Home › CME by state › Indiana
Indiana CME Requirements (2026): Physicians, NPs, PAs, CRNAs & CAAs
Indiana regulates five clinician professions through different boards, each with its own continuing-education rules — physicians (MD/DO), nurse practitioners (APRN/NP), physician assistants (PA), nurse anesthetists (CRNA), and anesthesiologist assistants (CAA, in the states that license them). Below, each profession's total hours, mandated topics, opioid/controlled-substance rule, and tracking, plus the one federal rule they share. Last reviewed 2026-08-24.
Physicians (MD / DO)
Set by the Medical Licensing Board of Indiana.
General CME: None.
Opioid / controlled substance
No opioid-specific mandate; no general CME mandate. Federal MATE Act (8 hours one-time) only.
✓ No board pre-approval gate: No board pre-approval — the federal MATE Act requirement is a single 8-hour course.
All mandated CME topics
No additional mandated topics identified beyond the total above.
Citation: IC 25-22.5
Nurse Practitioners (APRN / NP)
Set by the Indiana State Board of Nursing (Indiana Professional Licensing Agency) — separate from the physician rules above, with its own hours and topics.
General CE: Indiana requires NO CE for RN or basic APRN license renewal. CE is tied to PRESCRIPTIVE AUTHORITY renewal only: an APRN renewing prescriptive authority must complete at least 30 contact hours of CE within the 2 years preceding renewal (IC 25-23-1-19.7). Reduced first-renewal track: if authority was granted 12+ months before expiration, 15 contact hours (including 4 pharmacology); if granted <12 months before, none. Hours must be from a nationally approved nursing CE sponsor; national certification must be maintained.
Opioid / controlled substance
No standalone state opioid/controlled-substance CE mandate identified for this profession. The federal DEA MATE Act (one-time 8-hour training) still applies if you hold a DEA registration.
All mandated CE topics
| Topic | Hours | Timing | Applies to |
|---|---|---|---|
| Pharmacology / pharmacotherapeutics (prescriptive authority) | 8 contact hours | per cycle | prescribers |
| Opioid prescribing / opioid abuse (tied to controlled substance registration) — EXPIRED | 2 | Formerly during previous 2 years at CSR issuance/renewal; requirement EXPIRED July 1, 2025 | Formerly all CSR registrants including APRNs with prescriptive authority; no longer required |
| Federal DEA MATE Act one-time 8-hour substance use disorder training (NOT a state requirement) | 8 | One-time, on/after first DEA registration or renewal (effective June 27, 2023) | All DEA registrants including APRNs (federal, not Indiana state) |
Tracking: Self-report at renewal via Indiana PLA/MyLicense state portal; no CE Broker for nursing. Retain CE documentation for random state audit.
Physician Assistants (PA)
Set by the Physician Assistant Committee / Medical Licensing Board of Indiana (Indiana Professional Licensing Agency) — separate from the physician rules above, with its own hours and topics.
General CE: Indiana sets NO independent state CME hour mandate for PAs. Active-status renewal (biennial, expiring June 30 of even-numbered years) requires maintaining current NCCPA certification. NCCPA certification maintenance requires 100 CME credits per 2-year period (min 50 Category 1). Thus the effective CME burden flows from NCCPA, not an Indiana statute.
Opioid / controlled substance
No standalone state opioid/controlled-substance CE mandate identified for this profession. The federal DEA MATE Act (one-time 8-hour training) still applies if you hold a DEA registration.
All mandated CE topics
| Topic | Hours | Timing | Applies to |
|---|---|---|---|
| Opioid prescribing / opioid abuse (tied to controlled substance registration) — EXPIRED | 2 | Formerly during previous 2 years at CSR issuance/renewal; requirement EXPIRED July 1, 2025 | Formerly all CSR registrants including PAs with dispensing/prescribing authority; no longer required |
| NCCPA certification maintenance CME (state-referenced, not state-set) | 100 | Per 2-year NCCPA logging period (min 50 Category 1) | All Indiana PAs on Active status (via NCCPA certificate requirement) |
| Federal DEA MATE Act one-time 8-hour substance use disorder training (NOT a state requirement) | 8 | One-time, on/after first DEA registration or renewal (effective June 27, 2023) | All DEA registrants including PAs (federal, not Indiana state) |
Tracking: Self-report / attestation of NCCPA certification at renewal via Indiana PLA/MyLicense state portal. Retain CME records at least 3 years for random state audit; NCCPA tracks CME logging independently.
Nurse Anesthetists (CRNA)
Set by the Indiana State Board of Nursing (Indiana Professional Licensing Agency) — CRNAs practice on the Indiana RN license; no CRNA/APRN license is issued — separate from the physician rules above, with its own hours and topics.
General CE: Indiana imposes no CE for RN or base APRN renewal. IC 25-23-1-1(b) lists the CRNA as one of four APRN categories but states the definition 'does not add to the powers and duties or scope of practice of certified registered nurse anesthetists as described in section 30'. IC 25-23-1-30 provides that a CRNA may administer anesthesia under the direction and in the immediate presence of a physician and that nothing requires a CRNA to obtain prescriptive authority to do so. The PLA licensing page states: 'All CNPs, CRNAs, and other Advanced Practice Registered Nurses who do not need prescriptive authority should practice under their Indiana Registered Nurse license.' The 'APRN' credential Indiana issues is solely the authority to prescribe (IC 25-23-1-19.5) and carries the 30-hr/8-pharmacology CE (IC 25-23-1-19.7); it is not a practice license. No Indiana statute or rule imposes CE hours on a CRNA practicing under the RN license.
NBCRNA recertification counts toward state CE (partial). There is no state CE requirement for NBCRNA certification to satisfy. Indiana does not itself verify NBCRNA certification at RN renewal; the 'certified' in the statutory term (IC 25-23-1-1(b)) and employer/credentialing practice (INANA: 'An active RN license and NBCRNA certification is required to practice as a CRNA in the state of Indiana') make current NBCRNA certification the de-facto practice condition. No Board rule found that defines CRNA by NBCRNA certification — VERIFY. National layer: NBCRNA continued certification (4-year cycle: 60 Class A + 40 Class B credits, MAC Check).
Opioid / controlled substance
No standalone state opioid/controlled-substance CE mandate identified for this profession. The federal DEA MATE Act (one-time 8-hour training) still applies if you hold a DEA registration.
All mandated CE topics
No additional mandated topics identified beyond the total above.
Tracking: RN renewal via Indiana PLA MyLicense portal (biennial, Oct 31 odd years); no CE attestation for RN. No CE Broker. NBCRNA certification tracked by NBCRNA/employers, not the Board.
Some figures flagged [VERIFY] — verify with the board.
Anesthesiologist Assistants (CAA)
Set by the Medical Licensing Board of Indiana (Indiana Professional Licensing Agency) — separate from the physician rules above, with its own hours and topics.
General CE: IC 25-3.7-2-2: 'In order to maintain a license under this article, an individual licensed under this article shall comply with all continuing certification requirements set by the National Commission for Certification of Anesthesiologist Assistants or a successor organization.' 844 IAC 15-1-4 (licensure renewal): renew by 'paying the renewal fee ... on or before the expiration date' and 'submitting proof of meeting the criteria for continued certification by the NCCAA or successor organization'; practicing on an expired license is practicing without a license (IC 25-1-9). PLA: 'Anesthesiologist Assistant licenses expire October 31 of every odd-numbered year.'
NCCAA recertification is accepted in place of state CE. NCCAA continuing certification compliance is the sole CME mechanism; Indiana imposes no state-specific hour requirement or mandated topics on AAs. National layer: NCCAA certification (50 CME hours every 2 years — 40 anesthesia + 10 general — plus the CDQ exam).
Opioid / controlled substance
No standalone state opioid/controlled-substance CE mandate identified for this profession. The federal DEA MATE Act (one-time 8-hour training) still applies if you hold a DEA registration.
All mandated CE topics
No additional mandated topics identified beyond the total above.
Tracking: Proof of continued NCCAA certification submitted with biennial renewal (mylicense.in.gov); PLA/Board may audit.
Federal — DEA MATE Act (all professions)
One rule is the same for everyone below. Every DEA-registered prescriber — physicians, nurse practitioners, physician assistants, and any CRNA or CAA who holds a DEA registration — must complete a one-time 8-hour training on treating patients with opioid or other substance use disorders, as a condition of DEA registration/renewal (since June 27, 2023). It is federal, applies in every state, and does not replace Indiana's recurring opioid/controlled-substance CME. A MATE-qualifying accredited course will usually still count toward your state general CME/CE total. How the MATE Act differs from state rules →
Authority: MATE Act §1263, Consolidated Appropriations Act 2023 (21 U.S.C. §823).
Notes (physician data)
- NO general CME hours. Former opioid CME for controlled-substance registration SUNSET/self-repealed 7/1/2025 (IC 35-48-3-3.5). State PLA page still shows old text. No special-topic mandates. Cite: IC 25-22.5; FSMB Apr-2026.
Pick your profession and all your states in the free planner and get one 5-year schedule that batches your opioid/controlled-substance CME so a single course covers as many licenses as possible.
Build my multi-state CME plan →This page summarizes Indiana board rules and statutes as of 2026-08-24 for five separately-regulated professions: physicians (MD/DO), nurse practitioners (APRNs), physician assistants (PAs), nurse anesthetists (CRNAs), and anesthesiologist assistants (CAAs). Each is governed by its own board and its hour totals and mandated topics differ — never assume one profession's figures apply to another. Physician data is compiled from FSMB and state medical-board sources; APRN/PA data was validated against nursing- and PA/medical-board rules on 2026-07-20, with the opioid/controlled-substance timing structured on 2026-07-23; CRNA and CAA data was researched against nursing-board, medical-board and practice-act primary sources on 2026-08-24 (items the research could not pin to a primary source are flagged [VERIFY]). This is educational information, not legal advice — always verify current requirements with your own board before relying on them.