What is Reciprocity in Misouri

If you are coming to MO, reciprocity allows you to become a CNA without taking the Missouri CNA exam.

CNA that has been certified in another state, is in good standing and would like to become a CNA in Missouri. Reciprocity allows you to do so, without taking the Missouri CNA exam.

All you have to do is submit your request to our office. Please follow the steps below.

How to Apply for Reciprocity

Allow 7-10 business days to process your request.

1. Submit a copy of your CNA certificate or a print out of that states registry.
2. Complete the reciprocity form.
3. Email both documents to cnaregistry@health.mo.gov.
   Note: If you are coming from Alabama, we need proof of work within the last two years. Submit a paystub as proof of work.

Important Information Regarding Your Request

• If we don't receive documents required, your request will be denied.
• DO NOT send requests twice with the 7 - 10 business days processing time. This is just slows the process down and causes confusion.