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Caregiver training requirements in Missouri

Last verified October 17, 2026 · All Missouri resources

Missouri requires 12 hours of initial training for non-medical caregivers, plus 5 hours each year. For Medicaid in-home services providers: 12 hours of orientation within 30 days of employment, at least 6 of them before the first day of client contact. Orientation must cover the agency's emergency protocols and an overview of Alzheimer's disease and related dementias.

How many hours of training are required?

RequirementMissouri
Initial training12 hours
Annual training5 hours
Rule19 CSR 15-7.021(22)

What ongoing training is required?

5 hours of in-service training each year after the first 12 months; after three years and 15 in-service hours, the provider may require only 2 hours of refresher training a year.

What should you confirm with the state?

The training and background check rules shown apply to state-contracted (Medicaid) in-home services providers and licensed home health agencies; a private-pay non-medical agency may not be covered. Fingerprints are one way to meet the background check requirement, not the only way. Confirm that no license is needed for your services with the Missouri Department of Health and Senior Services.

Is training time paid?

Yes. Required training for caregivers you employ is hours worked, so it is paid and counts toward overtime. Add training hours to each caregiver's weekly total with the overtime calculator and track them on the schedule template.

Sources

More for Missouri

Training requirements by state: other states

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