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

PUBLISHER’S NOTE: The secretary of state SENIOR SERVICES

has determined that the publication of the entire text of the material which 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. (1) An applicant who holds a current license as an administrator in any state, 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. This rule does not incorporate any subsequent amendments or additions.

2. (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) Twenty-one (21) years of age or older;
   2. (B) High school graduate or equivalent (if the applicant has completed additional education beyond high school, an official college transcript must be submitted and may serve as satisfactory evidence of high school graduation);
   3. (C) Good moral character (Evidence of good moral character can be satisfied by submitting two (2) letters of reference that contain the names, addresses, and telephone numbers of the writers and must show the writers’ original signatures and must have been written within six (6) months of the date of application.);
   4. (D) No conviction of any crime, an essential element of which is fraud, dishonesty, or moral turpitude, or which involves the operation of a long-term care facility or other health-care facility, whether or not sentence is imposed. A copy of the record of conviction or plea of guilty or nolo contendere shall be conclusive evidence of the conviction; and
   5. (E) Performance as a licensed administrator in a state, territory, or the District of Columbia for at least three (3) years.
3. (3) Information provided in the application shall be attested by signature to be true and correct to the best of the applicant’s knowledge and belief.

4. (4) A reciprocity questionnaire shall be forwarded by the board to the appropriate state nursing home administrator licensure board(s) where the applicant was/is licensed. Upon return of the completed questionnaire to the board office, the information supplied by the licensure board shall be reviewed to determine if—

   1. (A) The license is current and in good standing; and
   2. (B) The licensee has/has not been disciplined in that state.
5. (5) In the event of a record of discipline, the board shall consider the provisions of section 344.050, RSMo, whether to grant reciprocity.
6. (6) Upon meeting the requirements of section
7. (2) of this rule and upon board approval, the applicant must complete and pass the state examination.
8. (7) If the applicant is unable to meet the requirements of subsection (2)(E) of this rule, but meets all other requirements of section (2), the candidate shall be considered an applicant for initial licensure pursuant to the appropriate rule 19 CSR 73-2.020(2)(E) or 19 CSR 73-2.022(2)(E). If the results of that evaluation show that the applicant meets the criteria, the board shall accept the applicant’s passing of the national examination in another state if it was taken within three (3) years of the applicant’s submission for licensure in Missouri. The applicant then must meet the requirements of section (6) of this rule by successfully completing and passing the state examination. If the applicant does not meet the criteria, the applicant will be required to complete a prescribed course of instruction and training as outlined in 19 CSR 73-2.031.
9. (8) Applicants for licensure by reciprocity shall not act or serve in the capacity of an administrator in this state without first procuring a license from this board as provided in sections 344.010–344.108, RSMo.

AUTHORITY: section 344.070, RSMo Supp. 2010.* 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, 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. *Original authority: 344.070, RSMo 1969, amended 1979, 1993, 1995, 2007.