EMT in Maryland

Requirements, salary data, licensing costs, and career ROI for MD. Updated with 2024 BLS OEWS wage data.

Median annual salary

$47,390

trending_up +14.6% vs. national

BLS OEWS 2024, Maryland.

engineering

2,970

Jobs (MD)

monitoring Strong

+5.1%

10-yr job growth

payments

$144

Licensing fees

schedule

3-6 months

Time to complete

route How to become an emt in Maryland

To become a certified EMT in Maryland, individuals must successfully complete a MIEMSS-approved EMT training program and an approved internship. They must also pass both the NREMT cognitive exam and the Maryland EMT psychomotor exam. The Maryland Institute for Emergency Medical Services Systems (MIEMSS) oversees certification and licensure, and applicants must be affiliated with a Maryland EMS operational program and undergo a fingerprint-based background check. Reciprocity is available for those with current out-of-state or NREMT certification, requiring an application, affiliation, and a Maryland-specific skills refresher course.

bar_chart Salary percentiles

10th percentile (entry) $38,930

25th percentile $42,480

50th (median) $47,390

75th percentile $64,230

90th (experienced) $82,050

Source: BLS OEWS 2024 for Maryland. Metro-area wages may differ significantly from the state aggregate.

checklist Maryland requirements

Licensing body	Maryland Institute for Emergency Medical Services Systems (MIEMSS)
State license	Required
Education	State-approved EMT training program, internship approved by MIEMSS, and High School Diploma/GED. Must also hold a current Basic Life Support (BLS) CPR certification for Healthcare Providers.
Exam	NREMT Cognitive Exam and Maryland EMT Psychomotor Exam ($104)
Application fee	$40
Renewal	Every 3.0 years
Continuing education	24.0 hours per cycle
Notes	Must be at least 16 years old to enter a MIEMSS-approved EMT training program, but some certifying agencies may require 18 for full certification application. Applicants for ALS licensure must be at least 18 years of age before participating in any ALS clinical training or internship. Requires fingerprint-based background check. Must be affiliated with a Maryland EMS operational program.

Source: Maryland Institute for Emergency Medical Services Systems (MIEMSS)

workspace_premium Maryland license tiers

Maryland offers multiple tiers of emt licensing:

Tier	Hours required
EMR	N/A
EMT	N/A
AEMT	N/A
Paramedic	N/A

work_outline Job outlook

10-year growth

+5.1%

Faster than average

Annual openings

14,100

Nationwide per year

Total employment

181,000

Nationwide

balance Is it worth it?

check_circleMaryland license required — clearer credential signal to employers
check_circleStrong 10-year job growth (+5.1%)

psychology

Wondering if an emt career is the right fit?

See what the day actually looks like, who the role suits, and who should skip it — grounded in real practitioner sources.

arrow_forward

Frequently asked questions

What are the steps to becoming an emt in Maryland? expand_more

To become an emt in Maryland, you need to complete the required education (State-approved EMT training program, internship approved by MIEMSS, and High School Diploma/GED. Must also hold a current Basic Life Support (BLS) CPR certification for Healthcare Providers.), pass the NREMT Cognitive Exam and Maryland EMT Psychomotor Exam, and submit your application ($40 fee).

Does Maryland require emt licensure? expand_more

Yes, Maryland requires a state license to practice as an emt. The licensing body is Maryland Institute for Emergency Medical Services Systems (MIEMSS). You must pass the NREMT Cognitive Exam and Maryland EMT Psychomotor Exam.

How much does an emt make in Maryland? expand_more

In Maryland, the median pay for emts comes to $47,390/year. This exceeds the $41,340 national median by 15%. New emts start around $38,930; seasoned professionals can reach $82,050.

What's the total cost to get emt certified in Maryland? expand_more

Costs include exam fee ($104) and application fee ($40). The estimated total investment is varies, including education and training.

What's the timeline to become an emt in Maryland? expand_more

The typical timeline in Maryland is 3-6 months. This includes completing education, gaining any required experience, and passing the licensing exam.

Does Maryland require continuing education for emts? expand_more

To keep your license active, Maryland mandates 24.0 CE hours every 3.0 years.