PURPOSE: This rule describes the procedures and requirements for reciprocity licensure.

PUBLISHER’S NOTE: The secretary of state has determined that publication of the entire text of the material that is incorporated by reference as a portion of this rule would be unduly cumbersome or expensive. This material as incorporated by reference in this rule shall be maintained by the agency at its headquarters and shall be made available to the public for inspection and copying at no more than the actual cost of reproduction. This note applies only to the reference material. The entire text of the rule is printed here. (1) An applicant who holds a valid current license as an administrator in any state, branch of the military, territory, or the District of Columbia may apply for the appropriate licensure level by reciprocity (nursing home administrator license or residential care and assisted living administrator license). The application forms MO 580-2518 (03-11), Application for Licensure NHA, and MO 580-2987 (03-11), Application for Licensure RCAL, are incorporated by reference in this rule and are available on the web at www.health.mo.gov/information/boards/bnha or by contacting the board at PO Box 570, Jefferson City, MO 65102, (573) 751-3511. Information provided in the application must be attested by signature to be true and correct. This rule does not incorporate any subsequent amendments or additions.

1. (2) The applicant must file the appropriate application for licensure, along with a nonrefundable application fee referenced in 19 CSR 73-2.015, and supply the board with satisfactory evidence that the following requirements have been met:

   1. (A) Eighteen (18) years of age or older;

   2. (B) The applicant meets one (1) of the following criteria:

      1. 1. Health Services Executive (HSE) qualified by the

National Association of Long Term Care Administrator Boards (NAB); or

1. 2. Obtained a passing score on the national examination

and has held in good standing for at least one (1) year a current administrator license issued by another state, a branch of the military, a territory of the United States, or the District of Columbia, so long as such administrator license is equivalent to the license being applied for as determined by the board; and

1. (C) If the applicant has a criminal conviction as defined in section 324.012, RSMo, the board will follow the provisions of section 324.012, RSMo, in deciding whether to grant reciprocity.

1. (3) A reciprocity questionnaire must be forwarded by the applicant to the appropriate jurisdictional administrator licensure board(s) or NAB for those applicants HSE qualified where the applicant was/is licensed. Upon return of the completed questionnaire to the board office, the information supplied to the board shall be reviewed to determine if the licensee meets the criteria in section (2) of this rule and has/has not been disciplined in another jurisdiction.
2. (4) In the event of a record of discipline, the board must consider the provisions of sections 344.050 and 324.009, RSMo, in deciding whether to grant reciprocity.
3. (5) Upon meeting the requirements of this rule and upon board approval, the applicant must complete and pass the state examination.
4. (6) If the applicant is unable to meet the requirements of this rule, the applicant will be required to follow and meet the criteria set forth in the appropriate rule, either 19 CSR 73-2.020 or 19 CSR 73-2.022.
5. (7) Applicants for licensure by reciprocity must not act or serve in the capacity of an administrator in this state without first procuring a license from this board as provided in Chapter 344 and section 324.009, RSMo. AUTHORITY: section 344.070, RSMo 2016.* This rule was previously filed as 13 CSR 73-2.025. Original rule filed June 28, 1990, effective Dec. 31, 1990. Emergency amendment filed Feb. 4, 1992, resident; effective Feb. 14, 1992, expired June 12, 1992. Amended: Filed Feb. 14, 1992, effective June 25, 1992. Amended: Filed March 4, 1993, effective Aug. 9, 1993. Moved and amended: Filed Jan. 31, 2003, effective Aug. 30, 2003. Amended: Filed Dec. 28, 2007, effective Aug. 30, 2008. Emergency amendment filed May 5, 2011, effective May 15, 2011, expired Feb. 23, 2012. Amended: Filed June 15, 2011, effective Jan. 30, 2012. Amended: Filed April 25, 2023, effective Nov. 30, 2023.

*Original authority: 344.070, RSMo 1969, amended 1979, 1993, 1995, 2007.