Quick facts
- Board Name
- New Hampshire Board of Medicine
- Renewal Cycle
- Biennial (every 2 years), by December 31 of odd-numbered years
- CE Period
- The 24-month period preceding the license renewal date
- Rule Citation
- RSA 328-D:5; N.H. Code Admin. R. Med 600
- Hour Requirement
- 100 hours of CME every 2 years, consistent with NCCPA certification requirements. At least 50 hours must be Category 1.
- State-Mandated Topics
- 3 hours in opioid prescribing for PAs who hold a DEA registration.
- Records Retention
- 4 years
Governing authority and what the rule requires
The New Hampshire Board of Medicine regulates the practice of physician assistants under the authority of the Physician Assistant Practice Act, RSA 328-D. This statute empowers the Board to establish rules for licensure, renewal, and standards of practice. The specific continuing education requirements for PAs are detailed in the Board's administrative rules, Chapter Med 600.
How New Hampshire PA CE audits typically work
After a renewal cycle the board reviews a sample of attestations. If selected, you will receive a notice through the email or address on file with a defined response window. Most audits close quietly when records match what was attested. The primary rule governing continuing education for physician assistants is N.H. Code Admin. R. Med 604.01, "Continuing Medical Education for Physician Assistants."
- The New Hampshire Board of Medicine randomly selects a percentage of licensees for a CE audit each cycle.
- If selected, you will receive a notification letter from the board, typically by mail or secure email.
- The notice will specify the compliance period being audited.
- You are generally given 30 days from the date of the notice to submit copies of your CE documentation.
- Board staff reviews your submitted certificates to ensure they match the hour requirement and include all mandated topics.
- You will receive a final letter from the board indicating whether you successfully met the audit requirements or if further action is needed.
Documentation commonly requested
Audit notices are usually specific about what they want. Read the notice slowly and make a checklist directly from it. The most common items requested for PAs include:
- Copies of certificates of completion for each CME course taken.
- NCCPA certification maintenance transcript or CME log when applicable.
- Each certificate should clearly show the course provider, title, date(s) of attendance, number of credit hours awarded, AAFP/AMA PRA Category, and your name.
- Proof of completion for any state-mandated topics (opioid prescribing, suicide prevention, implicit bias, etc.) as required by New Hampshire.
- A personal CME log or spreadsheet tracking course dates, titles, providers, hours, and category designations.
New Hampshire-specific mandated topics
Beyond a total hour count, New Hampshire requires specific subject-matter CE within the cycle. Make sure each mandated topic is covered by a certificate that names the topic explicitly.
- Maintain active certification with the National Commission on Certification of Physician Assistants (NCCPA). This requires 100 CME hours every two years, with a minimum of 50 Category 1 hours.
- Complete 3 hours of board-approved continuing medical education in the area of pain management and opioid prescribing. This is a one-time requirement for any PA with a DEA registration number.
- Beginning with the 2026 renewal, PAs will need to complete 1 hour of continuing education on the topic of suicide prevention.
Common pitfalls PAs run into
- Failing to maintain NCCPA certification, which is a direct condition of licensure renewal in New Hampshire.
- Forgetting to complete the one-time, 3-hour opioid prescribing course if holding a DEA registration.
- Not retaining CME certificates and documentation for the required 4-year period.
- Assuming all NCCPA-approved CMEs automatically meet the specific requirements of the New Hampshire Board of Medicine without verification.
How to assemble a clean response
Gather your records in one place. A folder on your desktop, a printed binder, or a shared drive all work. You don't need a complicated system. You just need to be able to find things.
Name each PDF clearly with the date, course title, hours, and Category 1 or 2 designation. Group certificates by category that maps to the board's request: mandated topics, Category 1 CME, Category 2 CME. Add a one-page cover sheet that summarizes total hours and points the reviewer to the matching documents.
If your hours fall short
First-time shortfalls are usually handled administratively. Boards generally allow a defined window to complete makeup hours and submit updated documentation. Honest, prompt communication is far better than silence.
If the shortfall is significant or repeated, the board may move toward formal action. At that point, calm documentation of how you are coming into compliance, plus a written plan to prevent recurrence, makes a meaningful difference.
Possible outcomes
- License renewal may be denied if CME requirements are not met.
- The Board may initiate disciplinary action for non-compliance, which could include fines, reprimands, or other sanctions as authorized under RSA 328-D:11.
- The PA may be required to complete and document the missing hours within a specified timeframe to avoid further action.
- In cases of fraudulent documentation, the Board may impose more severe penalties, including license suspension or revocation.
A simple audit-response checklist
- 1Read the audit notice slowly. Note the deadline and exact list of documents requested.
- 2Make a simple folder labeled with the cycle dates being audited.
- 3Pull certificates of completion for every CE activity in that cycle.
- 4Match each certificate to the topic area or category your board requires.
- 5Save proof of license renewal and any required attestations.
- 6If a certificate is missing, contact the provider for a duplicate before the deadline.
- 7Scan everything as clean PDFs, named with date and course title.
- 8Submit through the channel the board requests. Keep a copy and a confirmation.
Save $106 on MedBridge CEU plans
Continuing education is part of protecting your license. BoardWise has partnered with MedBridge to help physician assistants access high-quality CEU courses at a lower cost. Use code BOARDWISE to save $106 on an individual MedBridge CEU plan.
Explore MedBridge CEU coursesMedBridge is a separate service. BoardWise may receive a referral benefit. The discount code is subject to MedBridge terms.
Frequently asked questions
Real Outcomes Reported by BoardWise Users
BoardWise users have reported outcomes including:
- Complaint dismissals
- Successful responses to board inquiries
- Passing continuing education audits
- Early probation termination
- Improved understanding of licensing board procedures
Individual outcomes vary and depend on the facts of each case.
Optional Attorney Document Review
Before you send anything to the board, BoardWise can match physician assistant in New Hampshire with an independent, state-licensed attorney for an optional limited-scope review of the document you prepared:
- We match you with an independent attorney licensed in your state
- They review and suggest revisions to your document before you submit it to the board
- Focused, limited-scope review at a fixed fee rather than a full retainer
- A second set of eyes on wording, tone, and anything that may need a closer look
What does the attorney review cost? Pricing depends on the complexity of your matter and the scope of review, but most BoardWise lawyer reviews are approximately $250–$500. You’ll see the specific fee before deciding whether to proceed.
Optional limited-scope attorney review may be available for an additional fixed fee. Attorney availability, conflicts review, eligibility requirements, and additional terms apply. If an attorney accepts the matter, the client will contract with and pay the independent attorney directly.
Print & FedEx Overnight Delivery
Finishing the document is only part of the job. BoardWise Document Delivery lets physician assistant in New Hampshire send the finished packet straight to the board without a trip to the post office:
- FedEx Overnight delivery for street addresses when your deadline is close
- USPS Priority Express and USPS Certified Mail for P.O. Box board addresses
- Printing, packaging, and postage handled for you, with tracking on every order
- Confirmation and tracking details emailed to you as your package moves
What does it cost? $150 for FedEx Overnight and $99 for USPS Priority Express or Certified Mail. You see the exact price and the full address details before you authorize the order.
Printing and mailing are fulfilled by Mailform. You are responsible for meeting your own deadline, so keep an electronic copy and watch the tracking information.
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BoardWise is not a law firm and does not provide legal advice or representation. This guide is educational only and reflects general practice in the United States. Your state licensing board is the official source for current requirements. If your situation involves formal discipline or a hearing, consider consulting a licensed attorney in your state.