{"application_form_url":"https://health.mo.gov/safety/cnaregistry/reciprocity.php","application_portal_url":"https://mo.tmutest.com","board_contact_url":"https://health.mo.gov/safety/cnaregistry/","board_email":"cnaregistry@health.mo.gov","board_fax":null,"board_mailing_address":null,"board_name":"Missouri DHSS","board_parent_org":null,"board_phone":"573-522-5863","board_physical_address":null,"board_source_url":null,"board_url":null,"canonical_url":null,"ce_requirements_url":"https://health.mo.gov/safety/cnaregistry/cna.php","common_delays":[{"description":"Failing to complete the demographic profile in TMU after account activation prevents exam scheduling.","title":"Incomplete TMU Profile"},{"description":"Submitting the reciprocity form multiple times or via both email and the online portal causes significant processing backlogs.","title":"Duplicate Reciprocity Submissions"},{"description":"Being listed on the Employee Disqualification List (EDL) or having unresolved issues on the FCSR will halt the certification process.","title":"EDL/FCSR Flags"},{"description":"Incomplete or unsigned training records (MO 580-2473) from the training provider will delay exam eligibility.","title":"Missing Clinical Documentation"}],"compact_member":null,"compact_name":null,"compact_privilege_fee":null,"created_at":"2026-04-11T20:11:23.804342+00:00","credential_type":null,"description":null,"endorsement_application_url":"https://health.mo.gov/safety/cnaregistry/reciprocity.php","endorsement_fees":null,"endorsement_steps":[{"description":"Ensure you hold an active, in-good-standing CNA certification in another state and are not listed on any disqualification lists.","title":"Verify Eligibility","url":"https://health.mo.gov/safety/cnaregistry/reciprocity.php","url_label":"Reciprocity Info"},{"description":"Fill out the official Missouri Reciprocity form online. There is currently no fee for this application.","title":"Complete Online Reciprocity Application","url":"https://health.mo.gov/safety/cnaregistry/reciprocity.php","url_label":"Apply for Reciprocity"},{"description":"Upload a copy of your out-of-state CNA certificate and a printout of your current state's registry showing an active status.","title":"Upload Required Documents","url":null,"url_label":null},{"description":"The Health Education Unit will review your documents. Do not submit duplicate requests as this slows down the process.","title":"Wait for DHSS Review","url":null,"url_label":null},{"description":"Once approved, log into the Missouri TMU portal to view your active status and print your Missouri CNA certificate.","title":"Print Missouri Certificate","url":"https://mo.tmutest.com","url_label":"TMU Portal"}],"exam_registration_url":"https://mo.tmutest.com","faqs":[{"answer":"You must perform at least 8 hours of nursing-related services every 24 months. Renewal is completed through the TMU portal with a $20 fee and proof of employment (e.g., pay stub or W-2).","question":"How do I renew my Missouri CNA certification?"},{"answer":"No, Missouri does not currently charge a fee for reciprocity (endorsement) applications from other states.","question":"Is there a fee for transferring my CNA license to Missouri?"},{"answer":"If you have not worked in a nursing-related role for over 24 months, your status becomes inactive. If it has been more than 5 years since you last worked, you must retake the entire CNA course and exam.","question":"What happens if my CNA certification expires?"},{"answer":"Employers should use the 'Search the New Missouri Registry' feature on the TMU portal (mo.tmutest.com) to verify active status and check for any federal indicators or disqualifications.","question":"How can an employer verify my CNA status?"}],"fee_payment_url":"https://mo.tmutest.com","fingerprint_delay_weeks":null,"fingerprint_fee":null,"fingerprint_method_in_state":null,"fingerprint_method_out_of_state":null,"fingerprint_required":true,"fingerprint_url":"https://health.mo.gov/safety/fcsr/","fingerprint_vendor":null,"fingerprint_vendor_url":null,"initial_fee_amount":0.0,"initial_fee_breakdown":null,"last_updated":null,"last_verified":null,"license_duration":null,"licensing_pathway":null,"payload_url":null,"processing_time":"0 to 3 Weeks","profession":"Certified Nursing Assistant","provisional_info":null,"reciprocity_info":null,"renewal_cycle":"Every 2 years","renewal_fee_amount":null,"renewal_portal_url":"https://mo.tmutest.com","required_documents":[{"description":"Form MO 580-2473, completed and signed by your instructor to verify 175 total hours of training.","name":"Classroom and On-the-Job Training Record","url":"https://health.mo.gov/safety/cnaregistry/forms.php","url_label":"View Forms"},{"description":"Valid government-issued photo ID showing you are at least 18 years of age (or 16 if enrolled in a high school vocational program).","name":"Proof of Age","url":null,"url_label":null},{"description":"Verification of registration and clear status on the Missouri Family Care Safety Registry.","name":"FCSR Background Screening","url":"https://health.mo.gov/safety/fcsr/","url_label":"FCSR Website"},{"description":"A copy of your Social Security card is required for registry identification and TMU account setup.","name":"Social Security Card","url":null,"url_label":null}],"slug":"missouri-cna","state_name":"Missouri","state_slug":"missouri","statutes_url":null,"steps":[{"description":"Enroll in and complete a Missouri-approved CNA training program consisting of 75 hours of classroom instruction and 100 hours of supervised on-the-job clinical training.","title":"Complete State-Approved Training","url":"https://health.mo.gov/safety/cnaregistry/cna.php","url_label":"View Training Requirements"},{"description":"All CNAs must be registered with the FCSR background check system before employment or testing. This is a one-time registration with a small fee.","title":"Register with the Family Care Safety Registry (FCSR)","url":"https://health.mo.gov/safety/fcsr/","url_label":"Register for FCSR"},{"description":"Once your training provider uploads your completion record, you will receive an email to activate your account on the TestMaster Universe (TMU) portal managed by Headmaster.","title":"Activate TMU Account","url":"https://mo.tmutest.com","url_label":"Login to TMU"},{"description":"Log into your TMU account to pay the examination fees and schedule your Knowledge and Skills tests at an approved testing site.","title":"Pay and Schedule Exam","url":"https://mo.tmutest.com","url_label":"Schedule Exam"},{"description":"Successfully pass both the written (knowledge) and skills portions of the Missouri CNA exam. Results are typically available in TMU within 24 hours.","title":"Pass the Competency Evaluation","url":null,"url_label":null},{"description":"Upon passing both exams, your name is automatically added to the Missouri Nurse Aide Registry. You can verify your status and print your certificate via the TMU portal.","title":"Registry Placement","url":"https://mo.tmutest.com","url_label":"Verify Registry Status"}],"temp_license_available":false,"temp_license_duration":null,"temp_license_fee":null,"temp_license_processing_time":null,"updated_at":"2026-05-03T09:26:01.406134+00:00","verify_license_url":"https://mo.tmutest.com"}