Current and Expired CTBMEs may renew their certification by following the link below. Candidates may choose one of several options, including a CTBME Lifetime Renewal, CTBME Annual Recurring Renewal, or a one-time CTBME Biennial Maintenance and Renewal Fee. Candidates must acquire and maintain evidence of completing 40 hours of relevant Continuing Professional Education (CPE) every two years. CTBMEs do not need to submit supporting documentation of the CPE hours at the time of renewal.