Missouri CNA Exam 2026: The Complete DHSS Certified Nurse Assistant Guide
In Missouri, a Certified Nurse Assistant (CNA) is regulated by the Missouri Department of Health and Senior Services (DHSS) through its Health Education Unit. DHSS contracts with D&S Diversified Technologies / Headmaster — delivered through the TMU scheduling platform at mo.tmutest.com — to administer the written and skills portions of the state competency exam.
This guide covers every Missouri-specific rule: the 175-hour training split (75 classroom + 100 clinical), the 75-question written test, the skills practicum of 3–4 randomly selected tasks, the $135 total exam fee ($32 written + $103 skills), the 12-month testing window, the 24-month paid-work renewal rule, the one-attempt challenge pathway, the Level 1 Medication Aide (L1MA) add-on, and the Certified Medication Technician (CMT) upgrade. All facts below are verified against the Missouri DHSS CNA Registry and MHCA training-provider documents current for 2026.
Start Your FREE Missouri CNA Prep
Our Missouri-specific course covers the full DHSS 5-domain written blueprint plus every core skill on the Headmaster practicum — 100% FREE, no credit card, no signup wall.
Missouri CNA Exam at a Glance
| Item | Detail |
|---|---|
| Official Title | Certified Nurse Assistant (CNA) |
| Regulator | Missouri Department of Health and Senior Services (DHSS) |
| Office | Health Education Unit |
| Legal Basis | Section 198.082 RSMo (Omnibus Nursing Home Act); 19 CSR 30-84 |
| Registry | Missouri CNA, CMT & Insulin Registry |
| Testing Vendor | D&S Diversified Technologies / Headmaster via the TMU scheduling system |
| Training Required | 175 hours (75 classroom + 100 clinical / on-the-job training) |
| Minimum Age | 18 (high-school Vo-Tech students may start younger and finish at 18) |
| Written Questions | 75 multiple-choice |
| Oral-Read Option | Knowledge test read aloud for reading-comprehension issues (extra $10) |
| Skills Tested | 3–4 randomly selected tasks performed live to a Nurse Aide Evaluator |
| Skills Time Limit | Approximately 30 minutes |
| Written Fee | $32 (standard) or $42 oral-read |
| Skills Fee | $103 |
| Total Exam Fee | $135 (standard written + skills) |
| Testing Window | Pass both parts within 12 months of starting the approved training program |
| Attempts Allowed | 3 attempts on each portion within the 12-month window (program graduates) |
| Challenge-Track Attempts | 1 attempt only |
| Early-Exit Re-Entry | 6 months to re-enter training if you leave before completing |
| Renewal Requirement | 8 paid nurse-aide hours documented within every 24-month period |
| Renewal Fee | $20 |
| DHSS Phone | 573-526-5686 (Mon–Fri, 9:00 am–3:30 pm CT) |
| DHSS Email | cnaregistry@health.mo.gov |
| Headmaster / TMU Support | 1-800-393-8664 |
Why Missouri CNA Is Different From Other States' Exams
Most generic "CNA" practice material online is written for the NNAAP (Credentia/Pearson VUE) or the Prometric formats. Missouri uses neither — it contracts Headmaster/D&S through TMU. If you study generic national material only, you will get blindsided by these Missouri-specific differences:
- 175 total training hours — Missouri sits well above the 75-hour federal OBRA floor, with a heavy 100-hour clinical requirement.
- 75-question written test, not 60 or 100. Missouri runs a midsize knowledge test with a 60-minute time limit.
- Two-part fee structure. The $32 written test and the $103 skills practicum are billed separately — so a first-time candidate pays $135 even before training tuition and background checks.
- TMU-only scheduling. All Missouri candidates schedule, pay, and receive score reports through mo.tmutest.com. A valid email address on file is mandatory.
- One-attempt challenge rule. Qualified challenge applicants (nursing students, RN/LPN candidates who failed NCLEX, inactive MO CNAs, UAP/PCT-trained individuals) get one attempt only — not three.
- 6-month early-exit clause. If you start training and drop out, you have six months to resume the same program before the clock resets entirely.
- Separate Level 1 Medication Aide (L1MA) credential. Missouri CNAs in residential-care and assisted-living settings can add a 16-hour L1MA credential — a unique Missouri pathway that does not exist in most states.
- Reciprocity is paperwork-only. Active, in-good-standing CNAs from any other state transfer into Missouri without retesting, as long as the home-state registry is clean.
Missouri CNA Prerequisites (Before You Enroll)
DHSS Health Education Unit and approved training programs require:
- Minimum age 18 at the time of certification. High-school Vo-Tech students may begin training younger but cannot be placed on the registry until 18.
- High school diploma or GED for nearly every DHSS-approved program and most Missouri long-term-care employers.
- Missouri State Highway Patrol (MSHP) criminal background check via the Family Care Safety Registry — convictions for abuse, neglect, exploitation, or certain felonies are disqualifying.
- Nurse Aide Registry abuse/neglect/misappropriation screen — must be clear in every state you have ever lived or worked.
- Two-step TB skin test (PPD) or IGRA within the past 12 months; positive PPD requires a clear chest X-ray.
- Immunization records: MMR, Tdap, varicella, hepatitis B series (or declination), annual flu.
- Physical exam / fitness statement signed by a provider attesting ability to lift 50 lb and stand 8 hours.
- Social Security card — original, not a photo. Required at application and on test day at the TMU site.
- Valid government photo ID — driver's license, state ID, or passport. The name must match your TMU profile exactly.
Missouri Training: The 175-Hour Requirement
Missouri requires a minimum of 175 hours of DHSS-approved nurse assistant training — 100 hours above the federal OBRA minimum. The 175 hours split into two parts:
| Component | Hours | What It Covers |
|---|---|---|
| Classroom / Lab | 75 hours | Theory: role of the nurse aide, infection control, residents' rights, communication, safety, body mechanics, nutrition, dementia care, scope of practice, ethics, dying and death |
| On-the-Job Training (Clinical) | 100 hours | Hands-on resident care in a DHSS-approved long-term-care facility, hospital long-term-care unit, or approved simulation site under an RN instructor |
Key Missouri training rules:
- Programs must appear on the DHSS Health Education Unit approved Nurse Assistant Training Program (NATP) list before you pay tuition. Non-approved training does NOT count — no exceptions.
- The primary instructor of record must be a Registered Nurse (RN) with at least two years of LTC experience; LPNs may assist but cannot own the course.
- Tuition typically runs $700 to $1,400 through Missouri Health Care Association (MHCA) — $700 for member-facility staff and $1,400 for non-members, textbook included.
- Many Missouri long-term-care facilities (Life Care Centers, Bethesda, Lutheran Senior Services, and others) offer free training in exchange for a 90-day to 12-month work commitment.
- You have 12 months from course start to complete training AND pass both exam portions. Missing that window means retraining from scratch.
- 6-month re-entry clause: if you drop the program partway through, you have 6 months to re-enter the same DHSS-approved course before the clock resets.
Verify any program against the official DHSS list at health.mo.gov/safety/cnaregistry before paying tuition.
Step-by-Step: How to Register for the Missouri CNA Exam
Follow this sequence in order. Out-of-sequence applications get bounced back from TMU:
- Complete a DHSS-approved 175-hour NATP. Your program submits your completion record to TMU.
- Create your TMU profile at mo.tmutest.com. Use an email you check daily — TMU sends scheduling and score notifications only via email.
- Pay your testing fees through TMU: $32 written + $103 skills = $135 standard. Add $10 if you need the oral-read accommodation.
- Schedule your test date at one of the 30+ Missouri Headmaster testing sites (community colleges, adult care homes, regional RTE centers). Search available sites in your TMU profile.
- Test within 12 months of your training start date. Missing the 12-month window requires retaking the full 175-hour NATP.
- Sit for both portions — typically on the same day: written (75 questions, 60 minutes) and skills (3–4 tasks, about 30 minutes). Both must be scored above the Headmaster cut.
- Wait for your name to appear on the Missouri CNA Registry at mo.tmutest.com — typically within a few business days of passing.
- Begin employment — Missouri employers are required to verify active registry status before hiring you for direct resident care.
Written Exam Content Breakdown (75 Questions)
The DHSS/Headmaster written knowledge test covers five domains drawn from the Missouri Model NATP curriculum. You have 60 minutes for 75 questions — roughly 48 seconds per question.
| Content Domain | Approx. Weight | What's Tested |
|---|---|---|
| Role of the Nurse Aide | ~18% | Scope of practice, chain of command, delegation, legal/ethical duties, HIPAA, confidentiality, reporting |
| Promotion of Safety | ~19% | Falls, fire (RACE/PASS), restraints and alternatives, body mechanics, disaster training, incident reporting, abuse reporting |
| Basic Nursing Care | ~21% | Infection control, PPE sequencing, vital signs, personal care, ADLs, I&O, positioning, skin care |
| Function and Health of Residents | ~21% | Residents' rights, communication, psychosocial needs, mental health, cultural sensitivity, sexuality, end-of-life care |
| Specialized Care | ~21% | Dementia and cognitive impairment, rehabilitation, restorative nursing, common disease processes, hospice care |
Highest-Yield Missouri Written-Test Topics
Based on the DHSS blueprint and training-program feedback:
- Residents' rights under OBRA and Section 198.082 RSMo — right to refuse care, privacy, freedom from restraint, grievance, advance directives. Heavily tested because Missouri law directly codifies these.
- Abuse, neglect, and misappropriation reporting — Missouri mandatory reporter rules, immediate verbal report to charge nurse, written incident report, hotline 1-800-392-0210.
- Fire and disaster safety — RACE (Rescue, Alarm, Contain, Extinguish) and PASS (Pull, Aim, Squeeze, Sweep). Missouri training emphasizes tornado, flood, and severe-weather drills.
- Infection control — standard vs transmission-based precautions, PPE donning/doffing sequence, hand hygiene timing.
- Dementia-specific interventions — validation, redirection, managing sundowning, avoiding "reality orientation" with advanced dementia. DHSS curriculum has a full dementia module.
- Change-in-condition recognition — vital sign abnormalities, mental status shifts, skin breakdown stages, dehydration, choking/aspiration.
- Safe transfers and body mechanics — gait belt use, lock wheels, weak side toward chair, never lift with your back.
Practice the Exact Missouri CNA Content
Our question bank mirrors the DHSS 5-domain blueprint, with full-length 75-question simulators timed at 60 minutes and AI-powered explanations on every wrong answer.
The Skills Practicum: What to Expect
On skills-test day, a Headmaster-trained Nurse Aide Evaluator will randomly assign you 3–4 skills to perform on a standardized resident (usually a classmate or volunteer). You have about 30 minutes total. Every skill is scored against a published step list; missing any critical element step fails that entire skill.
Hand hygiene is evaluated every time — both as a standalone skill and as an embedded step within every other task. Non-key steps require about 80% accuracy across the task; key (critical) steps require 100%.
Common Missouri CNA Skill Pool (What You Must Master)
| Category | Skills |
|---|---|
| Hygiene & Comfort | Hand washing, mouth care, denture care, perineal care (female), partial bed bath, back rub |
| Vitals & Measurements | Radial pulse, respirations, blood pressure (one arm), weight on upright scale, measuring urinary output |
| Mobility | Transfer bed to wheelchair with gait belt, ambulation with gait belt, positioning on side, passive ROM (shoulder, knee/ankle) |
| Nutrition & Elimination | Feeding a dependent resident, assisting with bedpan, catheter care, emptying urinary drainage bag |
| Dressing & Skin | Dressing resident with a weak/affected side, applying anti-embolism stocking, foot care, fingernail care |
| Safety | Making an occupied bed, applying heel protector / positioning device, proper fire and emergency response |
The Non-Negotiable Critical Element Steps
Missing any of these on any skill is an automatic fail:
- Knock and identify yourself before entering the room
- Identify the resident by name and wristband
- Explain the procedure before starting and get verbal consent
- Perform hand hygiene before and after the skill (and again after glove removal)
- Provide privacy — close the door and draw the curtain
- Maintain safety at the end — bed in lowest position, wheels locked, side rails per care plan, call light within reach
- Maintain dignity and communication throughout — no exposing the resident, no rushing, talk the resident through each step
6-Week Missouri CNA Study Plan (50–80 Hours Self-Study)
This plan layers on top of your 175-hour DHSS-approved NATP.
| Week | Focus | Hours |
|---|---|---|
| 1 | Role of the nurse aide, scope of practice, Section 198.082 RSMo, communication, residents' rights, HIPAA | 8–10 |
| 2 | Promotion of safety — falls, RACE/PASS, restraints, disaster training, body mechanics, abuse reporting | 8–10 |
| 3 | Basic nursing care — infection control, PPE, vital signs, ADLs, skin care, documentation | 10–12 |
| 4 | Function and health of residents — psychosocial, mental health, end-of-life, cultural awareness | 8–10 |
| 5 | Specialized care — dementia modules, restorative nursing, common disease processes, hospice | 8–10 |
| 6 | Full-length 75-question timed simulators + partner-drill skills rehearsal with critical-step checklists | 10–15 |
Most first-try Missouri CNA passers log 50–80 total self-study hours beyond the 175 NATP hours.
Missouri-Specific Pitfalls (Avoid These)
- 12-month testing window. Pass both portions within 12 months of training start, or retrain from scratch. No extensions.
- 3 attempts, not unlimited. Program graduates get 3 tries on each portion. Challenge applicants get one attempt only. Wasting attempts is costly — re-sitting burns another $32 or $103 each time.
- TMU email lapses. If the email on your TMU profile goes stale (job change, school account expiry), scheduling notifications bounce and test seats disappear. Update your profile any time your email changes.
- ID/name mismatch. The name on your government ID, training record, and TMU profile must match exactly. A middle-initial or surname mismatch voids the sitting and requires a reschedule fee.
- Non-approved training. Only NATPs on the DHSS Health Education Unit list count. Out-of-state programs do NOT automatically qualify — file reciprocity instead.
- Challenge applicants get ONE shot. If you are a nursing student, RN/LPN who failed NCLEX, or an inactive MO CNA, confirm challenge eligibility in writing before paying. Failing your one attempt means enrolling in a full 175-hour NATP.
- Two separate fees. $32 written + $103 skills — no bundled discount. Budget $135 minimum plus $20 if you reschedule.
- Registry lapse. Going more than 24 months without 8 paid nurse-aide hours removes you from active status — you then must submit a challenge application or re-enroll.
- Employer verification. Every Missouri long-term-care employer must verify active registry status before hiring. If TMU has not yet posted your name, you cannot legally begin direct-care employment.
- Federal offender registry. Adverse findings on any state's Nurse Aide Registry (abuse, neglect, misappropriation) follow you nationwide. Dispute any incorrect Missouri finding in writing within 30 days of notice.
Test-Day Checklist
Bring:
- Original Social Security card (not a photo or copy) — required to verify your TMU profile
- Government-issued photo ID (driver's license, state ID, passport) — name must match your TMU profile exactly
- TMU admission confirmation / scheduling email
- Two #2 pencils with erasers
- Wristwatch with a second hand (NO smart watches — needed to count respirations and pulse)
- Full clinical scrubs and closed-toe, non-slip shoes — required for both written AND skills
- Hair tied back, no artificial nails, nails trimmed short, no jewelry except a plain wedding band and small studs
Leave at home:
- Cell phone, smart watch, fitness tracker, earbuds (lockers usually provided)
- Bags, backpacks, food, notes, gum, hats
Arrive 30 minutes early. Late arrival forfeits your fee and requires a reschedule through TMU.
Master Every Critical Step
Our course highlights the exact critical element steps Missouri Headmaster evaluators watch for — the ones that fail otherwise competent candidates.
Missouri CNA Registry: Renewal and Reciprocity
Initial Certification Validity
Your Missouri CNA certification remains active as long as you document qualifying paid nurse-aide work and complete the renewal step every 24 months. Certification date is the day Headmaster posts your passing scores to the Missouri Registry.
Renewal: 8 Paid Hours in 24 Months + $20
Missouri uses a work-based renewal (not CE-based). To maintain active registry status, you must document:
- At least 8 paid hours performing nursing-assistant duties within every 24-month period, AND
- Submit a $20 renewal fee through your TMU profile
Acceptable proof of paid work includes:
- A recent pay stub listing nurse-aide duties and hours
- A W-2 from a qualifying long-term-care or home health employer
- A signed letter on company letterhead from your employer verifying paid CNA hours
Key renewal facts:
- Renewal is not automatic — you must upload documentation and pay the $20 fee.
- No CE requirement for base CNA renewal (separate in-service requirements exist under federal OBRA 42 CFR 483.152 — typically 12 in-service hours per year for LTC employees).
- If you do NOT work 8 paid nurse-aide hours in 24 consecutive months, your registry status lapses.
Reinstatement After Lapse
If your Missouri CNA status lapses, you may qualify to reinstate via the CNA Challenge pathway (see below) — an inactive Missouri CNA is one of the explicit eligibility categories. If you no longer qualify as a challenger, you must re-enroll in a full DHSS-approved 175-hour NATP.
Missouri CNA Reciprocity (In-Bound)
Missouri accepts active, in-good-standing CNAs from other states via a paperwork-only reciprocity process — no Missouri retest is required if the home-state registry is clean. As of 2026, reciprocity is submitted online through TMU, not by mail:
- Create a TMU profile at mo.tmutest.com and complete the online Reciprocity form
- Upload a copy of your current out-of-state CNA certificate (or a printout of your current state registry)
- Upload a copy of your Social Security card
- Provide a return address and daytime phone number
- Provide work verification of 8 paid hours within the past 24 months (Alabama applicants must also include this verification per DHSS rule)
- Do NOT email documents unless DHSS has made prior arrangements — TMU is the required channel
If your home-state training fell short of 175 hours, DHSS may still approve reciprocity as long as your state's program was OBRA-compliant (≥75 hours) and you are in good standing. Contact the DHSS Health Education Unit at (573) 526-5686 with your specific situation before uploading documents. Duplicate submissions slow processing — file once through TMU, then wait.
Out-Bound Reciprocity
If you hold Missouri certification and want to work in another state, you must contact that state's nurse aide registry directly — Missouri does not initiate reverse reciprocity on your behalf.
The Missouri CNA Challenge Pathway (Test Without a Full NATP)
Missouri allows qualified applicants to challenge the DHSS competency exam without completing the 175-hour NATP. Challenge applicants get one attempt only — fail it, and you must enroll in a full NATP. Eligible categories include:
- Inactive Missouri CNA — previously on the registry but lapsed due to no 24-month paid work.
- Completed UAP/PCT program — an Unlicensed Assistive Personnel or Patient Care Technician course matching 175 training hours.
- Nursing student with clinical rotation — at least 4 months of a nursing program including Fundamentals of Nursing with a clinical rotation, completed within the last 5 years.
- Failed NCLEX — RN or LPN candidates who completed nursing school but did not pass NCLEX.
- International nursing graduates awaiting U.S. licensure.
- Gerontology/health-occupations background — case-by-case, with supervisor evaluation.
Challenge applicants submit a written request with supporting documentation, a Social Security card copy, and contact information to the DHSS Health Education Unit. Once approved, you schedule one shot at the written and skills tests through TMU — same $135 fee structure.
Challenge Exam Structure Differs From Graduate Exam
This is a detail most Missouri CNA guides miss: the challenge-track written test has 50 questions with a 2-hour time limit (not 75 questions/60 minutes), and the skills practicum assigns 5 tasks from a 34-skill pool with a 4-out-of-5 pass bar (graduate candidates get 3–4 tasks). Handwashing is tested on every sitting regardless of track. Budget accordingly — the slower written pace is a gift, but the 5-skill practicum is stricter than the graduate 3–4 task format.
Missouri Level 1 Medication Aide (L1MA) Pathway
Missouri's Level 1 Medication Aide (L1MA) credential lets an active CNA administer routine medications in a Licensed Residential Care Facility or Assisted Living Facility (per 19 CSR 30-84.030). L1MA is a Missouri-specific add-on — most other states do not offer this exact credential.
| L1MA Item | Detail |
|---|---|
| Prerequisite | Active Missouri CNA for at least 6 months |
| Minimum Age | 18 |
| Initial Training | 16 hours of approved L1MA curriculum |
| Biennial Update | 4 hours every 2 years |
| Recertification | Repeat the full 16-hour course if you exceed 5 years since initial certification or last 2-year update |
| Challenge Option | Pharmacy students, nursing students, PAs, and paramedics with transcript proof may challenge the L1MA written + skills exam |
| Practice Sites | Residential Care Facilities and Assisted Living Facilities only (not skilled nursing) |
L1MA is the entry rung of Missouri's medication-administration ladder. The next rung is the Certified Medication Technician (CMT) credential.
CMT: Certified Medication Technician (75-Hour Course)
For skilled-nursing-level medication administration, Missouri CNAs can pursue the CMT credential:
| CMT Item | Detail |
|---|---|
| Prerequisite | Active Missouri CNA for 6+ months |
| Minimum Age | 18 |
| Education | High school diploma or GED |
| Training | 75 hours of approved medication-administration coursework |
| Employer Requirement | Signed recommendation letter |
| Separate Insulin Endorsement | Additional DHSS registry designation for insulin administration |
CMT typically pushes hourly pay by $1.50 to $3 over base CNA wages — and opens skilled nursing and rehabilitation positions that L1MA alone does not.
Missouri CNA Career Outlook and Salary (2026)
Missouri employs roughly 32,000–35,000 nursing assistants across hospitals, skilled nursing facilities, home health agencies, and hospice (BLS OEWS May 2024 mean wage: $37,170 annual / $17.87 hourly). Aging demographics in central and southern Missouri — plus steady growth in St. Louis and Kansas City metro hospital systems — have created sustained CNA shortages, with most long-term-care facilities hiring year-round. Missouri's $13.75/hour state minimum wage (2026) establishes a floor of roughly $28,600 annually, though almost no licensed LTC facility pays minimum for direct-care roles.
| Setting | Hourly Wage | Annual |
|---|---|---|
| Missouri statewide average | $17.25–$18.85 | $35,900–$39,200 |
| Hospitals (acute care) | $19–$22 | $39,500–$45,700 (ZipRecruiter MO hospital CNA avg $21.75/hr / $45,241) |
| Skilled nursing facility | $16.50–$18.50 | $34,300–$38,500 |
| Home health | $15.50–$18 | $32,200–$37,400 |
| Hospice | $17.50–$20.50 | $36,400–$42,600 |
By Missouri metro (approximate 2026 averages):
- St. Louis: $17.25–$20.00/hr (BJC HealthCare, Mercy, SSM Health hire at the top of the range; $41,000–$42,000 annual average per Glassdoor)
- Kansas City: $16.00–$20.00/hr ($33,800–$41,600 annual; top-10 metro nationally for CNA demand; Children's Mercy, Saint Luke's, HCA Midwest pay well)
- Springfield: $15.50–$17.50/hr ($32,200–$36,400 annual; CoxHealth and Mercy Springfield are major employers)
- Columbia / Jefferson City: $16.00–$18.00/hr (University of Missouri Health Care, Boone Hospital)
- Joplin: $15.50–$17.00/hr (Freeman Health System, Mercy Joplin)
- Rural southern/northern Missouri: $14.00–$16.00/hr (often offset by sign-on bonuses and housing stipends)
Salary sources: BLS Occupational Employment and Wage Statistics (Missouri), ZipRecruiter, Salary.com, Glassdoor, Indeed — all pulled for 2026. Sign-on bonuses of $500–$3,000 are common in metro hospitals and larger long-term-care chains.
L1MA and CMT Pay Premiums
Adding a Level 1 Medication Aide credential typically boosts hourly pay by $0.75–$1.50 in residential-care and assisted-living settings. Upgrading to CMT adds $1.50–$3.00 per hour over base CNA wages — and opens skilled nursing, rehabilitation, and hospital positions that L1MA alone does not qualify you for. A working CNA–CMT in the St. Louis metro area frequently clears $21–$24/hour at mid-size SNFs.
CNA to LPN to RN Missouri Career Ladder
Missouri has a strong community-college and state-university pipeline for CNA-to-nurse bridging. Typical timelines:
- CNA to LPN: 12–18 months (Missouri LPN median ≈ $52,000)
- LPN to ADN (RN): 12–18 additional months
- ADN to BSN: 12–24 months online (Missouri RN median ≈ $73,000)
Many Missouri health systems — including BJC HealthCare, SSM Health, Mercy, CoxHealth, University of Missouri Health Care, and Saint Luke's — offer tuition reimbursement for CNAs pursuing LPN/RN degrees. Working as a CNA while in nursing school is one of the fastest paths to a Missouri RN license.
Pass the Missouri CNA Exam with Confidence
Our free Missouri CNA prep program includes:
- Full DHSS 5-domain content coverage (75-question blueprint)
- Missouri-specific rules (175-hour training split, 12-month window, 3-attempt rule, challenge pathway, L1MA/CMT ladder)
- Skills checklists with critical-element-step highlighting for the Headmaster practicum
- AI-powered explanations for every wrong answer
- Full-length 75-question simulator that mirrors the 60-minute test-day timing
- Updated for 2026 DHSS Health Education Unit and TMU requirements
No credit card. No signup wall. Start studying today.
Official Missouri CNA Resources
- Missouri DHSS CNA Registry Home — primary regulator page
- Missouri DHSS CNA FAQs — official fees, hours, and registry policy Q&A
- Missouri DHSS Challenge Pathway — eligibility and application steps
- TMU Missouri CNA/CMT/Insulin Registry — scheduling, fees, score reports, renewal uploads
- Missouri Health Care Association CNA Training — MHCA-approved NATP info and tuition
- Missouri Assisted Living Association L1MA Program — Level 1 Medication Aide training resources
- 19 CSR 30-84.030 — L1MA Training Program Regulation
- CMS Nurse Aide Registry — federal registry portal
- DHSS Health Education Unit phone: 573-526-5686 (9:00 am–3:30 pm CT, Mon–Fri)
- DHSS email: cnaregistry@health.mo.gov
- Headmaster / TMU support: 1-800-393-8664
Buy on Amazon
Practice exams on ExamEdge
Take courses on Udemy
Online course on Mometrix