EMT Exam Prep / Missouri
EMT — MO
How to Get Your EMT Certification in Missouri
To become a certified EMT in Missouri, you must pass the NREMT cognitive and psychomotor exams, then apply for state certification through Missouri Bureau of EMS (Department of Health and Senior Services). Here's everything you need to know.
Certification Details
- Certifying Body
- Missouri Bureau of EMS (Department of Health and Senior Services)
- Exam Provider
- NREMT
- Passing Score
- 70% (NREMT adaptive)
- Exam Fee
- $70
- Recertification Cycle
- Every 5 years
- CE Hours Required
- 100 (state path) hours
Note: Always verify current requirements with Missouri Bureau of EMS (Department of Health and Senior Services).
Missouri EMT Notes
Missouri licenses EMTs through the DHSS Bureau of EMS on an unusually long 5-year cycle. Relicensure can be met either by maintaining NREMT (NCCP, renewed every 2 years) or by completing the Missouri state-only CE path (about 100 hours over 5 years). Confirm the current pathway totals with the Bureau.
About the NREMT Exam
The NREMT EMT cognitive exam is a computer-adaptive test (CAT) with 70–120 questions. The exam adapts based on your performance — you must demonstrate entry-level competency across all content areas including airway management, cardiology, trauma, medical emergencies, and EMS operations. The exam is administered at Pearson VUE test centers nationwide and costs $70 per attempt.
How to Get Your EMT Certification in Missouri
- 1
Complete an approved EMT training program
Most states require 120–150 hours of EMT-Basic training from a state-approved program (community college, fire department, or private school).
- 2
Pass the NREMT cognitive exam
The NREMT EMT exam is computer-adaptive with 70–120 questions. You need to demonstrate competency at the entry-level EMT standard. The exam is administered at Pearson VUE test centers.
- 3
Pass the NREMT psychomotor exam
In addition to the written exam, you must pass a hands-on skills exam covering airway, patient assessment, and trauma. Contact your state EMS office for testing locations.
- 4
Apply for state certification
After passing both NREMT exams, apply for state certification through Missouri Bureau of EMS (Department of Health and Senior Services). Processing times vary. You must be state-certified to work on an ambulance.
- 5
Recertify every 5 years
Maintain your certification with 100 (state path) hours of continuing education every 5 years. This includes mandatory topics in airway management, patient assessment, and trauma.
Start on the web
Practice for the Missouri EMT certification path
Use this state guide to understand certification steps, then drill NREMT-style EMT questions in your browser. Web access and native app purchases are separate.