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Level I Medication Aide Training Program Regulation Update

The revisions to regulation 19 CSR 30-84.030 Level I Medication Aide Training Program, were published in the Code of State Regulations on October 31, 2012.  The official new rules may be found on the Missouri Secretary of State’s website at http://www.sos.mo.gov/adrules/csr/current/19csr/19csr.asp.  The rules are located under Division 30, Chapter 84.  The effective date for the new rules will be November 30, 2012.  The following information outlines some of the requirement changes: 

  • The Level I Medication Aide (LIMA) course shall include a minimum of sixteen (16) hours of integrated formal instruction and practice sessions directly supervised by an approved LIMA Instructor. 
  • LIMAs shall participate in a minimum of four (4) hours of medication administration training every two (2) years in order to remain active and administer medications in a Residential Care Facility (RCF) or in an Assisted Living Facility (ALF).  LIMAs certified on or before September 30, 2012 shall have until September 30, 2014 to comply with the biennial training requirements, or their name will be removed from the registry and they will be required to take the full 16-hour course.  Forms are located on our website at the address below. 
  • Medication Aides (MAs) certified through the Department of Mental Health will be able to apply for DHSS certification through a Certifying Agency.  MAs will be required to provide certification documentation proof and pay the certification fee.  The Certifying Agency will submit the names to DHSS to be added to the registry. 
  • To be a LIMA course instructor, the individual must currently be an approved LIMA Instructor (verification is available online).  Instructors must be a Registered Nurse (RN) or a Licensed Practical Nurse (LPN) licensed to practice in Missouri, not subject to any disciplinary action, and shall have one (1) year experience working as a nurse and shall attend and successfully complete a “Train the Trainer” workshop through a Certifying Agency.

As individuals complete their biennial updates or are newly certified, their certification information will be available on the online registry at the website address below. 

Links to the regulations, approved training manuals, forms, certifying agency information and more is available online at:   http://health.mo.gov/safety/cnaregistry/lima.php.  If you have any questions, please contact the Section for Long-Term Care Regulation, Health Education Unit, at 573-526-5686.

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