Michigan

Licensing authority

Who actually issues an EMS licence in Michigan?

Michigan Department of Health and Human Services (MDHHS) - Emergency Medical Services Section

Partly supported

Name as published in the National Registry's State EMS Offices directory, which is the Registry reporting what Michigan told it rather than Michigan naming itself on its own site. Replace with a claim sourced from the state's own page when that page is read.

Authority website

Where is Michigan's EMS licensing office online?

michigan.gov

Partly supported

Michigan buries EMS several levels deep under MDHHS legislation and policy rather than under health services, which makes the URL long and the section hard to find from the department homepage.

Licensing portal

Where do I actually submit an application in Michigan?

Michigan EMS eLicensing Portal

Partly supported

Named but not given a durable public address on this page, so the value records the system name. Licences themselves are issued as PDFs through the same portal.

Contact

Who do I call or email about Michigan licensure?

(517) 241-3025

Partly supported

From the National Registry's State EMS Offices directory, which carries the Registry's own warning: 'Information provided on this page is for convenience. Always verify information directly with the State EMS Office.'

Certification levels

What levels does Michigan issue, and what does my cert become there?

• Medical First Responder (MFR)

  Maps to

  EMR

  State-only

  Yes

  Notes

  Michigan's name for the EMR tier. 15 CE credits per three-year cycle.

• EMT

  Maps to

  EMT

  State-only

  No

  Notes

  30 CE credits per cycle.

• AEMT

  Maps to

  AEMT

  State-only

  No

  Notes

  36 CE credits per cycle.

• Paramedic

  Maps to

  Paramedic

  State-only

  No

  Notes

  45 CE credits per cycle.

• Instructor Coordinator (IC)

  Maps to

  none

  State-only

  Yes

  Notes

  Requires three or more years of field experience at a licensed life support agency at or above the level applied for, current Michigan provider licensure, and a Michigan IC examination. 30 CE credits over three years.

The Medical First Responder naming is the one to know: an EMR arriving from another state is licensed under a title Michigan alone uses. The four provider levels come from the CE chart; the Instructor Coordinator detail is from the same page.

Licence term

How long does a Michigan licence last before renewal?

Years

3

Expires on

anniversary

Three years — longer than most, and the CE totals below are for the whole period, not per year. expiration_convention is inferred from renewal applications being mailed roughly 60 days before an individual expiry date rather than on a calendar date.

Can I take a contract on privilege alone

Can I work a 13-week contract in Michigan on my home-state licence?

No — you need full state licensure

Partly supported

The Commission's current state-specific page explicitly says Michigan has not yet joined the EMS Compact. That supports the absence of a Compact privilege in this destination; the full-license-required assessment is the resulting licensing implication and remains partial rather than a direct quotation of the state's licensing rules.

Compact law enacted

Has Michigan passed the EMS Compact into law?

Status

No

Partly supported

The Commission's current Commissioner page says Michigan has not yet joined the EMS Compact. It gives no enactment date or state bill citation, so those remain null.

Defect in this source The Commission's homepage counts 28 participating states while this State Laws table, which calls itself complete, lists 25 rows. The gap is Alaska, Arizona and Connecticut, which enacted in the 2025-2026 sessions and are footnoted on the homepage but absent from the table.

Compact law in force

Is Michigan's compact law actually in effect yet?

Status

No

Delayed clause

No

Partly supported

The Commission's current Commissioner page says the EMS Compact is not currently law in Michigan. The effective date remains null; the existing delayed-implementation flag is downstream of no enacted law and is not a statement that the Commission reviewed a state clause.

Connected to NEMSCD

Can my Privilege to Practice actually be verified in Michigan?

Status

No

Partly supported

The Commission's current state page says Michigan has not yet joined the EMS Compact. The Commission describes NEMSCD data as covering participating states, so this supports nonparticipation rather than an independent integration check. This does not establish legal activation or practitioner eligibility in other states.

Recert cycle

How often do I recert in Michigan?

3

CE hours required

How many CE hours does Michigan want, and in what?

• MFR

  Hours

  15

  Content minimum

  1 credit each in Preparatory, Airway Ventilation, Patient Assessment, Medical and Trauma; 2 in BLS for Healthcare Provider; 1 each in Pediatric Airway, Assessment, Medical and Trauma; 1 in Emergency Preparedness

  Any category

  3

• EMT

  Hours

  30

  Content minimum

  2 credits each in Preparatory, Airway Ventilation, Patient Assessment, Medical, BLS for Healthcare Provider and Trauma; 1 each in the four Pediatric categories; 1 each in Operations and Emergency Preparedness

  Any category

  12

• AEMT

  Hours

  36

  Content minimum

  As EMT, plus 1 credit in Pediatric Medication Administration (practical)

  Any category

  17

• Paramedic

  Hours

  45

  Content minimum

  As AEMT

  Any category

  26

Partly supported

Totals are per three-year cycle, so a Michigan paramedic needs 15 credits a year. The category breakdown is transcribed from the same chart, which renders as a run of numbers once the table markup is flattened — the per-category figures are legible in a browser but not quotable as a contiguous string, hence quote_supports partial and confidence medium.

NCCP accepted

Can I use NCCP hours to recert in Michigan, or does it want its own?

State scheme only — NCCP alone will not do

Partly supported

Michigan runs its own category scheme with its own totals and a three-year cycle, and never mentions NCCP or National Registry as a renewal route on this page. Recorded as state_specific_only on that basis; confidence is medium because the page states what Michigan requires rather than what it refuses. CAPCE-accredited courses and out-of-state or military-sponsored programmes can supply the credits.

State-specific requirements

What does Michigan require at renewal that other states do not?

• A Michigan-approved refresher course at the licensure level is accepted as an alternative to accumulating CE credits by category
• BLS for Healthcare Providers CPR is required, and a course taken completely online will not be accepted
• Records must be retained for one year after the licence expires; failure to produce them on request creates a rebuttable presumption of a false and fraudulent licence application

The records-retention presumption is unusually severe wording for a state EMS page and worth knowing: it shifts the burden onto the licensee at audit.

The rule and its clock

What changed, and when did it take effect?

Citation

91 FR 5216

Published

2026-02-05

Effective

2026-03-09

The DEA final rule implementing the Protecting Patient Access to Emergency Medications Act of 2017 (PPAEMA). It amends 21 CFR parts 1300, 1301, 1304 and following to create the EMS agency registration and the storage, delivery and recordkeeping rules below.

The agency holds the registration now

Who holds the DEA registration an ambulance operates under?

Status

Yes

Category

Emergency Medical Services Agency

Scope

one registration per state covers every location the agency operates in that state

Before this rule most services ran narcotics under their medical director's practitioner registration. The registration now belongs to the agency, as its own DEA business-activity category.

Crossing state lines with the drug box

Does one DEA registration cover operating in another state?

Status

No

Detail

a separate DEA registration is required in each state the agency operates in

The fact that matters most to a traveler: compact privilege can carry your licence across a border, but it does not carry your agency's DEA registration. An agency running trucks in two states registers twice.

Pushing narcotics on standing orders

Can a medic administer controlled substances without the medical director present?

Status

Yes

Conditions

authorized by state law, under a valid standing or verbal order that meets the statutory conditions

Federal law now says yes, but only where state law agrees: EMS professionals are only allowed to make such administrations if authorized by State law. Whether your state's law does is the per-state question at the end of this section.

Storage on the truck

How do narcotics have to be stored in the vehicle?

Locked vehicle

Yes

Container

securely locked, substantially constructed cabinet or safe that cannot be readily removed

Hospital-run services

Does a hospital-based agency need its own registration?

Status

No

Detail

may keep operating under the hospital's registration

Hospital-based means owned or operated by a hospital. If you work for a hospital service, the drug box stays on the hospital's paper.

Restocking at the hospital

Can the truck restock controlled substances from a hospital?

Status

Yes

Detail

non-hospital-based agencies may receive controlled substances from a hospital to restock after an emergency response

What registration costs

What does the DEA registration cost an agency?

Amount

888

Per

three-year registration period

Government services pay nothing

Do municipal and fire-based services pay the fee?

Status

No

Detail

agencies operated by a state or local government are exempt from application fees

The switch-over window

When does an existing service have to move to the new registration?

Options

• immediately on the effective date
• at the expiration of the current registration
• three to six months before the renewal date

DEA recommends agencies contact their local field office to complete the transition.

Standing orders under state law

Does Michigan law let a medic push scheduled drugs on standing orders, the way the DEA rule assumes?

Status

Yes

Citation

MCL 333.20919; MDHHS Medical Control Authority Handbook (7/17)

Detail

Michigan EMS personnel practise under written protocols established by their regional medical control authority and approved by the state, and the statutory definition of protocol expressly includes standing orders.

Partly supported

Two caveats. First, the quote is MDHHS restating the Public Health Code definition rather than the Code itself: legislature.mi.gov serves a broken certificate chain and neither our checker nor a browser-agent fetch can retrieve MCL 333.20919 or 333.20906, so the statute could not be quoted directly. Second, the quote establishes standing orders as a form of protocol but does not name controlled substances. The same handbook describes EMS drug boxes as containing at least one Schedule II drug and being filled and inspected by a hospital pharmacy under the authorising medical control authority, which is the practical link, but that is narrative rather than an authorisation clause. The handbook is dated July 2017 and is still the document MDHHS publishes.

A state registration on top of DEA's

Does Michigan require its own controlled-substance registration for EMS agencies?

Status

No

Detail

Michigan licenses controlled substances at the individual prescriber and the pharmacy/manufacturer/distributor level; a life support agency is not one of the facility types eligible for a Michigan controlled substance licence, so an EMS agency holds no state registration beyond DEA.

Partly supported

This is a false established by an exhaustive list that does not include EMS, not by anyone saying 'EMS agencies need not register'. LARA's Board of Pharmacy names four eligible facility categories and an ambulance or life support agency is none of them. Michigan does run a real state controlled-substance licence — the agency's medical director will hold the individual class of it — but it attaches to the prescriber and to drug-handling businesses, not to the EMS agency. Consistent with that, the MDHHS Medical Control Authority Handbook describes the EMS drug box as filled by a hospital, which is a licensed facility. A Michigan-specific statement addressed to EMS agencies would raise this to high; none was found.