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Caregiver training requirements in Missouri

Short answer

Missouri's caregiver training rules apply to agencies paid by Medicaid: at least 12 hours.

If you only serve private-pay clients, Missouri doesn't require specific training for personal care aides.

The rules, role by role

Personal Care Aide

Applies to: Agencies that receive Medicaid reimbursement

Training hours: 12 hours (6 hours prior to first client, with at least 2 hours of training on basic orientation and emergencies and a maximum of 2 hours of reading)
Competency test: Yes
Yearly training: 5 hours annually
Certificate: None
State registry: No
Who can teach it: Registered nurse (RN), licensed practical nurse (LPN), general nurse (GN), supervisor or an experienced aide who has been employed by the provider agency for at least 6 months

Federal rules that apply in every state

Home health aides at Medicare-certified agencies need at least 75 hours of training, including at least 16 hours of supervised practical training (with 16 hours of classroom training first), and must pass a competency evaluation. They also need 12 hours of in-service training every year. 42 CFR 484.80
Certified nursing assistants (CNAs) complete a state-approved program of at least 75 hours, including at least 16 hours of supervised practical training. Many states require more. 42 CFR 483.152
There is no federal training standard for personal care aides(non-medical caregivers). That's set state by state, and sometimes only for Medicaid-funded work.

Before a new caregiver's first shift

Keep proof of training — the certificate or sign-off for any training Missouri or your payer requires.
Run the background checks your state licensing rules and your contracts require.
Record expiry dates for CPR, TB tests and licenses, and renew them before they lapse.

Track credentials in Hirecise · 7 days free →

Source: PHI, a review of each state's Medicaid rules, waivers and home care licensing regulations (2024–2025 policy). Checked October 2026. Rules change — confirm with your state's licensing agency before you rely on them. This is general information, not legal advice.

Regulations cited for Missouri

States with similar rules

Alabama · Medicaid only Alaska · Medicaid only · 40 hrs Arizona · Medicaid only Connecticut · Medicaid only Idaho · Medicaid only Kentucky · Medicaid only Maine · Medicaid only · 50 hrs Maryland · Medicaid only

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Caregiver training in Missouri: common questions

How many hours of training does a caregiver need in Missouri?

Missouri's caregiver training rules apply to agencies paid by Medicaid: at least 12 hours. If you only serve private-pay clients, Missouri doesn't require specific training for personal care aides. Home health aides at Medicare-certified agencies need at least 75 hours under federal rules.

Do caregivers need a certificate in Missouri?

Missouri doesn't issue a specific certificate for personal care aides. CNAs and home health aides follow their own certification rules.

Are home care agencies licensed in Missouri?

Missouri doesn't license non-medical home care agencies, according to PHI's review. Medicare-certified home health agencies are still regulated.

Do private-pay agencies in Missouri have to train caregivers?

No state training rule covers aides who only serve private-pay clients in Missouri, though many agencies train them anyway for quality and insurance reasons.

Hiring in Missouri? See caregiver pay in Missouri, or try the free job description generator.