The New NCCP (National Continued Competency Program)

By: Rae Oliveira, MS, RN, Paramedic

Has your state switched to the NREMT NCCP (National Continued Competency Program)? Yes? That’s a good thing. Two main benefits are a decrease in the number of hours needed to recertify and an increase in the number of allowed distributive education, or on-line only, content hours.  This means the hours required to renew EMT decreased to 40, and Paramedic decreased to 60. Both levels require 72 hours in the older, Traditional renewal model. Note, the virtual instructor-led refresher courses offered by Medic-CE are considered classroom, not distributive learning, since you have direct access to an instructor. This means they won’t contribute to the maximum allowed distributive education hours.

Another change to be aware of in the NCCP renewal model is a move to a three component outline: National, Local, and Individual. The National component is 50% of the required renewal hours, and its content is specified by the NREMT. The most recent version is the 2016 Revision of the National Content; go to NCCP 2016 for more information.  The Local component is 25% of the required renewal hours, and may be specified by your State EMS Office, EMS regional directors, or agency level administrators (i.e. Training Officer or Medical Director).  An example of Local content would be a required State or Local Protocol review or update. You will need to contact your state or local jurisdiction to determine if Local component content has been specified. If no Local content has been specified, these hours are considered flexible and can be filled with any state or CAPCE (Commission on Accreditation of Prehospital Continuing Education) approved course. This leads us to the last component – Individual.  This component is the remaining 25% of the required renewal hours.  These hours are completely flexible and are chosen by you based on your needs or interests.  These flexible hours can also be filled by any state or CAPCE approved course.  Note, all Medic-CE courses, instructor-led and self-paced, are CAPCE approved.

What’s that? You already completed your hours based on the Traditional model? No need to worry.  During the transition period after your state adopts the NCCP renewal model, all three available models of NREMT renewal: Traditional, NCCP 2012, and NCCP 2016 are accepted for a period of time.  For an overview of the Traditional and NCCP 2016 based on your provider level go to NREMT and select Recert next to your provider level on the home page.  For an overview of the 2012 NCCP National component content go to NCCP 2012.

More information on the NREMT NCCP model, such as guidance on entering your training hours on the NREMT website, and how the AHA “alphabet” courses factor into your NREMT renewal, will be forthcoming on future posts.

Thank you for your dedication to EMS!


Rae is a Paramedic with over 30 years of emergency medical services experience.  She retired as an EMS Battalion Chief in 2009 from the Howard County Department of Fire and Rescue (HCDFRS), Maryland after 23 years of service.  As part of her experiences in the HCDFRS, she obtained her Maryland EMS instructor credential in 1996 and oversaw the EMS section of the training division.  She has been teaching EMS and AHA courses ever since, and in 2015 became a nationally certified EMS educator through NAEMSE.  After her retirement in 2009, she was hired at the Maryland Institute for Emergency Medical Services (MIEMSS) and is currently the Director of the Office of Licensure and Certification for Maryland EMS.  Additionally, she is a critical care transport nurse, licensed in Maryland and the District of Columbia.