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NRII (FMCSA Medical Certification) Integration: What You Need to Know

NRII (FMCSA Medical Certification) Integration: What You Need to Know

Stay compliant as states finalize digital medical card workflows. Get the step-by-step guidance safety teams need to verify MEC status, prevent downgrades, and pass audits.

The FMCSA Medical Examiner’s Certification Integration rule (NRII) digitizes how medical results flow from examiners to the FMCSA and then to SDLAs, changing what drivers and employers must keep on file before dispatch. The guide explains:

  • Which states still require paper handling in edge cases and how to confirm SDLA processes

  • Exactly what CDL employers must do before a driver returns to the road: run an MVR that shows a valid medical certification and document NRCME verification

  • How continuous MVR Monitoring catches med-status changes, suspensions, and violations 24/7

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