The NYC REMAC Exam

Under the auspices of Article Thirty (30) of the New York State Public Health Law, Paramedics must demonstrate understanding of the treatment and transportation protocols of the region and be credentialed by the the Regional Emergency Medical Advisory Committee (REMAC). NYC REMAC credentialing is for three years and must be maintained in addition to the providers New York State DOH AEMT-P (Paramedic) Certification.

Until recently, credentialed REMAC Paramedics renewed their credentialing by completing the REMAC Refresher Examination. Effective January 1, 2023, the NYC REMAC, as part of its credentialing process, approved elimination of the written exam for the purposes of re-credentialing paramedics to functionally operate in the New York City region. 

Under 2022-05 REMAC Advisory NYC Paramedic Re-credentialing:

  • Original paramedics will continue to require successful completion of the NYC REMAC Paramedic Exam.
  • Re-credentialing Paramedics must continue to maintain 72 hours CME, as detailed in the Certification & Credentialing Administrative Manual & complete all regional protocol updates.
  • Additionally, paramedics must successfully complete all available Regional Updates as part of their re-credentialing process.
  • Mandatory Regional Updates will be available on the REMSCO LMS portal and will have CME hours assigned based on the competency.
  • CME hours are not limited to those obtainable via the REMSCO LMS portal through Regional Updates.
  • CME Based re-credentialing will be available for Paramedics whose NYC REMAC credential expires AFTER January 1, 2023.
  • Paramedics are strongly encouraged to review credentialing requirements as published in the most current Certification & Credentialing Administrative Manual

For 2023 REMAC Basic Exam dates, contact Kevin Ward [email protected]

REMAC Basic exams are open to NYS DOH paramedics for initial REMAC certification, paramedics who do not meet the REMAC CME requirements, or paramedics whose REMAC certifications is expired more than 30 days. The exam consists of a 120-multiple-choice questions, based on the NYC REMAC Protocols.  The exam has questions on General Operating Procedures, Treatment Protocols, Appendices and also Scenario based questions.  The exam may also include additional noncredit pilot questions. The test is limited to 3 hours and has a passing grade of 80%. Seating is limited. The exam fee is $125.

Make note of the registration deadline for your desired exam. Applications must be submitted prior to the deadline in order to be accepted into the exam. Walk-Ins are strictly PROHIBITED.

To take the REMAC Basic exam you must have all of the following with your application and exam fee:

1.Photo identification
2.Current New York State paramedic certification card not on-site scoring results
3.Proof of graduation within the last 12 months from a Paramedic Basic Program (graduation certificate or letter from the program director)

Registration for the NYC REMAC exam is done through the NYC REMSCO Learning Management System (LMS).

  1. Login or Register for the NYC REMSCO LMS.
  2. Go to the Exam Calendar to view upcoming REMAC Exam sessions.
  3. Click on the session you wish to register for.
  4. Complete the REMAC Exam Registration Questionnaire
  5. Pay the $100 Exam Fee (If Applicable)
  6. Finalize registration by clicking “Register”
    1. You should receive an email notification confirming your registration. The event will also appear in your Learner Dashboard.

For questions, contact the NYC REMAC Liaison at [email protected].

Under REMAC Advisory 2022-05, re-credentialing Paramedics must continue to maintain 72 hours CME, as detailed in the Certification & Credentialing Administrative Manual. REMAC re-credentialing is managed through the NYC REMSCO Learning Management System (LMS).

Steps to Renewing Your REMAC Credentials

  1. Register for the NYC REMSCO Learning Management System. (Login if you already have an account)
  2. Ensure you indicate a Primary Agency Affiliation during registration.
  3. Complete all steps as outlined in the “NYC REMAC Re-Credentialing” Learning Pathway.
    1. If you do not see this learning pathway on your Dashboard, contact your Primary Agency Training Officer.

REMAC Re-Credentialing Requirements:

  1. Complete all NYC REMAC Protocol Updates
  2. Submit required Continued Medical Education (CME) hours into the LMS – Or verify your hours are uploaded by your agency.
    1. CME HOURLY REQUIREMENTS Category A: Physician Directed Call Review, 36 hours (at least 12 hours of Prehospital Care Report Review)
      1. Prehospital Care Report Review;
      2. Quality Assurance/Improvement Review;
      3. Emergency Department Teaching Rounds;
      4. On-Line Medical Control Rotation;
      5. Direct Patient Care Post-Interaction Education:
      6. Case-Based Journal Article CME by agency Medical Director (or designee)
      7. Case Write-up of Actual Patient by treating Paramedic with submission to agency Medical Director (or designee)

      Category B: Alternative Source CME, 36 hours (maximum of 12 hours in any one venue):

      1. Online CME: recommended providers posted on REMSCO website. Any non-recommended provider requires approval by the Certification and Credentialing Subcommittee Chair or designee.
      2. Clinical rotation, as approved by the service Medical Director;
      3. Lecture, conference or symposium;
      4. Journal article CME with completion certificate;
      5. Associated Certifications: e.g., BCLS / ACLS / PALS / NRP / PHTLS.
  3. Submit your Medical Director Verification Letter to LMS.
  4. Register for REMAC Re-Credentialing Request
    1. This submits a request to the REMAC Liaison to approve renewal of your NYC REMAC credentials.
  5. Upon approval by the REMAC Liaison, you will receive your Temporary REMAC Credentials certificate via email and on the LMS.
  6. You will receive your per REMAC Credentialing Card by mail to the address associated with your Learner Profile in the LMS.

If you do not have your CME Requirements

If you cannot submit the above CME requirements prior to expiration of your REMAC credentialing, you may request to take a REMAC Provisional exam. The refresher candidate may attend the REMAC Basic exam for a temporary 6-month REMAC Provisional certification. Within 6 months of the Basic exam date, you must complete the CME refresher requirements outlined above to receive the full 37 months of REMAC paramedic certification.

If you do not submit a CME letter or proof of CME requirements before the 6-month Provisional expiration date, you will be decertified by NYC REMAC as a regional paramedic. You will then have to repeat the REMAC Basic Exam process, including paying the fee, and submit either a CME letter or proof of CME requirements before being allowed to take the REMAC Basic exam.

All inquiries regarding NYC REMAC paramedic cards should be directed to 212-870-2301 or [email protected].

For a listing of REMAC Approved ALS Agencies, OLMC Physicians, and Paramedics, click here.

NYC REMAC’s Certification & Credentialing Manual is available here.

Replacing a lost REMAC Credentialing Card

If you misplace or damage your NYC REMAC Credentialing Card you may request a re-issuance of your card online by clicking the “Order Duplicate Cert” button. There is a NON-REFUNDABLE $10.00 processing fee for issuance of a Replacement REMAC Card.

NOTE: This is for NYC REMAC card ONLY! If you require replacement of your NYS Certification, you must go to the NYS DOH Bureau of EMS Website at: https://apps.health.ny.gov/pubpal/builder/survey/nys-doh-form-4453-duplicate-card

For questions, contact:

Regional EMS Council of NYC Inc.
ATTN: Dinna Tan, Q/A Coordinator
[email protected]
475 Riverside Drive, Suite 1929
New York, NY, 10115

Chair of REMAC Certification & Credentialing Committee:
Paul Barbara, MD c/o REMAC Liaison
Office of Medical Affairs,
FDNY 9 Metrotech Center, 4th Floor, Brooklyn, NY 11201-3857

NYC REMAC Liaison:
Kevin Ward, EMT-P FDNY OMA REMAC Liaison
9 Metrotech Center, 4th Floor,  Brooklyn, NY 11201-3857
[email protected], P: 718-999-2671, F: 718-999-0142

The Regional EMS Council of New York City Inc. is a 501(c)3 Not for Profit Organization