EMT in Maryland
Requirements, salary data, licensing costs, and career ROI for MD. Updated with 2024 BLS OEWS wage data.
BLS OEWS 2024, Maryland.
Jobs (MD)
10-yr job growth
Licensing fees
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
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 |
| Reciprocity | Maryland offers reciprocity for NREMT or state credentials, requiring an application, affiliation, and a Maryland refresher course.Reciprocal states: Maryland offers reciprocity to EMTs with current EMS credentials based on the National Standard Scope of Practice from another state or National Registry (NREMT) registration. Applicants must complete a reciprocity application, provide evidence of current out-of-state certification or NREMT registration, affiliate with a Maryland EMS operational program, and complete a minimum of a six-hour Maryland Emergency Medical Responder Skills Refresher Course or a 12-hour Maryland EMT Skills Refresher Course depending on the level of certification. |
| 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)
Already licensed elsewhere and moving to Maryland? See whether Maryland recognizes an out-of-state credential — with the tier and pathway for all 50 states — in our EMT license reciprocity guide.
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
balance Is it worth it?
- check_circleMaryland license required — clearer credential signal to employers
- check_circleStrong 10-year job growth (+5.1%)
Compare EMT head-to-head
See all comparisons →Considering an EMT vs another career? Side-by-side breakdowns of pay, training time, and licensing.