Missouri Bureau of EMS
Quick Answer
No. Missouri does not require out-of-state EMTs or paramedics to retake a cognitive exam — an active NREMT certification is accepted for reciprocity through Missouri Bureau of EMS. Processing typically takes 6–8 Weeks, and Missouri does not publish a fixed application fee — confirm the amount with Missouri Bureau of EMS.
How to transfer in 3 steps:
| Requirement | Details |
|---|---|
| Application Fee | Varies |
| Background Check Mandate | Required — Missouri fingerprint background check (per DHSS) |
| NREMT Status Requirement | Accepted — NREMT satisfies the competency requirement |
| Average Processing Time | 6–8 Weeks |
Classification
NREMT Pathway RequiredApplication Fee
Varies
Background Check
Varies
Est. Total Cost
Varies
Background check vendor: Missouri fingerprint background check (per DHSS). Protocol exam: None — NREMT accepted.
Missouri does not operate a reciprocity fee because out-of-state licenses cannot be transferred. Expect the standard initial licensure fee — confirm with the Bureau of EMS.
NREMT does not charge to release your certification to a state EMS board. Where the destination state requires verification of your existing state license, the state that issued that license sets its own verification fee.
This is a fingerprint-based criminal history check. Results are transmitted directly to the state EMS bureau, so you cannot forward them yourself — register with the approved vendor under Missouri’s service code.
Your existing CE hours generally transfer, but they must meet Missouri's requirement at your certification level. Confirm any state-specific modules before you submit.
Understand that Missouri does not transfer out-of-state licenses
Missouri states plainly that EMS licenses from other states cannot be transferred. You must apply through the procedure for initial licensing instead, which is a different process than a reciprocity transfer.
Apply as an initial licensure applicant
Follow the Missouri Bureau of EMS initial licensing procedure rather than a reciprocity route. Budget more time because this is a longer pathway.
Hold current NREMT certification
NREMT certification is the basis on which out-of-state providers most commonly obtain Missouri licensure.
Complete a fingerprint background check
Missouri requires a fingerprint-based criminal background check as part of licensure.
Await licensure
Because this is an initial licensure process rather than a transfer, allow 6–8 weeks and confirm current fees with the Missouri Bureau of EMS.
Active NREMT Certification
Authorize NREMT to release your verification to Missouri Bureau of EMS. NREMT does not charge for this release.
Current State License Verification
An official verification form from your home state EMS bureau confirming your license is active and in good standing.
Fingerprint Background Check
Missouri fingerprint background check (per DHSS) — required for all reciprocity applicants.
Continuing Education Hours
24 CE hours at the EMT-Basic level (more for AEMT/Paramedic). Confirm any Missouri-specific modules such as trauma or pediatric hours.
Completed State Application
Submit the Missouri Bureau of EMS reciprocity application and confirm the current fee directly with the office.
Government-Issued ID
A valid driver's license or passport for identity verification.
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Requirements, fees, and timelines are estimates for planning. Always confirm directly with Missouri Bureau of EMS before applying.
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