Initial Paramedic Accreditation: $100 Accreditation Maintenance: $50 EMT Certification (local fee): $50 EMT Certification (state fee): $75 EMT Recertification (state fee): $37 MICN Authorization: $60 EMD Authorization: $50 EMT or EMD Certification If you are seeking Merced County certification as an EMT or EMD, download the Department of Justice (DOJ) Form and take it to a Livescan location for processing. You must clear the DOJ background process prior to certification by the EMS Agency. Paramedic Orientation is conducted on a monthly basis at the EMS Agency. Contact the main office (209-381-1250 or by email) to schedule your orientation. Resources