Missouri: annual training for home care aides
In Missouri, a personal care aide / in-home service worker completes at least 5 hours of training each year (19 CSR 15-7.021(22)(B)). The rule does not address online training. The rule does not limit training to an approved provider or curriculum.
The rule
(B) Five (5) hours of in-service training annually are required after the first twelve (12) months of employment. The provider may waive the required annual five (5) hours of in-service training and require only two (2) hours of refresher training annually, when the personal care aide has been employed for three (3) years and has completed fifteen (15) hours of in-service training.
19 CSR 15-7.021(22)(B). Enforced by Missouri Department of Health and Senior Services, Division of Senior and Disability Services. Source, read October 27, 2026.
| Who it covers | Personal care aide / in-home service worker (DSDS-contracted in-home service provider) |
|---|---|
| Initial training | 12 hours |
| Each year | 5 hours |
| Online | The rule does not address online training. |
| Provider | The rule does not limit training to an approved provider or curriculum. |
Questions
How many training hours does a home care aide need each year in Missouri?
5 hours (19 CSR 15-7.021(22)(B)).
Can the annual training be completed online in Missouri?
The rule does not address online training.
Does the training have to come from an approved provider in Missouri?
The rule does not limit training to an approved provider or curriculum.
Courses
WorkSafe Cert has one-hour in-service courses for caregivers at $9 each ($29 for the five-course set) or $3 to $5 per caregiver per course for agencies, in English and Spanish: Client Rights and Abuse Prevention, Dementia Care Basics, Infection Control in the Home, Falls and Emergencies, plus bloodborne pathogens. Each certificate states the hours and topics.