Continuing Education Requirements for LMTs and RMPs

Please be advised that on January 6, 2014, the DHMH and Board of Chiropractic and Massage Therapy Examiners adopted newly revised regulations, found in Code of Maryland Regulations (“COMAR”), title 10, subsection 43. This is the result of a 2 year review initiative that included several public meetings and notifications. The entire regulation package is published on our website at The old changed provisions are in blue highlighted text and their revisions are noted in yellow highlighted text. All licensees and registration holders should review these new provisions. Please note that these revisions ARE IN FULL FORCE AND EFFECT AND ALL LICENSEES AND REGISTRATION HOLDERS MUST BE IN FULL COMPLIANCE.


  • A “Pre-Approved Provider” of massage therapy continuing education courses is no longer required to submit an application for approval to the Board provided their programs cover one or more of a specified list of subjects. (COMAR
  • By October of each renewal year, beginning in October, 2004, license and registration holders shall satisfactorily complete a minimum of 24 hours within the previous 24 months as follows:
  1. 3 hours in professional ethics or jurisprudence;
  2. 3 hours in communicable disease education this includes AIDS/HIV;
  3. *17 hours in massage-related courses as approved by the Board; and
  4. *1 hour in diversity or cultural competency.

Licensed Massage Therapist and Registered Massage Practitioners are required to complete CEUS prior to October 30, 2016 as a qualification for renewal for the November 1, 2014 through October 31, 2016 biennial cycle to which the CEUs must be within this aforementioned biennial cycle window. The license or registration that will be issued will have an expiration date of October 31, 2018.

Any LMT or RMP with an initial license or registration (first time issuance of a license or registration) issued less than 12 months before a Biennial Renewal is exempt from CEU Requirements BUT must still renew the license or registration issued.


ALL NEW – Code of Maryland Revised Regulations – Continuing Education cont.

.02 Approval of Continuing Education Programs.
A. The Board shall:
(1) Base approval of continuing education programs solely on content;
(2) Ensure that continuing education programs are directed toward improvement, advancement, and extension of professional skill and knowledge related to massage therapy.
B. A course or program offered by a pre-approved provider is approved without further review and is exempted from the requirements of Regulation .04 this chapter, provided that the course or program pertains to the human anatomy and includes any of the following topics:
(1) Massage practice modalities, application, scope, and philosophy;
(2) Contraindications;
(3) Massage therapy theory, technique, studies, and research;
(4) Professional ethics, jurisprudence, and risk management;
(5) Recordkeeping and professional business practices;
(6) Diversity, communications, and cultural competency; and
(7) Any other topic determined by the Board to meet the professional and educational requirements of the license and registration holders.
C. Pre-approved Providers. Unless the requirement of §B of this regulation are not met or accreditation status of the pre-approved provider, including all sub-providers, schools, courses, and programs approved or sanctioned by the pre-approved provider unless otherwise prohibited, is not retained, the following shall be considered pre-approved providers:
(1) COMTA;
(2) FSMTB;
(5) AOBTA;
(6) AMTA;
(7) National and State massage therapy organizations accredited by the federal or state government or a Board recognized accreditation society;
(8) Accredited state schools and U.S. Military Commands; and
(9) Such other Board-approved providers.
D. Up to 12 credit hours may be achieved for formal, authorized representation at a national, regional, or local convention or meeting relating to any of the above-cited organizations.
E. Courses may be completed in live, home study, or online format.




Individual license and registration holders must maintain their own CEU records.


AT THE TIME OF RENEWAL YOU MAY BE AUDITED FOR CEUS Audited individuals (random selection by computer) will be notified via the online renewal system on the first page of the online renewal application and the CEU page of the application. If audited you must first complete the online renewal application AND then show proof of having completed the CEU requirements by providing hardcopies of completion certificates along with a copy of your CPR card to be MAILED DIRECTLY to the Board. It is the responsibility of each massage therapist and practitioner to keep accurate records of attendance of approved continuing education programs. Completion certificates must be maintained for at least four years and must be presented to the Board on demand.
Any questions regarding CEU compliance should be directed to the Program Manager, Adrienne Congo ( or via phone at 410.764-2965.

CE Course Approval Guidelines & Application

Frequently Asked Questions Regarding Continuing Education

Q. Does the Board keep a list of approved continuing education courses and/or programs? How will I know if a CEU course/program is accepted by the Board?

A. No, the Board does not maintain a list of approved continuing education courses/programs. Regulations provide that acceptable CEU courses are approved by the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB), the Maryland Higher Education Commission (MHEC), and courses determined and approved by the Board to meet professional standards of massage therapists and practitioners. Contact professional massage organizations as well as massage schools and community colleges that have massage programs to get a list of massage related CEU courses. Also, keep in mind that the subject or modality being taught must be within the scope of practice for LMTs and RMPs.

Q. Continuing Education Requirements require 3 hours in professional ethics or jurisprudence. Does that mean I can complete ethics, jurisprudence, or both?

A. Yes. You may complete a minimum of 3 hours of ethics or jurisprudence OR a combination of ethics and jurisprudence totaling at least 3 hours.

Q. If I completed more than 24 hours of continuing education courses, may I carryover those additional CEU hours to the next biennial renewal?

A. No. To receive credit for a continuing education course/program it must be completed within the time frame of the renewal cycle. At the end of each license/registration expiration date October 31st ; the following day (Nov. 1st) starts a new (two year) biennial window. Any re-activation or reinstatement of a license/registration must have CEUs from the biennial window to which the request application to reactivate or reinstate occurred.

Q. If I am audited and I have not completed all the CEU requirements may I practice massage therapy pending completion of the courses?

A. No, your renewed certification/registration will not be issued and you may not practice until you come into compliance and show proof of having completed the required CEUs AND a valid license/registration has been sent to you AND is in your possession.

Q. Can I renew my license or registration as soon as I complete the 24 hours of continuing education?

A. No, Renewals will be done within a certain time frame AND online. Instructions will be provided by the Board before the end of the summer leading up to the expiration month of October.

Q. Is a National Certification (through the NCBTMB or NCCAOM) OR maintaining National Certification required to renew my State of Maryland-issued Massage Therapy license or registration?

A. No, you do not need to maintain a current national certification as a qualification for renewal for your State of Maryland-issued Massage Therapy license or registration.

Q. I am currently active, however I am choosing inactive status for the Biennial cycle. Must I complete the CEU requirements?

A. No, any LMT or RMP that elects the inactive status is not required to complete the CEU requirements if the LMT/RMP remains in an inactive status.
However, if the LMT/RMP wishes to reactivate to active status; the LMT/RMP must show proof of having completed the required CEUs for the window to which they choose to reactive. (Remember after the expiration date of a license/registration; the following day starts a new biennial [2 yr.] window and the CEUs must be within the appropriate window to which you are activating your license/registration.

Q. I am currently inactive. must I complete the CEU requirements to maintain my inactive status?

A. No, LMTs and RMPs who wish to remain in an inactive status are not required to complete the CEU requirements if the LMT/RMP remains in an inactive status.
However, if the LMT/RMP wishes to reactivate to active status; the LMT/RMP must show proof of having completed the required CEUs for the window to which they choose to reactive. (Remember after the expiration date of a license/registration; the following day starts a new biennial [2 yr.] window and the CEUs must be within the appropriate window to which you are activating your license/registration

Q. Because of health/financial hardships I will not be able to complete the required CEU courses. Can I ask for an exemption, waiver, or extension?

A. Yes, a LMT/RMP must petition the Board in writing at least 90 days before the expiration date of their current license/registration. The Board will review the petition and respond in writing. Please note that the Board does not automatically grant a waiver, exemption, or extension.

Q. Can an instructor of a professional massage therapy course receive continuing education credit for teaching the massage course?

A. Yes. The Board determined that up to 25% of the required 24 hours of continuing education may be credited. This is a maximum of 6 hours. The course must meet Board approval guidelines and the instructor may not receive credit for teaching the same course more than once.

Q. Is the CPR certificate in addition to the 24 hours of required CEUs?

A. Yes, Completion of CPR programs does not count toward the required CEU hours. LMTs and RMPs must have a current, valid CPR certification at all times during active licensure.

Q. Will the Board accept an on-line renewal of a CPR certificate?

A. Yes, the Board will accept on-line renewal of a CPR certificate provided that the on-line provider follows the CPR training is provider level and for the work place.

Q. Is First Aid a requirement for renewal?

A. No, there is no requirement to hold and maintain a current qualification in First Aid to qualify for renewal.

Q. What happens if I am deceptive or alters CEU certificates?

A. You will be investigated and disciplinary actions will be set in motion


Updated 1-29-2014