• To keep your certificate active, it is required that you recertify. It is good to start the recertification process about a month before the expiration date.
• If your certificate expires, you can no longer use it. Recertification is possible within one year following the expiration of a certificate, for $149.
• If it has been more than one year, you must pay an additional $35 reinstatement fee. If a certificate has expired more than three years, you must retake the original certification exam.
• The recertification package consists of three continuing education studies, each of which corresponds to three Continuing Education Units (CEUs) and thirty multiple-choice questions. The passing grade is 70%, which means that you must answer at least twenty-one (21) questions correctly to pass.
• Continuing Education can also be achieved by obtaining outside credits, meaning you do not need to go through MedCA to obtain continuing education credits. You must have at least nine (9) credits of outside study to obtain recertification by MedCA. In order for outside credits to be accepted the certificate holder must submit the course they attended, the name of the facility attended, the dates and attendance record which shows the number of hours. Please allow 30 days’ review time for a decision by MedCA on the acceptability of outside credits.
• Upon passing the recertification exam, you will receive a new full-size (8 ½” x 11” ) certificate and a laminated wallet size ID-card by postal mail within 2-3 weeks.

See recertification area for more details.
Note: Cost of re-certification is $149.