Path for Out-of-State Certified Nursing Assistants
There is no active interstate compact route for certified nursing assistant licensing in Missouri. Plan on endorsement through Missouri DHSS.
CNAs certified in another state can often apply via endorsement (reciprocity) by providing registry verification from their home state.
Items to Watch Out For
These are the issues most likely to affect whether your contract timeline is realistic in Missouri.
- Fingerprinting: Required. Out-of-state applicants can use IdentoGO Out-of-State Live Scan OR FD-258 hard card via mail. Completing prints outside Missouri can add 2-4 weeks.
- License verification: Missouri requires verification of your current out-of-state license before your file is complete.
- Compact status: No active compact route here. Plan on endorsement.
- Temporary license: The board lists a temporary or provisional route while the full file is pending.
Missouri Endorsement Requirements
This is the endorsement checklist for already-licensed clinicians applying in Missouri.
-
Step 1
Start the Missouri application
Apply through the Missouri DHSS.
-
Step 2
Send verification of your current license
Missouri requires verification sent directly from your current state board or its official verification system before your file is complete.
-
Step 3
Send Proof of Training
Certificate of completion from your approved CNA training program.
-
Step 4
Send State Competency Exam Results
Official verification of passing your state's nurse aide competency evaluation.
-
Step 5
Complete fingerprinting or background check
Missouri requires fingerprinting or background screening on this path. Out-of-state applicants can use IdentoGO Out-of-State Live Scan OR FD-258 hard card via mail.
-
Step 6
Wait for board processing
Plan on about 2 to 4 Weeks for processing. Missouri also lists a temporary or provisional route while the full file is pending.
-
Step 7
Complete Training Program
Complete a state-approved CNA training program (typically 75-120 hours).
Fees and Renewal
- Total fee
- $0
- Processing time
- 2 to 4 Weeks
- Renewal fee
- N/A
- Renewal cycle
- Every 2 years
- Application
- $0
- Background check
- Varies by provider
- Jurisprudence exam
- $0
- Total estimated cost
- $0
Temporary License
Missouri offers a temporary or provisional license so you can start working while your full endorsement application is processing.
- Fee
- See board
- Duration
- See board
- Processing time
- See board
Required Documents
- Proof of Training: Certificate of completion from your approved CNA training program.
- State Competency Exam Results: Official verification of passing your state's nurse aide competency evaluation.
Board Contact
- Board
- Missouri DHSS
- Department
- State Health Department
- Phone
- (573) 526-5686
- See board website
- Board site
- Primary board page
Source: Primary board website
Renewal
Renewal fee is N/A. Renewal cycle: Every 2 years.
Missouri Certified Nursing Assistant Licensing FAQ
How much does Missouri CNA endorsement cost?
There is no application fee for CNA endorsement in Missouri. However, background check fees may apply.
Is a background check required?
Yes, a fingerprint-based background check is required in Missouri.
How long does it take to transfer my CNA certification to Missouri?
Most endorsement applications take 2 to 4 Weeks.
Can I start working in Missouri while waiting?
Check with the state board about temporary practice permits while your endorsement is being processed.