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) 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 whose license is due to be renewed during the current year.

1. (2) Licenses that expire on June 30, 2007 will be renewed if the licensee:

   1. (A) Files an application for renewal on a form furnished by the board on or before June 15. Information provided in the application shall be attested to by signature to be true and correct to the best of the applicant’s knowledge and belief and include an attestation verifying that the licensee has completed at least twenty (20) clock hours of boardapproved continuing education, as outlined in 19 CSR 73-2.050(4)(A)–(B), 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 19 CSR 73- 2.031(2)(A)–(F).

      1. 1. Licensees must maintain proof of hav-

ing 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 a renewal fee of one hundred dollars ($100) made payable to the Department of Health and Senior Services;
2. (C) A two (2)-year license expiring on June 30, 2009 will be issued.

1. (3) Licensees seeking renewal on June 30, 2008 or later shall, on or before June 15, of the year of renewal, file an application for renewal on a form furnished by the board, and shall submit a renewal fee of one hundred dollars ($100) made payable to the Department of Health and Senior Services. Information provided in the application shall be attested to by signature to be true and correct to the best of the applicant’s knowledge and belief and include an attestation verifying that the licensee has completed at least forty (40) clock hours of board-approved continuing education obtained during the current licensure period. A minimum of ten (10) clock hours must be in patient-care related offerings, as defined in 19 CSR 73- 2.031(2)(A)–(F).

2. (4) Licensees must 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 must 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 thirty (30) clock hours toward the forty (40) required shall be obtained through attendance at boardapproved continuing education programs or academic courses, as defined in 19 CSR 73- 2.031(2)(A)–(K). 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. The continuing education programs and the academic courses must meet the following criteria:

      1. 1. Be 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 transcript or grade report must 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 licen-

sure board for nursing home administrators or by the National Continuing Education Review Service (NCERS) under the National Association of Boards (NAB), if the program is held out-of-state.

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 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 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—

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. 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 will 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 minimum number of clock hours required in patientcare (PC) related programs is as follows. Initial licensure period of:

   1. 1. 23 months to 18 months—8 PC clock

hours

1. 2. 17 months to 12 months—6 PC clock

hours

1. 3. 11 months to 6 months—4 PC clock

hours

1. 4. 5 months or less—2 PC clock hours.

1. (5) 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 19 CSR 73-2

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.

1. (6) 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 Supp. 2007.* 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. *Original authority: 344.040, RSMo 1969, amended 1979, 1987, 1989, 2000, 2005, 2007; and 344.070, RSMo 1969, amended 1979, 1993, 1995, 2007.