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Wyoming CME requirements 2026 rules for physicians, NPs, PAs, CRNAs and CAAs
Wyoming regulates four clinician professions through different boards, each with its own continuing-education rules: physicians (MD/DO), nurse practitioners (APRN/NP), physician assistants (PA) and nurse anesthetists (CRNA). Anesthesiologist assistants (CAA) cannot practice in Wyoming. Below, each profession's total hours, mandated topics, opioid/controlled-substance rule, and tracking, plus the one federal rule they share. Physician rules reviewed October 13, 2026.
Physicians (MD / DO)
Set by the Wyoming Board of Medicine. Verified October 13, 2026.
General CME: 60 hours over the previous 3 years; AMA Category I or II, AOA-approved and several other activities count (Wyoming Board of Medicine Rules Ch. 3 §7).
Opioid / controlled substance
1 hour per 2-year cycle - responsible CS prescribing or SUD treatment (Board of Medicine, W.S. 33-26-202(b)(xiv)). Trigger: WY controlled-substance registration holders.
✓ No board pre-approval needed: AMA Category I or II and AOA-approved CME count.
All mandated CME topics
| Topic | Hours | Timing | Applies to |
|---|---|---|---|
| Controlled substances / responsible prescribing / SUD | 1 | every 2 years (tied to CS registration) | WY Controlled Substance Registration holders |
Citation: Wyoming Board of Medicine Rules Ch. 3 §7 (Wyo. Code R. 052-3 §3-7); W.S. 33-26-202(b)(xiv)
Nurse Practitioners (APRN / NP)
Set by the Wyoming State Board of Nursing (WSBN), separate from the physician rules above, with its own hours and topics. Verified July 20, 2026.
General CE: No general CE-hour mandate for the standard APRN. WSBN requires APRNs to maintain current national certification in the recognized role and population focus area as the competency-for-renewal standard rather than a fixed number of CE contact hours. (Edge case: an APRN who is not nationally certified but was state-recognized and continuously licensed since Jan 1, 1999 must document 400 hours of active APRN practice plus 60 hours of CE related to role/population focus per 2-year cycle.)
Opioid / controlled substance
3 hours, every 2 years, for holders of controlled-substance prescriptive authority. Timing is built into the free multi-state planner.
All mandated CE topics
| Topic | Hours | Timing | Applies to |
|---|---|---|---|
| Pharmacology / pharmacotherapeutics (prescriptive authority) | None | per cycle | prescribers |
| Opioid / controlled-substance prescribing | 3 | per 2-year renewal cycle | APRNs with prescriptive authority (controlled substance prescribers) |
Tracking: Self-report at biennial online renewal (renewal opens Oct 1, licenses expire Dec 31 of even-numbered years). APRNs upload/attest proof of the 3-hour controlled-substances CE and evidence of current national certification. Subject to Board audit.
Physician Assistants (PA)
Set by the Wyoming Board of Medicine, separate from the physician rules above, with its own hours and topics. Verified July 20, 2026.
Your Wyoming PA license expires every December 31 and renews each year (W.S. 33-26-506(a)); at each renewal the board counts the 60 hours earned over the previous 3 years.
General CE: Not less than 60 hours of continuing medical education credits during the preceding three (3) calendar years, or completion of the NCCPA maintenance-of-certification process (which itself requires not less than 60 CME credits). No Category 1 minimum is specified in the PA rule.
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: PAs must maintain CME records for no less than four (4) years. The Board conducts a random audit of approximately 10% of licensees; audited PAs must provide documentation within 45 days.
Nurse Anesthetists (CRNA)
Set by the Wyoming State Board of Nursing (WSBN), separate from the physician rules above, with its own hours and topics. Verified August 24, 2026.
General CE: WSBN Rules Chapter 2 (Licensure/Certification Requirements, effective 12/17/2025), § 8 (biennial renewal: application, fees, evidence of competency under § 14) and § 14(c) (APRN competency): (A) current national certification as an APRN in the recognized role and population focus area; or (B) if recognized as an APRN in Wyoming before 1/1/1999, continuously licensed and not nationally certified, forty (40) hours of CE related to the role/population focus and 400 hours of active APRN practice in the last 2 years; and (C) 'An APRN shall also submit evidence of three (3) hours of continuing education related to the responsible prescribing of controlled substances or treatment of substance abuse disorders.' § 14(a): an APRN holding an active Wyoming RN license meets only the APRN competency (no separate RN 400-hour/CE requirement). All licenses expire December 31 of the renewal (even) year; renewal window Oct 1–Dec 31. WSBN FAQ: 'Wyoming does not have any mandatory continuing education (CE)' apart from these competencies.
NBCRNA recertification is accepted in place of state CE. Current NBCRNA certification is the APRN renewal competency standard itself (§ 14(c)(i)(A)); there is no state general CE count. It does not satisfy the separate 3-hour controlled-substance/SUD CE. National layer: NBCRNA continued certification (4-year cycle: 60 Class A + 40 Class B credits, MAC Check).
Opioid / controlled substance Confirm with the board
3 hours, every 2 years, for CRNAs who hold controlled-substance registration. Timing is built into the free multi-state planner.
All mandated CE topics
| Topic | Hours | Timing | Applies to |
|---|---|---|---|
| Opioid / controlled-substance prescribing Confirm with the board | 3 | per 2-yr renewal cycle | CRNAs who hold controlled-substance registration. The rule text (Ch. 2 § 14(c)(i)(C)) reads as every APRN; WSBN's renewal page and FAQ apply it to APRNs who hold prescriptive authority. A CRNA without prescriptive authority should confirm with WSBN. |
Tracking: Biennial online renewal via WSBN Nurse Portal (Oct 1–Dec 31 of even years); upload CE certificates/proof of national certification; CE Broker is now WSBN's official CE tracking system (free basic account; all APRNs encouraged to use it). Board audits under Ch. 2 § 16.
Some figures are marked “Confirm with the board”: the research could not pin them to a primary source. Verify with the board.
Anesthesiologist Assistants (CAA)
Not authorized to practice in Wyoming. Verified August 24, 2026.
Certified anesthesiologist assistants cannot practice in Wyoming: there is no CAA license, certification or physician-delegation pathway, so there are no state CE requirements to track here. Pending / recent legislation: SF0112 (2025 General Session) 'Anesthesiologist assistants licensing' – would create W.S. 33-26-801 to -811 under the Board of Medicine (on-site supervising anesthesiologist, annual renewal). Passed Senate 29-2 on February 3, 2025; died in House Labor Committee March 3, 2025 (returned per HR 5-4). Prior attempt HB0122 (2023) failed in House Labor January 27, 2023 (3-6). No 2026 Budget Session bill located as of August 24, 2026. NCCAA certification requirements (50 CME hours every 2 years + the CDQ exam) still apply nationally.
Federal: DEA MATE Act (all professions)
One rule is the same for every profession on this page. 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 and applies in every state, and it does not replace Wyoming'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)
- Per W.S. 33-26-202(b)(xiv) (2019 Enrolled Act 66): 1 hour every 2 years of controlled-substance and substance-use-disorder CME, set by the Board of Medicine (not the Board of Pharmacy). Trigger: holding a Wyoming controlled-substance registration.
- Your Wyoming license renews every year; at each renewal the board counts the 60 hours earned over the previous 3 years (Board Rules Ch. 3 §7).
- No CME hours are owed at renewal if a member board of the ABMS certified or recertified you within the past 3 years. The same rule also exempts physicians licensed in Wyoming for less than 3 years and those in, or within 3 years of finishing, an ACGME or RCPSC residency. AOA certification is not on the exemption list; AOA-approved CME counts toward the 60 hours instead.
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.
This page summarizes Wyoming board rules and statutes as of October 13, 2026 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 July 20, 2026, with the opioid/controlled-substance timing structured on July 23, 2026; CRNA and CAA data was researched against nursing-board, medical-board and practice-act primary sources on August 24, 2026 (items the research could not pin to a primary source are marked “Confirm with the board”). This is educational information, not legal advice. Always verify current requirements with your own board before relying on them.