CNA Training Agency -- CMT Training Agency --TABE Information

Certified Nurse Assistant (CNA) Training Agency

A CNA training agency is the organization that sponsors the approved CNA training program. The Department of Health and Senior Services (DHSS) must give approval for an organization to become a training agency.

Organizations eligible to be an approved CNA training agency are:

  • Vocational-technical school
  • Comprehensive high schools offering health service occupation programs
  • Community college
  • Private schools approved by the Department of Elementary and Secondary Education or Department of Higher Education
  • Hospital
  • Licensed nursing home (Skilled or Intermediate Care level)
  • MO Veterans Home

An organization must file an application with the DHSS requesting approval to be a CNA Training Agency. In order to be approved, the agency must meet these requirements:

  • Classroom space sufficient for fifteen (15) students.
  • Appropriate equipment as needed to teach the course.
  • Approved instructors and clinical super visors.
  • Provide a manual for each student.
  • Pass an on-site evaluation every approval period.
  • The approval period is for two years.

The training agency should submit a new application for approval thirty (30) days prior to the expiration of the approval. Please, submit your application to the DHSS address listed on the right bar.

A long-term care facility training agency may loose their approval status if they receive a notice of non-compliance in Administration and Resident Care.

Certified Medication Technician (CMT) Training Agency

A CMT training agency is the organization that sponsors the approved CMT training program. The Department of Health and Senior Services, Health Education Unit (HEU) must give approval for an organization to become a training agency.

Organizations eligible to be an approved training agency are:

  • Vocational-technical school
  • Comprehensive high schools offering health service occupation programs
  • Community college
  • Approved four (4)-year institutions of higher learning

A school must file an application with the DHSS requesting approval to teach the CMT course. The training agency must provide a copy of the signed agreement with all cooperating nursing facilities where clinical practice is conducted.

The signed agreement between the sponsoring educational training agency and the cooperating ICF/SNF must specify the rules, responsibilities and liabilities of each party.

Responsibilities that need to be outlined in the signed agreements include:
The training agency is responsible for administrating the TABE test, submission of student certification, submitting the written agreement to the Department and providing a copy of the final record to the student. The training agency must verify that all students entering the course have on record a completed Criminal Background check, an Employee Disqualification check, a Federal Marker check, a CNA status verification and a Family Care Safety Registry verification. The agreement must also outline who is responsible for confirming applicants receipt of a high school diploma, confirming six months of employment as a CNA, providing clinical supervision for all students, and tracking of unexcused student absences.

The training agencies' cooperating ICF/SNF shall allow students, instructors and examiners access to the medication room, supervised access to residents and access to the medication recording area.

In order to be approved, the training agency must meet these requirements:

  • Classrooms shall contain sufficient space
  • Appropriate equipment as needed for teaching the course
  • Approved instructors
  • Provide a manual for each student

TABE Information

Effective April 1, 2019, due to the difficulty in administering the TABE 9/10 test, DHSS educational training agencies will no longer be required to ensure compliance with the TABE test requirement at 19 CSR 30-84.020(6)(2), (3)(A), or (10)(A). Students will not be required to complete the TABE test in order to enroll in the CMT training.