Md. Code Regs. 30.02.02.13 – Requirements for Individuals with a Provisional License or Certificate to Obtain a Full License or Certificate.

A. A holder of a provisional EMS license or certificate issued pursuant to either the Executive Order Augmenting the Emergency Medical Services Workforce (Order Number 20-03-19-03) under authority of the Proclamation of March 5, 2020, as extended from time to time, in which the Governor of Maryland proclaimed that a state of emergency and catastrophic health emergency existed within the entire State of Maryland in an effort to control and prevent the spread of COVID-19, or the Executive Order Augmenting the Emergency Medical Services Workforce (Order Number 22-01-04-02) under authority of the Proclamation of January 4, 2022, as extended from time to time, in which the Governor of Maryland proclaimed that a state of emergency and catastrophic health emergency existed within the entire State of Maryland in an effort to control and prevent the spread of COVID-19, shall receive a license or certificate under Education Article, §13-516, Annotated Code of Maryland, provided the holder submits an application and completes the requirements set forth below within the required time frame and provided the holder does not have a pending disciplinary matter or is otherwise subject to denial. During the required time frame, the holder will remain provisionally licensed or certified and may continue to practice EMS. If the holder fails to submit an application or complete the requirements within the required time frame, the provisional certificate or license will expire.
B. Emergency Medical Technician.
1. (1) Provisional EMT Certification Obtained as a Student.
  1. (a) A provisional EMT who obtained provisional EMT certification as a student shall complete the requirements of Regulation .03D of this chapter by May 11, 2022, if the provisional EMT certification was received prior to August 12, 2021, or by November 30, 2022, if the provisional EMT certification was received after January 4, 2022.
  2. (b) A provisional EMT who obtained provisional EMT certification as a student and who was affiliated with an EMS operational program and provided EMS during the catastrophic health emergency shall have met the requirement to complete an internship under Regulation .03D(2) of this chapter.
2. (2) Provisional EMT Certification Obtained via Reciprocity. A provisional EMT who obtained EMT certification via reciprocity shall by May 11, 2022, if the provisional EMT certification was received prior to August 12, 2021, or by November 30, 2022, if the provisional EMT certification was received after January 4, 2022:
  1. (a) If registered with the National Registry of Emergency Medical Technicians (NREMT) as an EMT, successfully complete a protocol review session approved by MIEMSS; or
  2. (b) If not registered with the NREMT as an EMT:
    1. (i) Document successful completion of 24 hours of EMS continuing education within the past 12 months; and
    2. (ii) Successfully complete a protocol review session approved by MIEMSS.
3. (3) Provisional EMT Certification Obtained Through Reinstatement. A provisional EMT who held an expired EMT certificate and was reinstated with a provisional certificate shall meet the following requirements by May 11, 2022, if the provisional EMT certification was received prior to August 15, 2021, or by November 30, 2022, if the provisional EMT certification was received after January 4, 2022:
  1. (a) If the provisional EMT has previously passed the NREMT cognitive exam, the provisional EMT shall:
    1. (i) Provide documentation that while holding a provisional certificate the provisional EMT was affiliated with an EMS operational program and provided EMS during the catastrophic health emergency; and
    2. (ii) Document successful completion of 24 hours of EMS continuing education in the past 12 months;
  2. (b) If the provisional EMT has never passed the NREMT cognitive examination and was lapsed for 1 year or less, the provisional EMT shall by May 11, 2022, if the provisional EMT certification was received prior to August 15, 2021, or by November 30, 2022, if the provisional EMT certification was received after January 4, 2022:
    1. (i) Provide documentation that while holding a provisional certificate the provisional EMT was affiliated with an EMS operational program and provided EMS during the catastrophic health emergency; and
    2. (ii) Document successful completion of 24 hours of EMS continuing education within the past 12 months;
  3. (c) If the provisional EMT has never passed the NREMT cognitive examination and was lapsed for more than 1 year but not more than 3 years, the provisional EMT shall by May 22, 2022, if the provisional EMT certification was received prior to August 5, 2021, or by November 30, 2022, if the provisional EMT certification was received after January 4, 2022:
    1. (i) Provide documentation that while holding a provisional certificate the provisional EMT was affiliated with an EMS operational program and provided EMS during the catastrophic health emergency;
    2. (ii) Document successful completion of 24 hours of EMS continuing education within the past 12 months; and
    3. (iii) Successfully complete the cognitive reinstatement examination approved by MIEMSS; or
  4. (d) If the provisional EMT has never passed the NREMT cognitive examination and was lapsed for more than 3 years, the provisional EMT shall by May 11, 2022, if the provisional EMT certification was received prior to August 15, 2021, or by November 30, 2022, if the provisional EMT certification was received after January 4, 2022:
    1. (i) Provide documentation that while holding a provisional certificate the provisional EMT was affiliated with an EMS operational program and provided EMS during the catastrophic health emergency;
    2. (ii) Document successful completion of 24 hours of EMS continuing education within the past 12 months; and
    3. (iii) Successfully complete the cognitive and psychomotor reinstatement examinations approved by MIEMSS.
C. Paramedic.
1. (1) Provisional Paramedic License Obtained as a Student. A provisional paramedic who obtained provisional licensure as a student shall:
  1. (a) Pass the NREMT cognitive examination by May 11, 2022, if the provisional paramedic license was received prior to August 15, 2021, or by November 30, 2022, if the provisional paramedic license was received after January 4, 2022; and
  2. (b) Pass the NREMT psychomotor examination and document current active, nonprovisional status registration as a paramedic with the NREMT by May 11, 2022, if the provisional paramedic license was received prior to August 15, 2021, or by November 30, 2022, if the provisional paramedic license was received after January 4, 2022.
2. (2) Provisional Paramedic License Obtained via Reciprocity. A provisional paramedic who obtained provisional licensure via reciprocity shall by May 11, 2022, if the provisional paramedic license was received prior to August 15, 2021, or by November 30, 2022, if the provisional paramedic license was received after January 4, 2022:
  1. (a) Document current active, nonprovisional status as a paramedic with the NREMT; and
  2. (b) Successfully complete a protocol review session approved by MIEMSS.
3. (3) Provisional Paramedic License Obtained Through Reinstatement. A provisional paramedic who obtained provisional licensure through reinstatement shall by May 11, 2022, if the provisional paramedic license was received prior to August 15, 2021, or by November 30, 2022, if the provisional paramedic license was received after January 4, 2022, provide documentation that while holding a provisional license the provisional paramedic was affiliated with an EMS operational program and provided EMS during the catastrophic health emergency, and documentation of:
  1. (a) Both of the following:
    1. (i) Current active, nonprovisional status as a paramedic with the NREMT; and
    2. (ii) Successful completion of a protocol review session approved by MIEMSS; or
  2. (b) All of the following:
    1. (i) A passing score on the NREMT cognitive examination by May 11, 2022, if the provisional paramedic license was received prior to August 15, 2021, or by November 30, 2022, if the provisional paramedic license was received after January 4, 2022;
    2. (ii) A passing score on the NREMT psychomotor examination and current active, nonprovisional status registration as a paramedic with the NREMT by May 11, 2022, if the provisional paramedic license was received prior to August 15, 2021, or by November 30, 2022, if the provisional paramedic license was received after January 4, 2022; and
    3. (iii) Successful completion of a protocol review session approved by MIEMSS by May 11, 2022, if the provisional paramedic license was received prior to August 15, 2021, or by November 30, 2022, if the provisional paramedic license was received by January 4, 2022.
D. Emergency Medical Responder.
1. (1) Provisional EMR Certification Obtained as a Student. A provisional EMR who obtained EMR certification as a student shall complete the requirements of Regulation .03C of this chapter by May 11, 2022, if the provisional EMR certificate was received prior to August 15, 2021, or by November 30, 2022, if the provisional EMR certificate was received by January 4, 2022.
2. (2) Provisional EMR Certification Obtained Through Reinstatement. A provisional EMR who obtained provisional EMR certification through reinstatement shall by May 11, 2022, if the provisional EMR certificate was received prior to August 15, 2021, or by November 30, 2022, if the provisional EMR certificate was received after January 4, 2022, provide documentation that the provisional EMR was affiliated with an EMS operational program and provided EMS during the catastrophic health emergency.
3. (3) Provisional EMR Certification Obtained via Reciprocity. A provisional EMR who obtained provisional EMR certification via reciprocity shall by May 11, 2022, if the provisional EMR certificate was received prior to August 15, 2021, or by November 30, 2022, if the provisional EMR certificate was received after January 4, 2022, provide documentation that while holding the provisional certificate the provisional EMR affiliated with an EMS operational program and provided EMS during the catastrophic health emergency.
E. Cardiac Rescue Technician. Provisional CRT License Obtained Through Reinstatement. A provisional CRT who held an expired CRT license and was reinstated with a provisional license shall by May 11, 2022, if the provisional CRT license was received prior to August 15, 2021, or by November 30, 2022, if the provisional CRT license was received after January 4, 2022:
1. (1) Document successful completion of 60 hours of continuing education equivalent to the requirements for National Registry paramedic renewal within the past 24 months; and
2. (2) Successfully complete a protocol review session approved by MIEMSS.
F. Emergency Medical Dispatcher.
1. (1) Provisional EMD License Obtained as a Student. A provisional EMD who obtained provisional EMD licensure as a student shall complete the requirements of COMAR 30.02.03.03G by May 11, 2022, if the provisional EMD license was received prior to August 15, 2021, or by November 30, 2022, if the provisional EMD license was received by January 4, 2022.
2. (2) Provisional EMD License Obtained via Reciprocity. A provisional EMD who obtained provisional licensure via reciprocity shall meet the requirements of Regulation .04D of this chapter by May 11, 2022, if the provisional EMD license was received prior to August 15, 2021, or by November 30, 2022, if the provisional EMD license was received by January 4, 2022.
3. (3) Provisional EMD Licensure Obtained Through Reinstatement. A provisional EMD who held an expired EMD license and was reinstated with a provisional EMD license shall meet the requirements of Regulation .09D of this chapter by May 11, 2022, if the provisional EMD license was received prior to August 15, 2021, or by November 30, 2022, if the provisional EMD license was received by January 4, 2022.

Authority: Education Article, §13-516, Annotated Code of Maryland

Effective date: January 1, 1999 (25:26 Md. R. 1926)

Regulations .01—.09 amended effective July 1, 2002 (29:12 Md. R. 930)

Regulation .02 amended effective May 30, 2011 (38:11 Md. R. 672); December 12, 2013 (40:24 Md. R. 2017); June 9, 2025 (52:11 Md. R. 533)

Regulation .03 amended effective May 30, 2011 (38:11 Md. R. 672); December 12, 2013 (40:24 Md. R. 2017); May 12, 2014 (41:9 Md. R. 523); June 9, 2025 (52:11 Md. R. 533)

Regulation .03D amended as an emergency provision effective March 3, 2022 (49:7 Md. R. 462); amended permanently effective July 11, 2022 (49:14 Md. R. 705)

Regulation .04 amended as an emergency provision effective December 22, 2008 (36:2 Md. R. 98); amended permanently effective March 23, 2009 (36:6 Md. R. 492); June 9, 2025 (52:11 Md. R. 533)

Regulation .04 amended effective May 30, 2011 (38:11 Md. R. 672); December 12, 2013 (40:24 Md. R. 2017)

Regulation .04D, E amended effective May 12, 2014 (41:9 Md. R. 523)

Regulation .05 amended effective May 30, 2011 (38:11 Md. R. 672); December 12, 2013 (40:24 Md. R. 2017); May 9, 2016 (43:9 Md. R. 531); June 9, 2025 (52:11 Md. R. 533)

Regulation .06 amended effective May 30, 2011 (38:11 Md. R. 672); June 9, 2025 (52:11 Md. R. 533)

Regulation .06D amended effective December 19, 2005 (32:25 Md. R. 1944)

Regulation .06H, J amended effective December 12, 2013 (40:24 Md. R. 2017)

Regulation .07 repealed and new Regulation .07 adopted effective October 4, 2010 (37:20 Md. R. 1396)

Regulation .07 amended effective December 12, 2013 (40:24 Md. R. 2017); June 9, 2025 (52:11 Md. R. 533)

Regulation .07F amended effective April 9, 2018 (45:7 Md. R. 347)

Regulation .08 amended effective June 9, 2025 (52:11 Md. R. 533)

Regulation .08A, C amended effective December 12, 2013 (40:24 Md. R. 2017)

Regulation .09 amended effective December 12, 2013 (40:24 Md. R. 2017); June 9, 2025 (52:11 Md. R. 533)

Regulation .09B amended effective April 9, 2018 (45:7 Md. R. 347)

Regulation .09B, D amended effective May 30, 2011 (38:11 Md. R. 672)

Regulation .13 adopted as an emergency provision effective June 1, 2020 (47:13 Md. R. 640); adopted permanently effective October 5, 2020 (47:20 Md. R. 877)

Regulation .13 amended as an emergency provision effective March 2, 2022 (49:7 Md. R. 462); amended permanently effective July 11, 2022 (49:14 Md. R. 705)