Hawaii EMT & Paramedic Certification Renewal Requirements

Hawaii EMS certifications are regulated through the Hawaii Medical Board (Department of Commerce and Consumer Affairs, Professional and Vocational Licensing Division). Hawaii has significantly higher state CE requirements than the NREMT NCCP minimums, with separate refresher training requirements. Hawaii also uses the term MICT (Mobile Intensive Care Technician) for Paramedics.

At a Glance

Detail	Information
Regulatory Body	Hawaii Medical Board (DCCA, Professional & Vocational Licensing)
Renewal Cycle	Every 2 years
Renewal Deadline	January 31
NREMT Alternative	Current NREMT certification satisfies all state CE requirements
Online Renewal	Yes — DCCA online licensing

Two Renewal Pathways

Option 1: Current NREMT Certification (Simplest)

Present a current NREMT certificate at your level. This satisfies all Hawaii state CE and recertification requirements. No additional documentation needed beyond NREMT.

Option 2: State CE Method (Higher Hour Requirements)

If you do not maintain NREMT, Hawaii's state requirements are substantially more demanding:

EMT (State CE Method)

• 24-hour minimum state-approved EMT refresher training
• Annual CPR certification (must be current throughout the 2-year cycle)
• 48 hours of additional CE in approved EMS subjects
• Total: 72+ hours over 2 years

Paramedic / MICT (State CE Method)

• 48 hours of paramedic refresher training (must include ACLS certification or equivalent)
• Annual CPR certification
• 24 hours of additional CE in approved EMS subjects
• Skills documentation required
• Total: 72+ hours over 2 years

Hawaii-Specific Notes

• NREMT is strongly recommended. Hawaii's state-only CE requirements (72+ hours) are nearly double the NREMT NCCP requirements (40–60 hours). Maintaining NREMT is the simpler and more portable path.
• MICT terminology. Hawaii uses "Mobile Intensive Care Technician" (MICT) interchangeably with Paramedic. The scope of practice is equivalent.
• Annual CPR is mandatory. Unlike most states that require CPR to be current at renewal, Hawaii requires annual CPR certification throughout the 2-year cycle.
• Self-certification under oath. At recertification, you certify on a Board form that you've met CE requirements. False certification is a violation subject to disciplinary proceedings.
• Forfeiture for failure to recertify. If you don't recertify and present required CE evidence, your certification is forfeited. It can be restored within 2 years if you pay all applicable fees and provide evidence of meeting CE requirements. After 2 years, restoration becomes significantly more difficult.
• Limited EMS training programs. Hawaii has fewer EMS training programs than mainland states. Plan CE completion well in advance.

How to Renew

1. Choose your pathway (NREMT or state CE method)
2. If NREMT: Ensure your NREMT certification is current
3. If state CE: Complete refresher training, annual CPR, and additional CE hours
4. Apply through the DCCA Professional & Vocational Licensing Division online portal
5. Certify CE compliance on the Board form
6. Pay the renewal fee

Contact Information

Hawaii Medical Board (EMS Certification)

• Website: cca.hawaii.gov/pvl/boards/medical
• Email: medical@dcca.hawaii.gov
• Phone: (808) 586-2699 (inquiries) or (808) 586-3000 (applications)

Hawaii DOH — EMS & Injury Prevention System Branch

• Website: health.hawaii.gov/ems
• Phone: (808) 733-9210
• Address: 3675 Kilauea Avenue, Trotter Building, Basement Level, Honolulu, HI 96816

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This page is for informational purposes only. Requirements may change — always verify current requirements with the Hawaii Medical Board before renewing. Last reviewed March 2026.

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