for recertifying with the NREMT. The National Continued Competency Program splits your continuing education into three components, and the totals differ by level — an EMT needs 40 hours, an EMR needs 16.
Your state may ask for something different. State EMS offices set their own recertification requirements, and they vary. If you recertify through your state rather than the National Registry, check what your state requires before you buy hours.
One hour is one credit. The National Registry counts credits of continuing education — 40 of them for an EMT — and one hour of education is one credit. So 20 hours from us covers the National Registry’s 20 National Component credits.
National Component
EMT 20 · EMR 8
Set by the NREMT and the same for everyone in the country — specific content areas, with minimum hours in each. This is what our accredited programs cover.
Local or State Component
EMT 10 · EMR 4
If your agency or state EMS office requires specific education, it goes here. If nothing is specified, these hours are flexible — but must be directly related to EMS patient care.
Individual Component
EMT 10 · EMR 4
Flexible, your choice — but again it must be directly related to EMS patient care.
This is the part people get wrong. Completing the National Component does not recertify you on its own — you still owe the Local/State and Individual hours. If you would rather not track that yourself, the Full Refresher — coming soon — will carry all three.
Common questions
Forty, under the NREMT 2025 NCCP model — 20 National, 10 Local/State and 10 Individual. An EMR needs 16: 8 National, 4 Local/State and 4 Individual.
Your continuing education hours are automatically organized into the correct NREMT categories. When you recertify, simply select this CAPCE course and your transcript auto-populates — no manual entry, no sorting, no guesswork.
Yes. Every program on this page is CAPCE accredited under provider number MCIT6084, and the National Registry accepts CAPCE-accredited continuing education toward recertification. Your hours auto-populate in your National Registry transcript.
Not necessarily. The National Registry accepts State EMS Office accepted education and CAPCE accredited education, along with education from EMS education programs and certain US academic credit. Either route counts.
CAPCE accreditation is one of the routes the National Registry accepts, so CAPCE-accredited hours count toward your NREMT recertification without needing a state office to approve them first.
State acceptance is a separate question. Some states accept CAPCE-accredited continuing education, some require their own approval. The map above is where to start, and your state EMS office is the authority.
For your National Registry recertification, yes — since 2022 the NREMT places no limit on how much online education you can put on your application. Every program on this page is online and self-paced.
Some states restrict how much of it can be online. That is a state rule, separate from the NREMT’s, so check with your state EMS office before you plan to do all your hours that way.
Yes. Your certificate is emailed within 24 hours of completion, issued to the name and email on your registration — so check both are right before you start.
The National Registry excludes duplicate courses, clinical rotations, instructor courses, management and leadership courses, performance of duty, preceptor hours, serving as a skill examiner, and volunteer time with an agency. Everything you do count has to be directly related to EMS patient care.
Often, yes. Check your state on the map above, and confirm with your state EMS office before you buy — state offices set their own rules, and not every state accepts CAPCE-accredited education in place of its own approval.
Accreditation. MissionCIT is a CAPCE-accredited education provider — provider number MCIT6084. All levels are CT OEMS approved, each with its own course number.
This CE activity is accredited by the Commission on Accreditation for Pre-Hospital Continuing Education (CAPCE). CAPCE represents that this program has met standards for accreditation and does not endorse the opinions or content presented. For more information or to register a concern, go to: https://www.capce.org/CertificateTrouble/Index