Indiana EMT, AEMT & Paramedic Certification Renewal Requirements

Indiana EMS certifications are regulated by the Indiana Department of Homeland Security (IDHS), EMS Division, through the Indiana Emergency Medical Services Commission. Indiana uses the Acadis Portal for licensing and does not follow the NREMT NCCP model for state renewal.

At a Glance

Detail	Information
Regulatory Body	Indiana DHS, EMS Division
Renewal Cycle	Every 2 years
NREMT Required	Required for initial AEMT and Paramedic certification (NREMT cognitive exam); not required for renewal
NCCP Model	No — Indiana uses its own CE framework
EMS Compact Member	Yes
Online System	Acadis Portal

Important: Indiana Does NOT Follow NCCP

Indiana has its own CE requirements that differ from the NREMT NCCP model. If you also want to maintain NREMT certification, you'll need to complete NREMT NCCP requirements separately. Indiana state CE requirements alone will not satisfy NREMT renewal.

Continuing Education Requirements

Level	CE Hours (2-year cycle)	Key Components
EMT	~40+ hours	Lectures, critiques, skills proficiency, teaching sessions reviewing Indiana EMT curriculum; plus audit & review hours
AEMT	~50+ hours	All EMT requirements plus additional AEMT-specific content
Paramedic	72 hours	Comprehensive CE across all practice areas

CE Structure

Indiana's CE requirements include several distinct components:

• Lectures, critiques, skills proficiency exams, or teaching sessions reviewing subject matter from the Indiana EMS curriculum (minimum hours specified by level)
• Audit and review hours (minimum 10–12 hours depending on level) — check with your local district manager for specific requirements
• Update courses as prescribed by the EMS Commission
• Skills proficiency evaluation demonstrating competency in required skills
• EMS Medical Director signature verifying continued competence

New Requirements (Effective July 1, 2025)

• National Traffic Incident Management (TIM) Responder Training — now mandatory for all levels (initial and renewal)
• Mental health and wellness training — required for all certifications and renewals. Must cover healthy coping skills, recognition of PTSD symptoms, and warning signs of suicidal behavior. Can be taken online or virtually.

Indiana-Specific Notes

• EMS Compact member. Indiana participates in the EMS Compact, allowing cross-state practice privileges.
• Social Security number required. To comply with EMS Compact rules, all current license holders and new applicants must enter their SSN in their Acadis account (only last 4 digits visible).
• Medical Director verification required. Your EMS Medical Director must sign your renewal application attesting to your continued competence.
• Expired more than 120 days: You must complete the full initial certification/licensure application process (not a simple renewal).
• Local district managers play a key role in Indiana EMS renewal — contact them for System-specific requirements.
• CAPCE-accredited courses accepted for CE credit.
• Free online CE available through various sources listed on the IDHS website.

How to Renew

1. Complete all required CE hours for your level (including TIM and mental health training)
2. Complete skills proficiency evaluation
3. Obtain Medical Director signature verifying competence
4. Log in to the Acadis Portal
5. Submit renewal application with all required documentation
6. Pay renewal fee

Contact Information

Indiana Department of Homeland Security — EMS Division

• Website: in.gov/dhs/ems
• Acadis Portal: acadisportal.in.gov
• Phone: (317) 232-2222
• Address: Indiana Government Center South, 302 W. Washington St., Room E208, Indianapolis, IN 46204

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This page is for informational purposes only. Requirements may change — always verify current requirements with IDHS and your local EMS district manager before renewing. Last reviewed March 2026.

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