CNA Classes in Missouri

Before enrolling in a CNA program in Missouri, you’ll need to meet these prerequisites:

• Must be at least 18 years old (exception: students in High School Vo-Tech Programs)
• No specific educational requirements mandated by the state, though many training schools require a high school diploma or GED
• Must pass a criminal background check
• Cannot be listed on the state Employee Disqualification List (EDL)
• Must be able to read, write, and communicate effectively in English

The background check process is thorough in Missouri. Facilities must conduct both criminal background checks and Employee Disqualification List checks as required by Missouri Code § 56-1004A. Individuals with certain criminal histories may apply for a “Good Cause Waiver” in some cases, providing an opportunity for those with past mistakes to still pursue this career path.

Missouri requires one of the most comprehensive training programs in the country:

• Total of 175 training hours required:
  • 75 hours of classroom instruction
  • 100 hours of clinical/on-the-job training

The curriculum covers essential topics including:

• Basic nursing skills
• Fire safety and disaster training
• Resident safety and rights
• Social and psychological problems of residents
• Care methods for mentally confused residents (including Alzheimer’s)
• Infection control practices
• Emergency procedures

You must complete your program and take the certification test within 1 year from the start date of your training. This timeline requirement ensures your knowledge remains current when entering the workforce.

Selecting a quality training program approved by the Missouri Department of Health and Senior Services is key to your success:

• Programs are available through:
  • Community colleges
  • Vocational schools
  • Hospitals and medical centers
  • Long-term care facilities

A unique benefit for Missouri CNA students is that federal regulations prohibit nursing facilities from charging employed nurse aides for any portion of the training program. Additionally, facilities must reimburse nurse aides on a prorated basis for training taken prior to being hired if within 12 months of hire.

Financial assistance options include:

• Access Missouri Financial Assistance Program (need-based)
• Federal student aid through FAFSA
• Missouri Department of Higher Education and Workforce Development grants
• Apprenticeship opportunities throughout the state
• Employer-sponsored training programs

After completing your training, you must pass the competency examination administered by Headmaster Testing Service:

• The exam consists of two components:
  • Knowledge (written or oral) exam: $95
  • Skills (practicum) exam: $30

To register for the exam:

• Create an account through the Missouri TMU© webpage at https://mo.tmutest.com
• Submit a completed test request form to Headmaster at least 14 days prior to your preferred testing date
• Select from available testing locations across Missouri

When preparing for test day, remember to bring proper identification and wear appropriate attire. The skills portion will evaluate your ability to perform hands-on nursing tasks, while the knowledge portion tests your understanding of CNA concepts and procedures.

The final step in becoming a certified nursing assistant in Missouri:

• After passing both examination components, your name is automatically added to the Missouri Nurse Aide Registry
• No additional fees are required beyond testing costs
• The registry serves as the official verification system for CNA certification, training, and employment eligibility
• Employers are required to check the registry before hiring any CNA

Missouri also offers a “Challenge Option” allowing qualified individuals to take just the CNA exam without completing the course. However, candidates only have one chance to pass—if they fail, they must complete the full CNA course and exam to become certified.

With your Missouri CNA certification, you’ll be qualified to work in nursing homes, hospitals, and home health agencies across the state, with excellent employment prospects and opportunities for career advancement.

The Missouri Department of Health and Senior Services (DHSS) manages the state’s Nurse Aide Registry, which is your primary resource for certification matters in Missouri.

Contact Information:

• Website: https://health.mo.gov/safety/cnaregistry/
• Phone: (573) 526-5686
• Email: [email protected]

The registry provides services such as:

• Verifying certification status
• Processing renewal applications
• Handling license transfers
• Investigating complaints
• Maintaining a searchable database of certified nurse aides

To check your certification status, visit the Missouri Nurse Aide Registry Search portal: https://mo.tmutest.com/ 

Maintaining your CNA certification in Missouri requires adherence to specific guidelines:

Renewal Requirements:

• Certification validity: 24 months
• Renewal frequency: Every 2 years
• Employment requirement: Must work at least 8 hours as a paid nurse aide within the 24-month certification period
• Continuing education: No formal continuing education requirements for basic renewal
• Renewal process:
  • Your employer must submit verification of employment through the Missouri Nurse Aide Registry
  • CNAs are responsible for ensuring their employer submits the verification
  • No renewal fee required
• Lapsed certification: If your certification lapses, you may need to complete a competency evaluation or retake the CNA exam if expired more than 24 months

For renewal information and verification forms, visit: https://health.mo.gov/safety/cnaregistry/cna.php 

If you’re a CNA certified in another state and wish to work in Missouri, follow these steps for reciprocity:

• Verify current certification in your original state
• Complete the Missouri Nurse Aide Registry Reciprocity Application
• Submit required documentation:
  • Copy of your current CNA certification
  • Proof of completing a training program that meets federal requirements
  • Verification of employment as a CNA within the last 24 months
  • State-issued ID or driver’s license
  • Social Security card
• Mail your application and documents to the Missouri Nurse Aide Registry

Allow 2-4 weeks for processing. Missouri does not require additional skills testing for reciprocity applicants with valid certifications.For reciprocity forms and instructions, visit: https://health.mo.gov/safety/cnaregistry/reciprocity.php

While Missouri doesn’t mandate continuing education for CNA renewal, ongoing learning can enhance your skills and career prospects:

Education Providers:

• Missouri Community College Association
  • Website: https://www.mccatoday.org/
  • Offers healthcare-related courses at campuses throughout the state
• Missouri Health Care Association
  • Website: https://www.mohealthcare.com/education-events/
  • Provides workshops and online courses specifically for CNAs
• Missouri Nurses Association
  • Website: https://www.missourinurses.org/
  • Offers continuing education opportunities for all nursing professionals
• American Red Cross of Missouri
  • Website: https://www.redcross.org/local/missouri.html
  • Provides healthcare training and certification courses