CNA, CMT, LIMA and Insulin Registry
Needing to schedule a CNA test?
**Please schedule your test site 14 days in advance to help guarantee the date and location in need.
If you are needing to test in a different location, contact Headmaster D&S, and they will get that set up for you. Please ask for the Missouri team!
Due to the high volume of reciprocity requests and calls, allow up to 15-20 business days for processing.
Thank you for your patience!
- Check AgencyCall our office at 573-526-5686 to verify training agencies and instructors at this time.
- Check the New Missouri Registry
- Certified Nurse Assistant (CNA)
- CMT Program
- Level I Medication Aide (LIMA)
- LIMA Biennial Update Form
- DMH Medication Aide Certification Information
- Paid Feeding Assistant - Dining Assistant
- Insulin Administration
- Classroom and On-the-Job Training Record (Appendix A/B Form)
- Application for Approval as a Nursing Assistant Training Agency
- How to become a CNA/CMT Training Agency
- How to Transfer my CNA to Missouri with Reciprocity NEW
- Reciprocity Request Form
- CNA/CMT Training Agencies
(Call 573.526.5686 for approved training agencies)
- Approved Certifying Agencies
- CNA Reimbursement
- How to Apply to take the Train the Trainer
- Restorative Nurse Assistant (RNA)
- Related Links
- Laws, Regulations & Manuals
- Frequently Asked Questions
New Updates to the Headmaster Student Handbook and Mock Skills for CNA Testing
Please see the updated Headmaster Student Handbook and Mock Skills including key step changes for those students testing 3/15/22 and after.
Please visit Headmaster’s website for those changes at https://hdmaster.com/testing/cnatesting/missouri/MO_CNA_Home.htm
Health Education Unit is excited to provide you with "Series of the Month Topics!"
These topics will consist of the new regulation changes and our new testing administrator, Headmaster D & S.
Please join us on the following series of dates to learn and ask any questions you may have regarding the topic of the month.
Please keep in mind these series will only discuss that topic of the month, but as time allows we will answer any additional questions you may have.
If you can’t make the dates below, that is ok too! These will be recorded and posted on our website for you view at any time. If you have questions, please send emails to: email@example.com
Series #4 "Renewing CNA Certifications and Things You May Need to Know"
Please join us via WebEx on June 9, 2022 at 3:00 p.m.
Recorded Monthly Series
Complete this profile to update your account with the most recent contact information.
This profile contains information used to send out alerts and notifications for renewing your CNA certification.
This profile is for employers of CNA’s only. Create this profile for Headmaster to verify CNA nursing services. Headmaster will use this profile to communicate during renewals.
Create this profile TMU, before the instructor teaches the first class with Headmaster. This will register the instructor to have permissions to schedule a class and upload the On the Job Training Record in TMU.
19 CSR 30-84.010 Nursing Assistant Training Program and 19 CSR 30-85.042 Administration and Resident Care Requirements for New and Existing Intermediate Care and Skilled Nursing Facilities - REGULATION UPDATE NOTICE
The proposed amendments affecting the nursing assistant training program referenced in regulation sets 19 CSR 30-84.010 Nursing Assistant Training Program and 19 CSR 30-85.042 Administration and Resident Care Requirements for New and Existing Intermediate Care and Skilled Nursing Facilities were published in the Code of State Regulations on November 30, 2021. The official new rules can be found on the Secretary of State’s website at: https://www.sos.mo.gov/cmsimages/adrules/csr/current/19csr/19c30-84.pdf.
The rules are located under Division 30 in Chapter 84 and Chapter 85. The effective date for the rules will be December 30, 2021.
What does this mean?
Reciprocity: If you are certified and are active in another state, Missouri will recognize that states certification. Note: a temporary CNA status is not recognized in Missouri. If you would to learn how to submit your request for reciprocity. Follow this link: https://health.mo.gov/safety/cnaregistry/pdf/cna-reciprocity.pdf.
CNA Renewals/Work Updates: If the CNA passes the final examination, the individual’s name shall be placed on the CNA active registry. CNAs shall submit documentation (e.g., pay stubs, W-2, letter from employer, etc.) of work in nursing or nursing related services for at least one (1) day (e.g. eight (8) hours) within each twenty-four- (24-) consecutive month period to maintain active status. Documentation shall be submitted to the department approved third party test administrator and a fee will be assessed for each renewal. A CNA who has been inactive on the registry for less than five (5) years and cannot provide documentation (e.g., pay stubs, W-2, letter from employer, etc.) of work in nursing or nursing related services for at least one (1) day (e.g. eight (8) hours) within each twenty-four- (24-) consecutive month period shall challenge the final examination in accordance with section (8) of this rule before the CNA is reinstated to the active registry. A CNA who has been inactive on the registry for more than five (5) years and cannot provide documentation (e.g., pay stubs, W-2, letter from employer, etc.) of work in nursing or nursing related services for at least one (1) day (e.g. eight (8) hours) within each twenty-four- (24-) consecutive month period is not eligible to challenge the final examination and shall successfully complete the entire basic course before the CNA is reinstated to the active registry.
Instructor 4 Hour Update Every 5 years: The instructor shall attend a four (4) hour update training provided by a certifying agency every five (5) years. Any instructor who has not completed the required four (4) hour update training by August 31, 2022, and every five (5) years thereafter shall be removed from the department-approved list of instructors. If removed from the department’s list, the instructor shall attend and successfully complete the Nursing Assistant Instructor Workshop in order to be reinstated to act as an instructor.
All Challenge exams as of 12/30/2021 will be administered through Headmaster, but continue to send your Challenge request to DHSS for approval.
Q & A Sessions
- Q & A Session 03/02/2022
- Q & A Session 10/05/2021
- Q & A Session 09/22/2021
Headmaster S & D Important Links
- Headmaster D & S Website
- Important information regarding Headmaster S & D
- RN Test Observer Description