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EMT / Paramedic
Governing Authority
Michigan Department of Health and Human Services, Bureau of EMS, Trauma, and Preparedness
Official website →Some details on this page are not yet confirmed against an official source. See sources below or contact the licensing board to verify.
No
NREMT Required?
120-150
EMT Training Hours
4 levels
Certification Levels
$1,000 (program) + $104 (NREMT exam) + $40 (state application)
EMT Initial Cost
3 years
Renewal Period
30 hrs
EMT CE Hours
Training Hours
60 hours
Scope of Practice
Basic emergency care including bleeding control, CPR, AED use, oxygen administration, and basic patient assessment
NREMT Required
Yes
Additional Requirements
Training Hours
120-150 hours
Scope of Practice
BLS care including patient assessment, vital signs, oxygen administration, BVM ventilation, CPR/AED, splinting, bleeding control, assisted medication administration (epinephrine auto-injector, nitroglycerin, albuterol), emergency childbirth, and spinal motion restriction
NREMT Required
Yes
Additional Requirements
Training Hours
350 hours
Scope of Practice
All EMT-Basic skills plus IV/IO access, fluid administration, supraglottic airway devices, blood glucose monitoring, CPAP, and limited medication administration per protocol
NREMT Required
Yes
Additional Requirements
Training Hours
1,200 hours
Scope of Practice
All AEMT skills plus endotracheal intubation, cardiac monitoring/12-lead ECG, manual defibrillation/cardioversion, transcutaneous pacing, needle chest decompression, surgical cricothyrotomy, comprehensive medication administration, and RSI where authorized
NREMT Required
Yes
Additional Requirements
Training Program Requirements
Verified120-150
EMT Training Hours
1,200
Paramedic Hours
Notes
Michigan requires 226 hours minimum for EMT certification, which exceeds the national standard (~150 hours). Online-only CPR certification is NOT accepted. Applicants must apply within 2 years of completing their training course.
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Exam Requirements
VerifiedAccepted
NREMT Certification
Not Required
Cognitive Exam
Not Required
Psychomotor Exam
Yes
State-Specific Exam
NREMT Details
Michigan requires NREMT for initial certification only (one-time requirement). NREMT is NOT required for recertification; Michigan uses state CE-based renewal. NREMT cognitive exam is CAT format, 70-120 questions for EMT, 2-hour time limit, $104/attempt, scaled score of 950/1500 to pass, up to 6 attempts with 15-day wait between attempts. Psychomotor exam is administered by the state.
State Exam Details
No separate state exam; NREMT used for initial certification only
Passing Score
NREMT uses computer adaptive testing (CAT) with 70-120 questions for EMT level, 2-hour time limit. Scaled passing score is 950/1500. No fixed percentage.
Retake Policy
NREMT allows up to 6 attempts with a 15-day waiting period between attempts. After 3 failed attempts, 24 hours of remedial training required. $80 per attempt.
Didn't pass on the first try? Learn what to do if you fail the NREMT.
Overall licensing difficulty: 1/100
Study recommendation: 1–2 weeks of focused review is usually sufficient
Practice with realistic exam questions
NREMT (EMT Certification Exam)
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EMT Exam Prep Books
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Difficulty rating based on education, exam, and experience requirements. Individual experience may vary.
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NREMT Cognitive Exam
Passing Score
NREMT uses computer adaptive testing (CAT) with 70-120 questions for EMT level, 2-hour time limit. Scaled passing score is 950/1500. No fixed percentage.
Cost of failing
Retake fee: $80Invest in preparation to pass the first time.
How long should you study? Most candidates study 2–4 weeks before taking the NREMT Cognitive Exam.
Study Materials & Exam Prep — NREMT Certification Exam
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Study guides and practice tests for the NREMT certification exam.
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What Each Level Can Do
VerifiedOnline Medical Direction (Real-Time)
Real-time physician contact via radio or phone for consultation on patient care decisions beyond standing orders
Offline Medical Direction (Standing Orders)
Standing orders and protocols developed by the EMS medical director that authorize specific treatments without real-time physician contact
Protocol Requirements
All EMS providers in Michigan must operate under the authority of a licensed physician medical director. Each EMS agency must have approved protocols.
Minimum Age
Education
Background Check
Drug Screening
CPR/BLS Certification
Immunizations Required
Driver's License Required
Not sure if you need a emt license? Check whether your state requires one.
| Fee | Amount |
|---|---|
EMT Course Cost Varies by program; higher due to 226-hour minimum requirement | $1,000-$3,000 |
Paramedic Course Cost Varies by program and institution | $8,000-$16,000 |
NREMT Exam Fee NREMT EMT cognitive exam fee (increased from $70 in 2025) | $80 |
State Application Fee In-state initial application fee | $25 |
State License Fee Out-of-state/endorsement application fee | $175 |
Renewal Fee Per 3-year renewal cycle | $175 |
Total Initial EMT Cost In-state applicant; does not include textbooks or equipment | $1,000 (program) + $104 (NREMT exam) + $40 (state application) |
Total Initial Paramedic Cost In-state applicant; does not include textbooks or equipment | $8,000 (program) + $104 (NREMT exam) + $40 (state application) |
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Renewal & CE Requirements
Verified3 years
Renewal Period
30 hrs
EMT CE Hours
45 hrs
Paramedic CE Hours
Required
Skills Verification
NREMT Recertification Accepted for State Renewal
CE Topics
Renewal Fee
$25
Per 3-year renewal cycle
Regulatory Board
EMS certifications must be renewed on schedule. Most states require continuing education covering patient assessment, trauma care, cardiac emergencies, and applicable protocol updates.
For a deeper dive into CE requirements and deadlines, see our emt license renewal guide.
Out-of-State Reciprocity
VerifiedAccepts Out-of-State Credentials
NREMT-Based Reciprocity Available
Reciprocity Type
NREMT-based; NOT an EMS Compact member state
Transfer Details
Michigan accepts out-of-state EMTs through endorsement. Out-of-state/endorsement application fee is $175. Current NREMT or equivalent out-of-state certification required.
Additional Requirements for Transfer
EMT/Paramedic reciprocity is often facilitated through NREMT certification. States that require NREMT typically allow easier transfer for certified providers. Always verify current reciprocity policies with your state EMS office.
See all EMS Compact (REPLICA) member states & eligibility details →
Moving to another state? Use our Transfer Tool to see what you need →
Compare Michigan with other states →
See how requirements, costs, and timelines differ across all 50 states.
Michigan requires 226 hours minimum for EMT training, significantly exceeding the national standard (~150 hours). NREMT is needed only once for initial certification and is not required for recertification. Online-only CPR is not accepted. Applicants must apply within 2 years of course completion. In-state initial fee is only $40, but out-of-state endorsement is $175.
Michigan requires 226 hours minimum for EMT, which significantly exceeds the national standard of ~150 hours.
NREMT is needed only once for initial certification; not required for recertification.
Online-only CPR certification is NOT accepted in Michigan.
Applicants must apply within 2 years of completing their training course.
MI State Police ICHAT background check is required but is not fingerprint-based.
Out-of-state/endorsement application fee is $175 compared to $40 for in-state.
Michigan is NOT an EMS Compact member state.
EMT requirements in nearby states
| State | Total Cost | Timeline | |
|---|---|---|---|
| Michigan (you) | $1,000 (program) + $104 (NREMT exam) + $40 (state application) | — | |
| Illinois | $45 (application) + $104 (NREMT exam) + course tuition | — | → |
| Indiana | $104 (NREMT exam) + course tuition | 8–24 wks | → |
| Ohio | $104 (NREMT exam) + course tuition + background check | — | → |
| Wisconsin | Course + $104 (NREMT) + $0 (state fees) + background check | — | → |
Other professional licenses in Michigan
See how Michigan compares: EMT License Fees by State — Cheapest to Most Expensive →
Michigan is not currently a member of the EMS Compact (REPLICA). EMT licensees must apply through standard reciprocity or endorsement. See which states are in the REPLICA →
Related Guides
Explore requirements for other professional licenses in Michigan.
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EMT requirements in Michigan verified against Michigan Department of Health and Human Services, Bureau of EMS, Trauma, and Preparedness, March 2026.
Moving to Michigan? Use our free Transfer Tool to see what you need →
Already licensed elsewhere? See how to transfer your EMT license to Michigan →
Transfer your EMT license from Michigan to: Indiana → | Ohio → | Wisconsin →
Michigan accepts NREMT certification for EMS providers. EMT training requires 120-150 hours. All certification is managed through the Michigan Department of Health and Human Services, Bureau of EMS, Trauma, and Preparedness.
Requirements vary by state and local jurisdiction. Always verify current requirements with your state EMS office.
EMT Schools in Michigan
Compare approved training programs, costs, and requirements.