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

1. (1) An applicant who holds a current license as a nursing home administrator in any state, territory or the District of Columbia may apply for a license by reciprocity.

2. (2) The applicant must file a notarized application for licensure, along with a nonrefundable application fee of one hundred dollars ($100) made payable to the Department of Health and Senior Services, 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 nursing home administrator in a state, territory or the District of Columbia for at least one (1) year.

3. (3) 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.
4. (4) Each case of discipline shall be reviewed by the board to determine if the case for discipline falls within the provisions of section 344.050, RSMo.
5. (5) Upon meeting the requirements of section
6. (2) of this rule and upon board approval, the applicant must pay a seventy-five dollar ($75) examination fee and successfully complete the state examination administered by the board. The minimum passing score on that examination is seventy-five percent (75%).
7. (6) 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 19 CSR 73-2.020(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 (5) of this rule by paying the examination fee and successfully complete the state examination administered by the board. 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.
8. (7) Applicants for licensure by reciprocity shall not act or serve in the capacity of a nursing home administrator in this state without first procuring a license from this board as provided in sections 344.010—344.100, RSMo.

AUTHORITY: section 344.070, RSMo 2000.* 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, 19 CSR 73-2 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.

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