PURPOSE: This rule describes the conditions and procedures for renewal of a nursing home administrator license according to the provisions of section 344.040, RSMo.

1. (1) By April 1 of each year, the board shall mail an application for renewal of license, to the last recorded address on file, to every person to whom a license was issued or renewed during the current year.

2. (2) As a requirement for renewal of license, a licensee shall provide the board, on the annual application form for license renewal, satisfactory evidence of twenty (20) clock hours of board-approved continuing education obtained during the current licensure year or carried from the preceding year. A minimum of five (5) clock hours must be in patient-care related offerings, as defined in 13 CSR 73- 2.031(2)(A)–(F) and must be obtained during the current licensure year.

   1. (A) A minimum of fifteen (15) clock hours toward the twenty (20) required shall be obtained through attendance at boardapproved continuing education programs or academic courses, as defined in 13 CSR 73- 2.031(2)(A)–(K), and must meet the following criteria:

      1. 1. Be prior approved by the board. In

the case of academic courses, the licensee must submit a course description from the college for board review. A maximum of five (5) clock hours per semester hour may be approved by the board. Upon successful completion of the course (grade of “C” or above), an official copy of the grade report must be submitted to the board office as verification of course completion;

1. 2. Be offered by a registered training

agency approved by the board or a single offering provider (as outlined in 13 CSR 73- 2.060);

1. 3. Programs held out-of-state, may be

considered for prior approval by the board upon submission of the following information:

1. A. Evidence that the program has

been approved by another state licensure board for nursing home administrators or by the National Continuing Education Review Service (NCERS) under the National Association of Boards (NAB); and

1. B. A brochure or other detailed infor-

mation from the program which must include: offering title, date and location; program objectives; speaker credentials; and a detailed agenda.

1. (B) A maximum of five (5) clock hours toward the twenty (20) required may be obtained as follows: Administrators

   1. 1. For the purposes of this subsection,

the following definitions shall apply:

1. A. Referred publication—a publica-

tion that undergoes an anonymous review process that determines whether or not the article will be published; and

1. B. National health-care publication—a

publication that is—

1. (I) Published by a health-care asso-

ciation whose mission statement/bylaws indicate its scope is national;

1. (II) Mailed nationwide; and
2. (III) Addressing content contained

within the long-term care core of knowledge outlined in 13 CSR 73-2.031(2)(A)–(K);

1. 2. Publishing health-care related articles

of at least fifteen hundred (1,500) words shall be granted—

1. A. Five (5) clock hours if article

appears in a national health-care referred publication;

1. B. Four (4) clock hours if article

appears in a regional health-care referred publication;

1. C. Three (3) clock hours if article

appears in a state health-care referred publication;

1. D. Two (2) clock hours if article

appears in a national health-care publication; and

1. E. One (1) clock hour if article is

published;

1. 3. Serving as a registered preceptor for

an applicant who has been required by the board to complete three hundred (300) clock hours of internship as described in 13 CSR 73-2.031. One (1) clock hour per full month as a preceptor shall be granted with a maximum of two (2) clock hours per internship; and

1. 4. An administrator lecturing at a board-

approved seminar may receive credit equal to each hour or quarter hour of presentation time with a maximum of three (3) hours credit earned per licensure year. This credit may be in addition to actual hours of attendance at the seminar but credit shall be granted for only one (1) presentation of the same seminar.

1. (C) Applicants who are initially licensed between January 1 and April 30 in any year need only to complete ten (10) clock hours of board-approved continuing education, at least two and one half (2 1/2) of which must be in patient care-related offerings, for their first renewal period.
2. (D) Applicants who are initially licensed between May 1 and June 30 in any year need not complete any board-approved continuing education for their first renewal period.
3. (E) Licensees making application for renewal of license shall be responsible for filing evidence of continuing education clock hours with the executive secretary BEFORE the renewal application is approved by the board. The evidence submitted may be subject to audit and review by the board and additional documentation may be requested. To facilitate submission of any additional evidence to the board prior to expiration of licenses June 30, all renewal forms must be completed and received by the executive secretary prior to May 30. Information provided in the application shall be given under oath.
4. (F) Up to a maximum of fifteen (15) excess clock hours from subsection (2)(A), of continuing education may be carried forward to apply toward the renewal of license in the following year. However, the five (5) clock hours required in patient-care related offerings described in section (2) of this rule MUST be applied in the current year. Any excess hours will NOT be used to meet the next year’s requirement of five (5) clock hours in patient-care related offerings.

1. (3) If an incomplete application is received by the board prior to May 30, the board shall grant the licensee a thirty (30)-day extension if needed, effective May 31. If an incomplete application is received by the board between May 31 and June 30, the board shall grant the licensee a thirty (30)-day extension, if needed, effective the date the incomplete application is received. An incomplete application shall not include an application that lacks completion of the continuing education requirements prior to June 30. The licensee shall submit a completed application within the thirty (30)-day period or the board may refuse to renew the license. The notarized renewal application, fee and supporting documentation must all be submitted to the board office prior to June 30 to avoid the late penalty fee of twenty-five dollars ($25).
2. (4) When the required information, documentation and fee are received and approved by the board within the specified time period, the board shall issue the annual license.

AUTHORITY: section 344.070, RSMo Supp. 1995.* Original rule filed May 13, 1980, effective Aug. 11, 1980. Amended: Filed Oct. 16, 1985, effective March 14, 1986. Amended: Filed Oct. 1, 1987, effective Jan. 14, 1988. Amended: Filed June 28, 1990, effective Dec. 31, 1990. Emergency amendment filed March 19, 1991, effective April 1, 1991, expired July 20, 1991. Amended: Filed April 1, 1991, effective Aug. 30, 1991. Amended: Filed Jan. 3, 1992, effective July 1, 1992. Amended: Filed June 30, 1994, effective Feb. 1, 1995. Amended: Filed Jan. 31, 1996, effective July 30, 1996.

*Original authority: 344.070, RSMo 1969, amended 1979, 1993, 1995. Administrators