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Certified Nursing Assistant
Total cost: $125
Some details on this page are not yet confirmed against an official source. See sources below or contact the licensing board to verify.
175 hrs
Training Hours
D&S Diversified Technologies (Headmaster)
Exam Provider
$125
Total Initial Fees
2 years
Renewal Period
12 hrs
CE Hours
At least 8 hours of paid nursing or nursing-related services within each 24 consecutive month period
Work Hours Req
Regulatory Information
VerifiedGoverning Authority
Missouri Department of Health and Senior Services
573-526-5686
Program Approval Body
Missouri Department of Health and Senior Services
State-Approved Training Program Required
Regulated by the Missouri Department of Health and Senior Services
State-Approved Training Program
Training Hours Breakdown
175
Total Hours
75
Classroom
100
Clinical
Not specified separately
Skills Lab
Program Approval Body
Missouri Department of Health and Senior Services
Topics Covered
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Exam Requirements
VerifiedRequired
Written Exam
Available
Oral Exam Option
Required
Skills Evaluation
Exam Provider
D&S Diversified Technologies (Headmaster)
Written Exam Details
75
Questions
60 min
Time Limit
80%
Passing Score
Skills Evaluation Details
5
Skills Tasks
30 min
Time Limit
Attempts Allowed
3
Retest Waiting Period
All attempts must be completed within 90 days of first exam; both exams must be passed within 1 year of training start
Overall licensing difficulty: 1/100
Study recommendation: 1–2 weeks of focused review is usually sufficient
Practice with realistic exam questions
CNA Certification Exam
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Difficulty rating based on education, exam, and experience requirements. Individual experience may vary.
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CNA Competency Exam
Questions
75 questions
Time Limit
60 minutes
Passing Score
80%
Administered By
D&S Diversified Technologies (Headmaster)
Cost of failing
Retake fee: $125Invest in preparation to pass the first time.
How long should you study? Most candidates study 2–4 weeks before taking the CNA Competency Exam.
Study Materials & Exam Prep — CNA Certification Exam
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Study guides and practice tests for the certified nursing assistant exam.
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Minimum Age
Education
Background Check
Fingerprinting
Immunizations Required
TB Test Required
Abuse Registry Check
Physical Exam Required
CPR Certification
Not sure if you need a cna license? Check whether your state requires one.
| Fee | Amount |
|---|---|
Training Program Fee Varies by program; some employers cover training costs | $1,000-$2,000 |
Competency Exam Fee Skills exam $95 + Knowledge exam $30; audio format adds $10; paid to D&S Diversified Technologies (Headmaster) | $125 |
State Registration Fee No separate state registration fee | $0 |
Total Initial Fees Total exam fees (excludes training program tuition) | $125 |
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Scope of Practice
Mostly verifiedAllowed Duties
Restricted Duties
Supervision Requirements
Must work under the supervision of a licensed nurse (RN or LPN/LVN)
Approved Work Settings
Renewal & CE Requirements
Verified2 years
Renewal Period
At least 8 hours of paid nursing or nursing-related services within each 24 consecutive month period
Work Requirement
12
In-Service/CE Hours
Renewal Fee
$20
Biennial renewal fee
Inactive Reinstatement
Must complete a new training program and pass the competency exam if certification has lapsed without qualifying employment
Regulatory Board
CNAs must maintain active certification by meeting work hour requirements and completing in-service training within each renewal cycle. Failure to renew may require retaking the competency exam.
Out-of-State Reciprocity
VerifiedAccepts Out-of-State CNA Certification
Transfer Process
Must hold an active CNA certification in another U.S. state and apply for reciprocity through the Missouri registry
Additional Requirements for Transfer
Out-of-state CNAs typically need to apply for reciprocity through the state's nurse aide registry. Verification of active, good-standing status on the originating state's registry is usually required.
Moving to another state? Use our Transfer Tool to see what you need →
Compare Missouri with other states →
See how requirements, costs, and timelines differ across all 50 states.
Missouri requires 175 total training hours (75 classroom + 100 clinical), one of the highest in the nation. Missouri also has a unique Employee Disqualification List (EDL) and offers CMT (Certified Medication Technician) certification as an advancement pathway for CNAs.
Missouri requires 175 training hours (75 classroom + 100 clinical), well above the federal OBRA minimum of 75 hours
The competency exam is administered by D&S Diversified Technologies (Headmaster) through the TMU platform
All CNAs must be listed on the state Nurse Aide Registry to practice
Missouri also offers Certified Medication Technician (CMT) certification for CNAs who wish to administer medications
High school Vo-Tech students may enroll in CNA programs under age 18
In-service training of 12 hours/year is required for long-term care facility employees only
There is no interstate compact for CNAs. Transfer between states requires reciprocity application to the new state's Nurse Aide Registry.
CNA requirements in nearby states
Other professional licenses in Missouri
See how Missouri compares: CNA License Fees by State — Cheapest to Most Expensive →
Related Guides
Explore requirements for other professional licenses in Missouri.
CNA Schools in Missouri
Compare approved training programs, costs, and requirements.
Moving to Missouri? Use our free Transfer Tool to see what you need →
Already licensed elsewhere? See how to transfer your CNA license to Missouri →
Transfer your CNA license from Missouri to: Arkansas → | Illinois → | Iowa → | Kansas → | Kentucky → | Nebraska → | Oklahoma → | Tennessee →
Missouri requires 175 hours of training and passage of the D&S Diversified Technologies (Headmaster) competency exam to become a Certified Nursing Assistant. All certification is managed through the Missouri Department of Health and Senior Services.
Requirements vary by state. Always verify current requirements with your state Board of Nursing.