.07 Renewal.

A. At least 8 weeks before the expiration date of each license or certificate, MIEMSS shall mail renewal notices to each EMS provider whose license or certificate is expiring. The renewal notice shall be sent to the EMS provider's most recent address on file with the MIEMSS Office of Education, Licensure, and Certification, based on the initial application or information as updated by the EMS provider under Regulation .06F this chapter.

B. The renewal notice shall state the date the current licensure or certification expires.

C. An EMS provider who wishes to renew a license or certificate before the expiration date shall submit a completed application to MIEMSS on a form approved by MIEMSS at least 2 weeks before the expiration date together with verification of any required affiliation including verification of protocol currency.

D. If applying for renewal as an emergency medical responder, the individual shall submit to MIEMSS evidence of:

(1) Current active status registration as an emergency medical responder or higher with the National Registry of Emergency Medical Technicians;

(2) Successful completion a 12-hour refresher course; or

(3) Successful completion of:

(a) A 6-hour or greater skills proficiency course; and

(b) Two hours of:

(i) Medical knowledge training;

(ii) Trauma knowledge training; and

(iii) Affiliation optional training;

E. If applying for renewal as an emergency medical technician, the individual shall submit to MIEMSS evidence of:

(1) Current active status registration as an emergency medical technician or higher with the National Registry of Emergency Medical Technicians;

(2) Successful completion of a 24-hour refresher course;

(3) Successful completion of:

(a) An approved skills competency evaluation and;

(b) 12 hours of approved continuing education content, including online competency-based courses, or traditional classroom content; or

(4) Successful completion of:

(a) A 12-hour or greater skills proficiency course; and

(b) Four hours of:

(i) Medical knowledge training;

(ii) Trauma knowledge training; and

(iii) Affiliation optional training.

F. If applying for renewal as a CRT the individual shall submit to MIEMSS evidence of:

(1) Current active status registration as an EMT-Intermediate 99 or higher with the National Registry of Emergency Medical Technicians; or

(2) If applying for renewal as a CRT who has completed the CRT update program but does not have current active NREMT-I99 status, documentation of completion of all continuing education and skills proficiency verification requirements equivalent to the standards required for renewal as a Paramedic with the National Registry of Emergency Medical Technicians.

G. If applying for renewal as a paramedic, the individual shall submit to MIEMSS evidence of current active status registration as a paramedic with the National Registry of Emergency Medical Technicians.

H. If applying for renewal as an EMD the individual shall submit evidence of:

(1) Continued, active status registration with an approved national EMD program; or

(2) Successful completion of 24 hours of approved EMD-related continuing education offered by an approved EMD educational program.

I. Approved online or distributive learning may be utilized to achieve the continuing education requirements.

J. MIEMSS may extend a license or certificate for up to 6 months upon receipt of a written request for an extension before the expiration date.

K. Upon completion of the requirements for renewal, the individual shall receive a certificate or license valid for the appropriate certification or licensure period minus the period of any extension.