If you are having difficulty, please contact the Health Education Unit at 573-526-5686 Monday - Friday 8:00 am - 4:00 pm.

New Level I Medication Aide (LIMA) regulations will be effective on November 30, 2012. DHSS will be requiring LIMA’s to complete a Biennial Training Update, DMH Medication Aides can now apply to get a DHSS LIMA certification and as individuals complete their updates or get newly certified you will be able to view LIMA certification information online in our web registry. Look at the Level I Medication Aide page for more detailed information.

ATTENTION, please check the on-line registry prior to doing any L1MA Biennial Training Update. If you cannot locate an individual on the registry please contact our office at 573-526-5686.

The Department of Health and Senior Services, maintains the Certified Nurse Assistant (CNA) Registry. The Registry is a listing of CNA's, Certified Medication Technicians (CMT), Level I Medication Aides (LIMA) and the CMTs and LIMAs certified in Insulin Administration (IA). These individuals have completed the state approved course or met the requirements of a state approved course and successfully passed a state examination.

This Registry also includes Approved Instructors, Examiners and Clinical Supervisors.

Federal Regulation 42 CFR 483.75 requires the Registry to document any findings against a CNA of Abuse, Neglect, or Misappropriation of property. If these acts occur while the individual is employed as a CNA in a federally certified Medicaid and/or Medicare long-term care facility or long-term care wing of a hospital, the Registry will show the individual has a Federal Indicator and is prohibited from working in a certified facility.

Certified long-term care facilities and the long-term care wing of a hospital are prohibited from employing a person, in any capacity, whose name appears on the Registry with a Federal Indicator. These providers are required to check the Registry before hiring an individual and they may not continue to employ a person whose name appears on the Registry with a Federal Indicator.

CNA Registry verification is required of employers before allowing an individual to serve as a Certified Nurse Assistant. The employer must seek Registry verification from all states the facility believes will have information on the individual.

The Registry also lists those LPNs and RNs who are approved by the Department of Health and Senior Services to be instructors, examiners and clinical supervisors for the CNA, CMT, LIMA and Insulin Administration courses.