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.

PUBLISHER’S NOTE: The secretary of state 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) By April 1 of each year, the board shall notify by mail or electronic communication every person whose license is due to be renewed by June 30 during the current year.

1. (2) Licenses will be renewed if the licensee—

   1. (A) Files an application for renewal on the appropriate licensure-level (nursing home administrator or residential care and assisted living administrator) form furnished by the board or renews through the board’s electronic online system on or before May 30 to ensure receipt of a new license prior to June

2. 30. The application forms, MO 580-2991 (03-11), Application for License Renewal NHA, and MO 580-2988 (03-11), Application for License Renewal 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. Information provided in the application shall include an attestation verifying that the licensee has completed at least forty (40) clock hours of board-approved continuing education, as outlined in 19 CSR 73-2.050(3). Any number of continuing education hours earned in the month of June in excess of the required hours may be carried over to the next renewal period.

   1. 1. Licensees shall maintain proof of having completed the

number of continuing education hours claimed at the time of renewal.

1. 2. Upon request of the board, make that proof available for

audit to verify completion of the number and validity of hours claimed;

1. (B) Submit the renewal fee referenced in 19 CSR 73-2.015; and
2. (C) A two (2)-year license shall be issued.

1. (3) Licensees shall maintain proof of having completed the number of continuing education hours claimed at the time of renewal and shall, upon request of the board, make that proof available for audit to verify completion of the number and validity of hours claimed. Documentation to prove completion of continuing education hours shall be maintained by each licensee for four (4) years from the last day of the licensure year in which the hours were earned.

   1. (A) A minimum of ten (10) clock hours shall be in patient care related offerings, as defined in 19 CSR 73-2.031(2)(A)–(F). A maximum of twenty (20) clock hours of the forty (40) clock hours may be from on-line continuing education programs if a Missouri board-approved training agency offers the program or approved by the National Continuing Education Review Service (NCERS) under the National Association of Long Term Care Administrator Boards (NAB). The continuing education programs and the academic courses shall meet the following criteria:

      1. 1. Be approved by the board. In the case of academic

courses, the licensee shall 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 transcript or grade report shall be submitted to the board office, upon request, 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 19 CSR 73-2.060);

1. 3. Be approved by another state licensure board for

long-term care administrators or by the National Continuing Education Review Service (NCERS) under the National Association of Long Term Care Administrator Boards (NAB).

1. (B) A maximum of ten (10) clock hours toward the forty (40) required may be obtained as follows:

   1. 1. For the purposes of this subsection, the following

definitions shall apply:

1. A. Referred publication—a publication 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 association 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 19 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 one (1) clock hour if article is published in a magazine or journal publication; and

1. 3. 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 six (6) hours credit earned per licensure period. 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) Serving as a registered preceptor for an applicant who has been required by the board to complete an internship as described in 19 CSR 73-2.031. One (1) clock hour per full month as a preceptor shall be granted with a maximum of ten (10) clock hours per internship. During the two (2)-year licensure period, a maximum of twenty (20) clock hours shall be granted.

2. (D) Each licensee whose initial licensure period is less than twenty-four (24) months shall be required to obtain at least one and one-half (1 1/2) hours of continuing education for each month in the initial licensure period which shall include programs covering patient-care related topics as defined in 19 CSR 73-2.031(2)(A)–(F). The licensee may complete up to fifty percent (50%) of the prorated hours through on-line continuing education programs. The minimum number of clock hours required in patient-care (PC) related programs is as follows. Initial licensure period of—

   1. 1. 23 months to 18 months—8 PC clock hours
   2. 2. 17 months to 12 months—6 PC clock hours
   3. 3. 11 months to 6 months—4 PC clock hours
   4. 4. 5 months or less—2 PC clock hours.

1. (4) The board shall annually select, on a random basis, at least five percent (5%) of the licensees applying for renewal to have their claims of continuing education hours audited for compliance with board requirements. A licensee will be notified by mail when a renewal application has been selected for audit and will have up to thirty (30) days to provide copies of all certificates of attendance and other documentation supporting the continuing education clock hours claimed on the renewal application. Nothing in this section shall prevent the board from requiring any individual licensee to provide evidence satisfactory to the board of having completed the continuing education hours required for license renewal. Failure to provide proof of continuing education hours as reported on the renewal application or submission of falsified records can be cause for discipline pursuant to section 344.050.2, RSMo.
2. (5) When the required information, documentation, and fee are received and approved by the board within the specified time period, the board shall issue the license.

AUTHORITY: sections 344.040 and 344.070, RSMo 2016.* This rule was previously filed as 13 CSR 73-2.050. 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. Moved and amended: Filed Jan. 31, 2003, effective Aug. 30, 2003. Amended: Filed Dec. 15, 2005, effective July 30, 2006. Amended: Filed Dec. 28, 2007, effective Aug. 30, 2008. Amended: Filed June 15, 2011, effective Jan. 30, 2012. Amended: Filed Aug. 31, 2018, effective April 30, 2019. ** *Original authority: 344.040, RSMo 1969, amended 1979, 1987, 1989, 2000, 2005, 2007 and 344.070, RSMo 1969, amended 1979, 1993, 1995, 2007. **Pursuant to Executive Order 21-07, 19 CSR 73-2.050, paragraph (2)(A)2. and section (4) was suspended from April 2, 2020 through May 1, 2021 and section (3) was suspended from April 2, 2020 through August 31, 2021.