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⚠️ Important: This comparison is based on published state licensing requirements and may not reflect recent changes. Reciprocity and transfer rules change frequently and are evaluated on a case-by-case basis by state licensing boards. This tool is for research purposes only and does not constitute legal or professional advice. Always contact Maryland Institute for Emergency Medical Services Systems (MIEMSS) directly to confirm current transfer requirements before submitting any applications or fees.
Everything you need to know about transferring your emt / paramedic license from Virginia to Maryland
Maryland accepts out-of-state EMTs through reciprocity with a $35 application fee. Applicants must complete a 12-hour MD EMT Skills Refresher and pass a Maryland protocol exam. Must maintain EMS operational program affiliation in Maryland.
| Requirement | Virginia (VA) | Maryland (MD) |
|---|---|---|
| Education Requirements● | High school diploma or GED; parental consent required under age 18 | High school diploma or GED |
| Exam Requirements● | Not available | Not available |
| Experience Requirements | Not available | Not available |
| Fees | nremt exam fee: $80; state application fee: $30; state license fee: Not publicly posted; renewal fee: Not publicly posted; background check fee: Varies; total initial emt cost: Course + $104 (NREMT EMT exam) + state fees + background check; total initial paramedic cost: Course + $104 (NREMT) + state fees (not publicly posted) + background check; confidence: high; sources: https://www.vdh.virginia.gov/emergency-medical-services/; https://www.vdh.virginia.gov/emergency-medical-services/education-certification/provider-resources/recertifying-your-virginia-ems-credential/virginia-recertification/ | emt course cost: $800-$2,000; paramedic course cost: $7,000-$15,000; nremt exam fee: $80; state application fee: $25; renewal fee: $25; total initial emt cost: $800 (program) + $104 (NREMT exam); total initial paramedic cost: $7,000 (program) + $104 (NREMT exam); confidence: high; sources: https://www.miemss.org/home/ems-providers; https://www.miemss.org/home/renewal-certification |
| Renewal / CE Requirements● | Period: 4 years; Fee: $30 | Period: 3 years; Fee: $25 |
Data verified as of 2026-03-21. Requirements may have changed since verification.
Gather required documentation (education transcripts, experience logs, exam scores).
These steps are general guidance based on common transfer processes. Your state may have a different process. Always follow the instructions provided by your state licensing board.
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