Indiana EMS License Renewal & Continuing Education Requirements
For EMR, EMT, AEMT & Paramedics
Impact EMS Training offers CAPCE-accredited online continuing education for EMS professionals seeking to maintain National Registry certification and meet Indiana EMS renewal requirements.
In Indiana, EMS certification is regulated by the Indiana Department of Homeland Security (IDHS). EMS professionals must maintain an active Indiana certification to practice. While many providers also maintain National Registry (NREMT) certification, Indiana certification renewal is administered separately through the Indiana Public Safety Personnel Portal (Acadis).
Indiana EMS certifications renew on a two-year certification cycle. Providers may renew through the Acadis beginning 90 days before their certification expiration date.
Because renewal requirements may change, EMS professionals should always verify current requirements with the Indiana Department of Homeland Security and the National Registry of Emergency Medical Technicians.
Indiana EMR Recertification
Emergency Medical Responders (EMRs) renewing National Registry certification must complete continuing education through the National Continued Competency Program (NCCP). NCCP requirements are divided into National, Local/State, and Individual Components.
Indiana also maintains separate requirements for providers holding an Indiana EMS certification.
NREMT Requirements
National Component: 8 Hours
- Airway, Respiration & Ventilation: 1.5 hours
- Cardiology: 2 hours
- Trauma: 1 hour
- Medical: 2.5 hours
- Operations: 1 hour
Local/State Component: 4 hours
- Continuing education determined by state EMS offices, local agencies, medical directors, or regional EMS systems. Topics may include protocol updates, regional clinical priorities, quality improvement initiatives, or other EMS-related education relevant to the provider’s practice.
Individual Component: 4 hours
- Continuing education selected by the provider based on individual educational needs. These hours may be completed through EMS-related courses that support professional development and clinical competency.
Total NREMT Continuing Education: 16 hours
State Requirements
- Renewal cycle: Every 2 years
- Renewal may be submitted to the Indiana Public Safety Personnel Portal (Acadis) up to 90 days before certification expires
- Continuing education and required skills competencies must be completed before submitting a renewal application
- Continuing education completed between a provider’s online renewal date and the expiration date of the previous certification cycle may be applied toward the next certification cycle
- Providers must maintain an active Indiana certification to practice
- Continuing education records are subject to review and audit by IDHS
Skills Competency Requirements
Providers must complete required skills competencies in addition to continuing education hours. Indiana EMRs must complete psychomotor skills competency verification consistent with Indiana EMS Commission guidance.
Suggested Refresher Course
- 16 Hour Online EMR Refresher
- Meets National Registry NCCP requirements
- CAPCE-accredited continuing education
- 100% online and self-paced
- Instant certificate upon completion
NREMT & State of Indiana Continuing Education Resources for EMRs
NREMT
The National Registry is accredited by the National Commission for Certifying Agencies (NCCA), the accreditation body of the Institute for Credentialing Excellence. The National Registry maintains NCCA accreditation for each of our four certification programs: (1) Emergency Medical Responder (2) Emergency Medical Technician (3) Advanced Emergency Medical Technician (4) Paramedic. The National Registry, established in 1970 as a non-profit organization, is the Nation’s Emergency Medical Services Certification organization. The mission of the National Registry of Emergency Medical Technicians has always been centered on protecting the public and advancing the EMS profession.
CAPCE was established in 1992 to create consistent standards for accrediting EMS CE activities nationwide. It maintains a database of accredited courses and conducts face-to-face site visits and online content audits. As a leader in continuing education for EMS, CAPCE promotes growth, innovative learning solutions, and optimal learning experiences for EMS providers. CAPCE accredits CE for EMS professionals globally, while NREMT administers certification exams for EMS professionals at different levels.
Indiana EMT Recertification
Emergency Medical Technicians (EMTs) renewing National Registry certification must complete continuing education through the National Continued Competency Program (NCCP). NCCP requirements are divided into National, Local/State, and Individual Components.
Indiana also maintains separate requirements for providers holding an Indiana EMS certification.
NREMT Requirements
To maintain NREMT certification, EMTs must complete 40 hours of continuing education every two years:
National Component: 20 hours
- Airway, Respiration & Ventilation: 1.5 hours
- Cardiovascular: 2.5 hours
- Trauma: 3 hours
- Medical: 3.5 hours
- Operations: 2 hours
- EMS Systems: 1 hour
- EMS Safety: 1 hour
- Flexible Content: 5.5 hours
Local/State Component: 10 hours
- Continuing education determined by state EMS offices, local agencies, medical directors, or regional EMS systems. Topics may include protocol updates, regional clinical priorities, quality improvement initiatives, or other EMS-related education relevant to the provider’s practice.
Individual Component: 10 hours
- Continuing education selected by the provider based on individual educational needs. These hours may be completed through EMS-related courses that support professional development and clinical competency.
Total NREMT Continuing Education: 40 hours
State Requirements
- Renewal cycle: Every 2 years
- Renewal may be submitted to the Indiana Public Safety Personnel Portal (Acadis) up to 90 days before certification expiration
- Continuing education and required skills competencies should be completed before submitting a renewal application
- Continuing education completed between a provider’s online renewal date and the expiration date of the previous certification cycle may be applied toward the next certification cycle
- Providers must maintain an active Indiana certification to practice
- Continuing education records are subject to review and audit by IDHS
Skills Competency Requirements
Providers must complete required skills competencies in addition to continuing education hours. Indiana EMTs must complete psychomotor skills competency verification consistent with Indiana EMS Commission guidance.
Suggested Refresher Course
- 40-Hour Online EMT Refresher
- Meets National Registry NCCP requirements
- CAPCE-accredited continuing education
- 100% online and self-paced
- Instant certificate upon completion
NREMT & State of Indiana Continuing Education Resources for EMTs
NREMT
The National Registry is accredited by the National Commission for Certifying Agencies (NCCA), the accreditation body of the Institute for Credentialing Excellence. The National Registry maintains NCCA accreditation for each of our four certification programs: (1) Emergency Medical Responder (2) Emergency Medical Technician (3) Advanced Emergency Medical Technician (4) Paramedic. The National Registry, established in 1970 as a non-profit organization, is the Nation’s Emergency Medical Services Certification organization. The mission of the National Registry of Emergency Medical Technicians has always been centered on protecting the public and advancing the EMS profession.
CAPCE was established in 1992 to create consistent standards for accrediting EMS CE activities nationwide. It maintains a database of accredited courses and conducts face-to-face site visits and online content audits. As a leader in continuing education for EMS, CAPCE promotes growth, innovative learning solutions, and optimal learning experiences for EMS providers. CAPCE accredits CE for EMS professionals globally, while NREMT administers certification exams for EMS professionals at different levels.
Indiana AEMT Recertification
Advanced EMTs (AEMTs) renewing National Registry certification must complete continuing education through the National Continued Competency Program (NCCP). NCCP requirements are divided into National, Local/State, and Individual Components.
Indiana also maintains separate requirements for providers holding an Indiana EMS certification.
NREMT Requirements
National Component: 25 hours
- Airway, Respiration & Ventilation: 2 hours
- Cardiovascular: 3 hours
- Trauma: 3 hours
- Medical: 4 hours
- Operations: 2 hours
- EMS Systems: 1.5 hours
- Special Populations: 1.5 hours
- EMS Safety: 1 hour
- Flexible Content: 7 hours
Local/State Component: 12.5 hours
- Continuing education determined by state EMS offices, local agencies, medical directors, or regional EMS systems. Topics may include protocol updates, regional clinical priorities, quality improvement initiatives, or other EMS-related education relevant to the provider’s practice.
Individual Component: 12.5 hours
- Continuing education selected by the provider based on individual educational needs. These hours may be completed through EMS-related courses that support professional development and clinical competency.
Total NREMT Continuing Education: 50 hours
State Requirements
- Renewal cycle: Every 2 years
- Renewal may be submitted to the Indiana Public Safety Personnel Portal (Acadis) up to 90 days before certification expiration
- Continuing education and required skills competencies should be completed before submitting a renewal application
- Continuing education completed between a provider’s online renewal date and the expiration date of the previous certification cycle may be applied toward the next certification cycle
- Providers must maintain an active Indiana certification to practice
- Continuing education records are subject to review and audit by IDHS
Skills Competency Requirements
Providers must complete required skills competencies in addition to continuing education hours. AEMT skills competency requirements are established by the provider’s Medical Director.
Suggested Refresher Course
- 50-Hour Online AEMT Refresher Course
- Meets National Registry NCCP requirements
- CAPCE-accredited continuing education
- 100% online and self-paced
- Instant certificate upon completion
NREMT & State of Indiana Continuing Education Resources for AEMTs
NREMT
The National Registry is accredited by the National Commission for Certifying Agencies (NCCA), the accreditation body of the Institute for Credentialing Excellence. The National Registry maintains NCCA accreditation for each of our four certification programs: (1) Emergency Medical Responder (2) Emergency Medical Technician (3) Advanced Emergency Medical Technician (4) Paramedic. The National Registry, established in 1970 as a non-profit organization, is the Nation’s Emergency Medical Services Certification organization. The mission of the National Registry of Emergency Medical Technicians has always been centered on protecting the public and advancing the EMS profession.
CAPCE was established in 1992 to create consistent standards for accrediting EMS CE activities nationwide. It maintains a database of accredited courses and conducts face-to-face site visits and online content audits. As a leader in continuing education for EMS, CAPCE promotes growth, innovative learning solutions, and optimal learning experiences for EMS providers. CAPCE accredits CE for EMS professionals globally, while NREMT administers certification exams for EMS professionals at different levels.
Indiana Paramedic Recertification
Paramedics renewing National Registry certification must complete continuing education through the National Continued Competency Program (NCCP). NCCP requirements are divided into National, Local/State, and Individual Components.
Indiana also maintains separate requirements for providers holding an Indiana EMS certification.
NREMT Requirements
National Component: 30 hours
- Airway, Respiration & Ventilation: 2 hours
- Cardiovascular: 3 hours
- Trauma: 4 hours
- Medical: 5 hours
- Operations: 3 hours
- EMS Systems: 2 hours
- Special Populations: 2 hours
- EMS Safety:1 hour
- Flexible Content: 8 hours
Local/State Component: 15 hours
- Continuing education determined by state EMS offices, local agencies, medical directors, or regional EMS systems. Topics may include protocol updates, regional clinical priorities, quality improvement initiatives, or other EMS-related education relevant to the provider’s practice.
Individual Component: 15 hours
- Continuing education selected by the provider based on individual educational needs. These hours may be completed through EMS-related courses that support professional development and clinical competency.
Total NREMT Continuing Education: 60 hours
State Requirements
Indiana paramedics must complete 72 hours of continuing education during each renewal cycle.
Section I: 48 hours
Providers must complete a Commission-approved Paramedic Refresher course or equivalent approved continuing education that includes:
- Airway, Breathing & Cardiology: 16 hours
- Medical Emergencies: 8 hours
- Trauma: 6 hours
- Obstetrics & Pediatrics: 16 hours
- Operations: 2 hours
Section II: 24 hours
- 24 additional hours of EMS-related continuing education
- At least 12 hours must be obtained through audit and review activities
Additional Requirements:
- Renewal cycle: Every 2 years
- Renewal may be submitted to the Indiana Public Safety Personnel Portal (Acadis) up to 90 days before certification expiration
- All continuing education hours and skills requirements must be completed during the certification period being renewed
- Providers must maintain an active Indiana certification to practice
- Continuing education records are subject to review and audit by IDHS
- Providers should maintain documentation of completed continuing education, skills verification, and renewal records, as these material may be reviewed during an IDHS audit.
Skills Competency Requirements
Providers must complete required skills competencies in addition to continuing education hours. Paramedic skills competency requirements are established by the provider’s Medical Director.
Suggested Refresher Course
- 60-Hour Online Paramedic Refresher
- Meets National Registry NCCP requirements
- CAPCE-accredited continuing education
- 100% online and self-paced
- Instant certificate upon completion
NREMT & State of Indiana Continuing Education Resources for Paramedics
Indiana Continuing Education Policies
Distance Education
Indiana permits online and distance education for EMS continuing education.
Acceptable formats may include:
- Online courses
- Webinars
- Podcasts
- Learning management system (LMS) training
- Other electronically delivered educational activities
Distance education must be verifiable and appropriately documented.
Documentation should include:
- Course title
- Participant name
- Completion date
- Verification of participation
- Total hours completed
Certification Cycle Guidance
Indiana allows continuing education completed between a provider’s online renewal date and the expiration date of the previous certification cycle to count toward the new certification period.
For example, if a provider renews before expiration, education completed between the renewal date and the expiration date may be applied to the next certification cycle.
This policy applied to Indiana EMS certification holders renewing through Acadis.
Documentation & Audits
Continuing education records, skills verification documentation, and renewal paperwork may be reviewed by IDHS. Providers should maintain records for their current certification cycle and the immediately preceding certification cycle.
This information was updated on June 18, 2026.
Always verify current renewal requirements with the Indiana Department of Homeland Security (IDHS) and the National Registry of Emergency Medical Technicians (NREMT), as regulations and renewal requirements are subject to change.
NREMT
The National Registry is accredited by the National Commission for Certifying Agencies (NCCA), the accreditation body of the Institute for Credentialing Excellence. The National Registry maintains NCCA accreditation for each of our four certification programs: (1) Emergency Medical Responder (2) Emergency Medical Technician (3) Advanced Emergency Medical Technician (4) Paramedic. The National Registry, established in 1970 as a non-profit organization, is the Nation’s Emergency Medical Services Certification organization. The mission of the National Registry of Emergency Medical Technicians has always been centered on protecting the public and advancing the EMS profession.