CNA License Renewal in Missouri (2026)

CNA license renewal in Missouri is handled by the Missouri Department of Health and Senior Services — CNA Registry, which requires Certified Nursing Assistant (CNA)s to renew every 24 months. Below are the renewal deadline rule, continuing-education (CE) hours, fees, and a direct link to the official renewal page — last verified 2026-06-01. This is an unofficial guide; always confirm the details with the board before you file.

Missouri CNA renewal at a glance

Renewal cycle	24 months
Deadline rule	A CNA must document at least eight hours of paid nursing or nursing-related work within each 24-consecutive-month period to keep certification active; status updates when the CNA submits employer-verified employment proof.
CE hours required	See board
Renewal fee	$20.00
Online renewal	Yes
Governing body	Missouri Department of Health and Senior Services — CNA Registry

Go to the official Missouri Department of Health and Senior Services — CNA Registry renewal page →

Last verified 2026-06-01 from the Missouri Department of Health and Senior Services — CNA Registry. manual review of Missouri DHSS CNA Registry FAQ and status pages.

Continuing-education requirements for CNAs in Missouri

To stay active, a CNA must show at least eight hours of paid nursing-related service within every 24-month period; without it, certification becomes inactive (about a 2-year gap) or expired (about a 5-year gap, requiring the full course again). CNAs employed in long-term care must separately complete 12 hours of in-service per year, but that is an employer obligation tracked by the facility, not the registry renewal condition.

Need approved hours? Compare Missouri CNA CE courses (some links are affiliate links).

How to renew your CNA license in Missouri

Confirm your renewal deadline and current status on the Missouri Department of Health and Senior Services — CNA Registry portal.
Submit the renewal application and pay the current fee online.
Keep proof of CE and your renewal confirmation for your records.

Good to know: Renewal/work updates are submitted online via the TMU platform. The core registry condition is the work-within-24-months rule; no flat late fee is published. Initial certification requires a 75-hour classroom plus 100-hour clinical course and a two-part exam.

CNA license renewal in Missouri: frequently asked questions

How often do I renew my CNA license in Missouri?

Missouri CNA licenses renew every 24 months. A CNA must document at least eight hours of paid nursing or nursing-related work within each 24-consecutive-month period to keep certification active; status updates when the CNA submits employer-verified employment proof.

Can I renew my Missouri CNA license online?

Yes — Missouri offers online renewal through the Missouri Department of Health and Senior Services — CNA Registry. Use the official link on this page.

What happens if I let my Missouri CNA license expire?

Practicing on an expired license is generally prohibited and can carry penalties. Late or reactivation fees may apply. Contact the Missouri Department of Health and Senior Services — CNA Registry promptly if your license has lapsed.

Renew the same license in another state

All states: Certified Nursing Assistant (CNA) renewal