Each state’s medical licensing board has its own set of licensure requirements for continuing education. Find your state in the list below to review the required CME credits and licensure periods.

Always check with your state medical board for the latest CME requirements.

Updated on April 22, 2019.
Alabama2 hours every 2 years
Alabama Controlled Substance Certificate (ACSC) holders must complete 2 Category 1 hours every 2 years in the area of controlled substance prescribing practices, recognizing signs of the abuse or misuse of controlled substances, or controlled substance prescribing for chronic pain.
Alaska2 hours every 2 years
Each licensee who holds a DEA number, must take at least 2 hours (AMA Category 1 or AOA Category 1 or 2) in pain management and opioid use and addiction.
Arizona (MD/DO)3 hours every 2 years
Health professionals with a valid DEA registration number must complete 3 hours of opioid-related substance use disorder or addiction-related CME each renewal cycle.
California (MD/DO)12 hours or units, one-time
Physicians (except pathologists and radiologists) must take 12 units on pain-management and the appropriate care and treatment of the terminally ill.
OR, physicians may complete 12 credit hours in the subjects of treatment and management of opiate-dependent patients, including 8 hours of training in buprenorphine treatment or other similar medicinal treatment for opioid use disorders.
Connecticut1 hour every 6 years
Physicians must take 1 contact hour of training or education on the topic of risk management, including, but not limited to, prescribing controlled substances and pain management.
Delaware2 hours, every 2 years
Physicians must complete 2 hours of CE every 2 years in the areas of controlled substance prescribing practices, treatment of chronic pain, or other topics related to prescribing controlled substances.
Washington, DC1 course every 2 years
Physicians, PAs, and Nurses must complete 1 course in the subject of pharmacology.
Florida (MD/DO)2 hours every 2 years
Each person registered with the DEA and authorized to prescribe controlled substances must complete 2 hours of AMA Category 1 or AOA Category 1A on prescribing controlled substances.
Georgia3 hours
Each licensee with a DEA registration and who prescribes controlled substances must complete 3 hours of Category 1 CME on responsible opioid prescribing.
Illinois3 hours
Beginning in 2020, physicians must complete 3 CME hours on safe opioid prescribing practices.
Indiana2 hours
Physicians must complete 2 hours of CME on the topic of opioid prescribing and opioid abuse.
Iowa2 hours, every 5 years
Physicians must complete 2 hours of Category 1 training for chronic pain management.
Kentucky4.5 hours every 3 years
Licensees who are authorized to prescribe or dispense controlled substances must complete 4.5 hours of approved continuing education hours relating to the use of KASPER, pain management, addiction disorders, or a combination of 2 or more of those subjects.
Louisiana3 hours one-time only
All licensees with a CDS license must complete a one-time, 3 our CME course on drug diversion training, best prescribing practices of controlled substances, and appropriate treatment for addiction.
Maine (MD/DO)3 hours every 2 years
All licensees must complete 3 hours of AMA category 1 CME on opioid prescribing every 2 years.
Maryland1 hours every 2 years
Physicians must complete 1 Category 1 CME hour on opioid prescribing.
Massachusetts3 credit hours each cycle
Licensees must complete 3 credits on opioids and pain management.
Michigan (MD/DO)3 hours every 3 years
Physicians must complete 3 hours of Category 1 CME in the area of pain and symptom management
Mississippi5 hours
Those with active DEA certificates must complete 5 Category 1 hours on the subject of prescribing medications with an emphasis on controlled substances.
Nebraska3 hours every 2 years
Physicians who prescribe controlled substances must complete at least 3 hours of CME every 2 years regarding prescribing opioids. One half hour of these 3 hours must cover PDMPs.
Nevada (MD)4 hours every 2 years
Physicians must complete 2 Category 1 hours in medical ethics, pain management, or addiction care, 2 Category 1 hours in misuse and abuse of controlled substances, prescribing opioids, or addiction.
Nevada (DO)2 hours every odd year renewal
Osteopathic physicians must complete 2 hours in ethics, pain management, or addiction care.
New Hampshire3 hours every 2 years
Physicians must complete 3 hours on pain management as part of their 2 year renewal cycle.
New Jersey1 hour every 2 years
Physicians must complete 1 Category 1 Credit hour in topics concerning prescription opioid drugs, including responsible prescribing practices, alternatives to opioids for managing and treating pain, and the risks and signs of opioid abuse, addiction and diversion.
New Mexico (MD)5 hours every 3 years
New and current physician licensees who hold a federal DEA registration and license to prescribe opioids must complete 5 CME hours in pain management.
New York3 hours
Prescribers who have a DEA registration number to prescribe controlled substances, as well as residents who prescribe controlled substances under a facility DEA registration number, must complete at least 3 hours in pain management, palliative care, and addiction.
North Carolina3 hours, every 3 years
Physicians who prescribe controlled substances must complete at least 3 hours of Category 1 CME designed to address controlled substance prescribing practices and shall include instruction on controlled substance prescribing practices, recognizing signs of the abuse or misuse of controlled substances, and controlled substance prescribing for chronic pain management.
Ohio20 hours every 2 years
Physician owner/operators of pain management clinics must complete 20 hours of Category 1 CME in pain medicine every 2 years, to include one or more courses addressing the potential for addiction.
Oklahoma (MD)1 hour every 3 years
Licensees must complete at least 1 hour of education in pain management OR 1 hour of education in opioid use or addiction in each renewal cycle unless the licensee has demonstrated to the satisfaction of the Board that the licensee does not currently hold a valid federal DEA registration number.
Oklahoma (DO)1 hour, every 2 years
Osteopathic physicians must earn 1 hour on prescribing, dispensing, and administering controlled substances.
Oregon6 hours one time
Licensees must complete a 1 hour course on pain management and a minimum of 6 CME credit hours in the subject of pain management and/or the treatment of terminally ill and dying patients. Exceptions include licensees holding Lapsed, Limited, Telemedicine, Teleradiology, or Telemonitoring licenses.
Pennsylvania (MD/DO)4 hours, once, for initial licensure; 2 hours, every 2 years
Within 12 months of initial licensure, licensees must take 2 hours of CME on pain management or identification of addiction, as well as 2 hours on practices of prescribing or dispensing opioids. Subsequent license renewals require 2 hours of CME on pain management, identification of addiction, or prescribing practices.
Rhode Island4 hours every two years
AMA Category 1 or AOA Category 1A credits on pain management, universal precautions, infection control, modes of transmission, bioterrorism, end of life education, palliative care, OHSA, or ethics.
South Carolina2 hours every 2 years
Licensees must complete at least 2 hours of Category 1 credits related to approved procedures for prescribing and monitoring schedules II-IV controlled substances.
Tennessee (MD)2 hours every 2 years
Licensees must complete 2 hours on controlled substance prescribing, including instruction in the Department’s treatment guidelines on opioids, benzodiazepine, barbiturates, and carisoprodol and may include topics such as addiction, risk management tolls, and other topics approved by the Board. Providers of intractable pain treatment must have specialized CME in pain management.
Tennessee (DO)2 hours every 2 years
At least 2 credit hours must be a course(s) designated to address prescribing practices.
Texas2 hours every 2 years
Licensees must complete 2 AMA Category 1 or AOA Category 1A hours on medical ethics and/or professional responsibility, including, but not limited to, risk management, domestic abuse, or child abuse. Licensees practicing in a pain management clinic must complete 10 hours of CME annually in the area of pain management.
Utah (MD/DO)3.5 hours
Controlled substance prescribers must complete at least 3.5 hours of continuing education in 1 or more controlled substance prescribing classes.
Vermont (MD)3 hours every 2 years
Licensees must earn 1 hour on hospice, palliative care, or pain management services. Additionally, each licensee who holds a DEA registration number must earn at least 2 CME hours on the safe and effective prescribing of controlled substances and pain management.
Virginia2 hours every 2 years
Licensees must earn 2 hours in pain management, proper prescribing of controlled substances and the diagnosis and management of addiction.
Washington (MD/DO/PA)1 hour, one-time requirement
Effective January 1, 2019, any physician licensed to prescribe opioids must complete a 1 hour CE requirement regarding best practices in the prescribing of opioids or the opioid prescribing rules of the Washington Administrative Code.
West Virginia (MD/DO/PA)3 hours, every 2 year renewal cycle
Physicians who have prescribed, administered, or dispensed any controlled substance pursuant to a West Virginia license in the two-year license cycle preceding renewal, are required to complete 3-hours of Board-approved CME in drug diversion training and best practice prescribing of controlled substances training during each reporting period.
Wisconsin2 hours every 2 years
Licensees must complete 2 hours of Category 1 hours on the opioid prescribing guidelines issued by the Board.