(a) An applicant for a medical certificate must:(1) provide proof of holding one of the following prerequisite certificates:(A) valid Board for Evaluation of Interpreters (BEI) Level III, IV, V, Advanced, or Master certificate; or(B) valid Registry of Interpreters for the Deaf (RID) Comprehensive Skills Certificate (CSC), Certificate of Interpretation (CI) and Certificate of Transliteration (CT); or(C) valid National Association of the Deaf-Registry of Interpreters for the Deaf (NAD-RID) National Interpreter Certification (NIC) Advanced, or National Interpreter Certification Master; and(2) meet the following qualifications and requirements:(A) satisfy qualifications set forth in §109.217 of this chapter (relating to Qualifications and Requirements for a BEI Certificate);(B) provide written proof to DARS DHHS that the applicant has completed DARS DHHS-approved courses of instruction in medical interpretation, with at least 80 credit hours;(C) submit the appropriate application;(D) pay any required fees; and(E) pass the Medical Performance Test.(b) Medical certificate holders must satisfy the annual certificate renewal and five-year recertification requirements for both the prerequisite certificate and the medical certificate. For the medical certificate, 20 clock hours of the continuing education unit requirement for the five-year recertification requirement must be in medical interpretation knowledge and skills.