Patient and Caregiver Cultivation Rules & Regulation

A qualifying patient or his or her primary caregiver(s) may obtain an identification card to cultivate marijuana plants for the exclusive use of that qualifying patient.

Patients authorized to cultivate, or licensed caregivers authorized to cultivate on their behalf; may cultivate up to six (6) flowering marijuana plants, six (6) nonflowering marijuana plants (over fourteen (14) inches tall), and six (6) clones (plants under fourteen (14) inches tall) at any given time in a single, enclosed locked facility.

All cultivated flowering marijuana plants in the possession of a qualifying patient or primary caregiver shall be clearly labeled with the qualifying patient’s name.

Identification cards for qualifying patients and primary caregivers will include unique, identifying numbers for each patient and each caregiver/patient relationship. Only one party is required to apply for cultivation authorization between the patient and caregiver, not both.

A patient/caregiver who is an approved cultivator may possess up to a ninety-day supply of medical marijuana, so long as the supply remains on property under their control.

Enclosed Locked Facility

Qualifying patient cultivation must take place in an enclosed locked facility per 10 CSR 30-95.010. The description of this facility in a patient’s or caregiver’s application should include how cultivators will comply with the requirements in this rule regarding location, security, and who will have access to the facility.

Indoor Cultivation Requirements

Pursuant to 19 CSR 30-95.010(12), an indoor enclosed locked facility should be a stationary closet, room, garage, greenhouse, or other comparable fully enclosed space equipped with locks or other functioning security devices that permit access to only the qualifying patient(s) or primary caregiver(s) who have informed the department that this is the space where they will cultivate marijuana.

Outdoor Cultivation Requirements

An outdoor enclosed locked facility should be a stationary structure that is enclosed on all sides, except at the base, by chain-link fencing, wooden slats, or a similar material that is anchored, attached, or affixed to the ground and that cannot be accessed from the top. The plants cannot be visible to the unaided eye from an adjacent property when viewed by an individual at ground level or from a permanent structure at any level. Finally, the outdoor structure must be equipped with locks or other security devices that restrict access to only the qualifying patient(s) or primary caregiver(s) who have informed the department that this is the space where they will cultivate marijuana.

Multiple Cultivation Locations

By rule, an applicant can only cultivate in one single location at any given time. However, an applicant can submit both an indoor and outdoor location description, provided that the applicant clearly specifies when they will be growing inside and when they will be growing outside.

Access Vs Sharing

Access refers to qualifying patients and caregivers who are accessing the space for the specific set of plants tied to the specific cultivation license. Only qualified, licensed patients and caregivers may have access to a cultivation space.

Sharing refers to approved qualifying patient cultivators who are growing their plants in the same cultivation space (enclosed locked facility) with another licensed patient cultivator. Sharing in this context does not mean the sharing of cultivated plants, as the plants are for the exclusive use of the qualifying patient.  Approved patient cultivators  who are sharing a space must indicate this by  answering “Yes” to the question “Will this cultivation space be shared?” on the Questions tab of the application. If the individual sharing the cultivation space has a pending application for cultivation, indicate “Applying for Cultivation”” within the “License number of Patient” field.

Shared Cultivation Spaces

Per Article XIV, only two qualifying patients, who both hold valid qualifying patient cultivation identification cards, may cultivate marijuana plants in one cultivation space, for a total of 12 flowering plants.

Primary caregivers cultivating marijuana for more than one qualifying patient may cultivate each respective qualifying patient's flowering plants in a single cultivation space, not to exceed a total of twenty-four (24) flowering plants for more than one qualifying patient.

How-To Apply

Requests for authority to cultivate medical marijuana on behalf of a qualifying patient may be made by submitting a qualifying patient or primary caregiver application, or may be made at any time after a patient/caregiver ID is approved, so long as the ID card is still active and not expired.
Cultivation authorizations added to a qualifying patient or primary caregiver identification card will only remain valid as long as the qualifying patient or primary caregiver’s identification card is still valid. The cultivation application fee will be the same for all cultivation applications no matter how much time remains on the validity of the patient or caregiver’s identification card.

Adding to a New Application

Applicants may add cultivation to their New Patient or New Caregiver application and submit the request with the patient ID card application.
To add cultivation to a New Patient or New Caregiver application:

  1. On the Questions tab of the application, select the slide bar next to “Do you intend to cultivate medical marijuana?”
  2. This will change the answer to “yes”.
  3. Applicants must then enter details of their cultivation location, security and access.
  4. The cultivation address must be entered and verified.

There is also a question asking if this cultivation will be shared.

  • If the applicant will be the only cultivation license in that space, select “no”.
  • If the applicant will be sharing with other licensed cultivators, select ‘yes”.
  • Applicants will need to enter the names and license numbers of the other cultivator in the space.
    • If this person is also applying for cultivation, applicants may also type “Applying for cultivation license” in that space.

Please note: Applicable fees for cultivation licenses will need to be paid when submitting the request to add cultivation.

Adding to an Approved License

Licensed patients and caregivers may add cultivation to their approved license by submitting an update to that application.

To add cultivation to an approved Patient or approved Caregiver license:

  1. Log into mo-public.mycomplia.com.
  2. Click “License Dashboard” on the left side of the screen.
  3. Choose the application that you would like to update, and click the actions column and the end of the row. It should look like three lines in a circle. Click “Patient Update”.
  4. From there the system will ask you a series of yes or no questions.
  • Change the answer from “no” to “yes’, on the question “Does this Update involve a change to your desire to cultivate medical marijuana?”, and click “Save”. This will open your application so that you are able to make the update(s).
  1. Click “Save and Next” at the bottom of each screen, until you reach the “Questions” tab.
  2. On the Questions tab of the application, select the slide bar next to “Do you intend to cultivate medical marijuana?”.
  • This will change the answer to “yes”.
  • Applicants must then enter details of their cultivation location, security and access.
  • The cultivation address must be entered and verified.

There is also a question asking if this cultivation will be shared.

  • If the applicant will be the only cultivation license in that space, select “no”.
  • If the applicant will be sharing with other licensed cultivators, select ‘yes”.
  • Applicants will need to enter the names and license numbers of the other cultivator in the space.
    • If this person is also applying for cultivation, applicants may also type “Applying for cultivation license” in that space.
  1. Once all details have been entered, navigate to the “review” tab by using “Save and Next” at the bottom of each screen, scroll to the bottom and click “Pay & Submit”.

Please note: Applicable fees for cultivation licenses will need to be paid when submitting the request to add cultivation.

Change or Update an approved Cultivation License

Licensed patient and caregiver cultivators may change or update the details of the approved cultivation license by submitting an update to that application.

To submit an update changing cultivation details:

  1. Log into mo-public.mycomplia.com.
  2. Click “License Dashboard” on the left side of the screen.
  3. Choose the application that you would like to update, and click the actions column at the end of the row. It should look like three lines in a circle. Click “Patient Update”.
  4. From there the system will ask you a series of yes or no questions.
  • Change the answer from “no” to “yes’, on the question “Does this Update involve a change in the location of your cultivation location and/or security agreement?”, and click “Save”. This will open your application so that you are able to make the update(s).
  1. Click “Save and Next” at the bottom of each screen, until you reach the “Questions” tab.
  2. On the Questions tab of the application, licensees may make edits to any of the cultivation details.
  3. Once details have been changed, navigate to the “Review” tab by using “Save and Next” at the bottom of each screen.
  4. Scroll to the bottom, and click “Submit”.

Labeling/Packaging

The only medical marijuana required to remain with or in a particular packaging is medical marijuana purchased from a dispensary. Patients and caregivers licensed for cultivation are also authorized to possess their own, cultivated marijuana, and there are no regulations regarding packaging for that medical marijuana.

Transport From One Enclosed Locked Facility to Another

Licensed patient and caregiver cultivators are allowed to move their plants to a new enclosed locked facility location. They may do this first and then an update, to remain in compliance, they should file the update immediately after the transfer to a new space in order to ensure continuing compliance.

Resources