Missouri

Missouri CNA Registry

Verify your certification status, check expiration dates, and find renewal information through the official Missouri CNA, CMT and Insulin Registry.

Visit Official Registry

2 years

Renewal Period

At least 8 hours of paid nursing or nursing-related services within each 24-month period (documented with paystubs, W-2, or employer letter)

Work Requirement

Yes

Accepts Reciprocity

Free

Online Lookup

How to Look Up Your Missouri CNA License

1

Visit the Missouri TMU public search

Go to mo.tmutest.com/search in any web browser. This is the public-facing portion of D&SDT-Headmaster's Missouri TMU portal and is maintained on behalf of the Missouri Department of Health and Senior Services. No login is required.

2

Enter the CNA's name or certificate number

Type the CNA's first and last name (as it appears on their certificate) or their Missouri CNA certificate number. You can also narrow the search by city to distinguish between people with similar names.

3

Review status, expiration, and findings

The result shows certification status (active, expired, or lapsed), certificate number, original certification date, expiration date, and any substantiated abuse/neglect or misappropriation findings posted by DHSS.

4

Contact DHSS for additional verification if needed

For employer pre-hire verification or to confirm details not shown publicly, call the DHSS CNA Registry at (573) 526-5686 between 9:00 a.m. and 3:30 p.m. Central Time, or email [email protected].

About the Missouri CNA, CMT and Insulin Registry

The Missouri CNA, CMT and Insulin Registry is the official database of Certified Nurse Assistants, Certified Medication Technicians, and Insulin Administration certified workers in Missouri. It is maintained by the Department of Health and Senior Services (DHSS) Section for Long Term Care Regulation, with registry data managed by D&SDT-Headmaster through the TMU (Test Master Universe) portal at mo.tmutest.com.

Employers in Missouri are required by 19 CSR 30-84 to verify the registry status of every CNA before allowing them to provide direct resident care. The registry reflects active certification, renewal status, any reciprocity transfers, and substantiated findings of abuse, neglect, or misappropriation of resident property, with disciplinary findings remaining permanently visible per federal OBRA rules.

Public registry searches are available 24/7 at mo.tmutest.com/search, where anyone can verify a Missouri CNA's status by name or certificate number. DHSS staff handle phone verification, reciprocity questions, and disciplinary inquiries Monday through Friday between 9:00 a.m. and 3:30 p.m. Central Time at (573) 526-5686.

Contact Information

Phone Number

(573) 526-5686

Mailing Address

Missouri Department of Health and Senior Services\nHealth Education Unit - CNA Registry\nPO Box 570\nJefferson City, MO 65102

Hours of Operation

Monday-Friday, 9:00 a.m. - 3:30 p.m. Central Time

Missouri CNA Testing Information

Testing Vendor

Missouri uses D&SDT-Headmaster to administer the nurse aide competency evaluation. The exam consists of a written (or oral) knowledge test and a skills demonstration.

Visit D&SDT-Headmaster

Training Requirements

Missouri requires 175 hours, including 100 hours of supervised on-the-job clinical training. Training programs must be approved by the state.

Find Missouri CNA Classes

Missouri CNA Renewal Requirements

Renewal Period

Missouri CNA certification is valid for 2 years from the date of initial certification or last renewal.

Work Requirement

You must perform at least At least 8 hours of paid nursing or nursing-related services within each 24-month period (documented with paystubs, W-2, or employer letter) during your certification period to be eligible for renewal.

Employer Verification

Your employer verifies your work hours directly through the registry system. Keep your contact information current with your employer.

Frequently Asked Questions

How do I verify a Missouri CNA's license online?

Use the public TMU search at mo.tmutest.com/search. Enter the CNA's first and last name, or their certificate number, and the search returns current registry status (active, expired, or with findings), certificate number, expiration date, and any reciprocity history. The verification is free and updates in real time as D&SDT-Headmaster processes new certifications and renewals on behalf of DHSS.

How often must Missouri CNAs renew?

Every 24 months. To renew, the CNA must document at least 8 hours of paid nursing or nursing-related services within the prior 24 months by submitting paystubs, a W-2, or a signed employer letter through the TMU portal. There is a small renewal fee paid online during the submission process. Renewals can be filed up to 60 days before expiration.

Does Missouri offer free CNA reciprocity from other states?

Yes. Missouri offers free reciprocity to CNAs in good standing on another state's nurse aide registry. You apply through TMU, submit a copy of your out-of-state certificate, proof of identity, and verification of at least 8 hours of paid nursing-related work in the prior 24 months. DHSS typically processes the request within 7-10 business days, and Alabama applicants must additionally show the 8-hour work proof on the Alabama side.

What can disqualify someone from the Missouri CNA Registry?

Under 19 CSR 30-84 and the federal Employee Disqualification List (EDL), CNAs may be disqualified for substantiated findings of resident abuse, neglect, or misappropriation of property, as well as certain felony convictions identified by the Family Care Safety Registry (FCSR). DHSS posts substantiated findings permanently on the public registry, and disqualified individuals are placed on the EDL, which Missouri employers are required to check before hiring.

How do I contact the Missouri CNA Registry office?

You can reach the Missouri DHSS CNA Registry at (573) 526-5686 or by email at [email protected]. The call center is open Monday through Friday from 9:00 a.m. to 3:30 p.m. Central Time. Mail correspondence goes to Health Education Unit - CNA Registry, PO Box 570, Jefferson City, MO 65102. Headmaster exam-related questions go to (888) 401-0462.

Can employers verify multi-state registry status from Missouri?

Yes, and Missouri DHSS requires employers to do so. Federal OBRA rules require facilities to check every state registry that may have information on a prospective CNA before hire. The Missouri TMU search returns Missouri status only - to check other state registries, employers must search each state's registry separately, or use a multi-state lookup service such as the Credentia or Nursys cross-state tools.

Missouri CNA Refresher Topics

Whether you are preparing to renew your Missouri certification, brushing up before returning to work, or studying for the Missouri CNA, CMT and Insulin Registry reinstatement exam, these free guides cover the topics most commonly tested:

Patient Rights & HIPAA

OBRA '87 resident rights, mandatory reporting, advance directives — essential for any Missouri CNA returning to active status.

Infection Control

Standard precautions, PPE protocols, and transmission-based precautions for Missouri nurse aides working with vulnerable residents.

Safety & Emergencies

Fall prevention, RACE/PASS fire response, choking, and CPR — heavily tested on Missouri CNA reinstatement exams.

Personal Care & Elimination

Bathing, peri-care, toileting, and incontinence management procedures used daily by Missouri CNAs in long-term care.

Dementia & Cognitive Care

Validation therapy, sundowning, and de-escalation techniques for working with cognitively impaired residents in Missouri.

Body Systems & Conditions

Recognizing strokes (FAST), hypoglycemia, pressure injuries, and CHF — essential clinical knowledge for active Missouri CNAs.

Legal & Ethical Issues

Scope of practice, negligence, mandatory reporting, and professional boundaries — review essentials for any Missouri CNA renewing certification.

Communication & SBAR

SBAR handoff, therapeutic responses, and adaptations for hearing- or vision-impaired residents — practical refreshers for Missouri CNAs.

Data Collection & Reporting

Objective vs subjective documentation, pain scales, and what to report immediately — refresh the rules used daily by Missouri CNAs.

End-of-Life Care

Hospice vs palliative care, recognizing signs of approaching death, and postmortem care — for Missouri CNAs in long-term care settings.

Becoming a CNA in Missouri?

See the step-by-step requirements to become a CNA in Missouri, find approved training programs, or access free study materials.