Missouri Board of Registration for the Healing Arts · PA

NCCPA certification required. Every 2 years. Tied to your license expiration.

A source-verified guide to Missouri's CME requirements for PAs — hours, mandatory topics, audit rules, and exemptions.

Updated April 2026Sourced from MBRHA~5 min read

Reviewed by Doug Doehrman, MD · Last reviewed April 17, 2026

Mandatory topics

Missouri has no state-mandated topic requirements beyond the 100-hour total.

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Accepted credit

Credit must come from an organization accredited by the ACCME, AMA, Missouri Medical Association, or AAFP. ACGME residency or fellowship time accrues toward the requirement. Teaching or presenting accredited CME can satisfy a portion of required hours.

Credit systemNotes
AAPA Category 1
PAs onlymin 50 hrs
Missouri requires active NCCPA certification as a condition of PA licensure. NCCPA certification maintenance requires 100 CME credits per 2-year cycle with at least 50 in Category 1. AAPA Category 1 is the standard PA Category 1 pathway.SourceRSMo 334.735[1]
AMA PRA Category 1
AMA PRA Category 1 Credit from ACCME-accredited providers satisfies NCCPA Category 1 requirement.SourceRSMo 334.735[1]
Board-approved credit
PAs only
Current NCCPA certification is the operative Missouri PA CE framework (RSMo 334.735). Missouri defers to NCCPA maintenance rather than imposing a separate state hour count.SourceRSMo 334.735[1]
Documentation & audit

Physicians are responsible for retaining CME documentation and producing it on request. Requirements include course title, dates, hours, sponsoring organization, and accrediting body.

Waivers & exemptions

PAs who obtained initial licensure during the current renewal period may have reduced CE obligations. Contact the Board for prorated requirements.

FAQ
How many CE hours do Missouri PAs need?
Missouri does not impose a standalone CE hour requirement separate from NCCPA certification maintenance. PAs must maintain active NCCPA certification as a condition of licensure.[1] NCCPA requires 100 CME credits per 2-year cycle, with at least 50 in Category 1. Third-party CE providers often cite 50 hours of Category 1 as the Missouri PA requirement, which reflects the NCCPA minimum for that credit type.
Are there mandatory CE topics for PAs in Missouri?
Missouri does not mandate specific CE topics for PA license renewal. PAs who hold DEA registration must complete a one-time 8-hour training on substance use disorders and opioid treatment under the federal MATE Act, but this is a federal requirement rather than a state one. PAs seeking or holding controlled substance prescriptive authority must complete initial training in advanced pharmacology and supervised clinical practice, though there is no ongoing topic-specific CE mandate for maintaining that authority.[2]
Where can I check my Missouri PA license renewal date?
Missouri PA licenses are managed by the Board of Registration for the Healing Arts at pr.mo.gov. All PA licenses expire on January 31 of the renewal year, with renewals due before that date. The Board mails renewal notices at least 30 days before expiration, but PAs are responsible for renewing on time even if a notice is not received.[3] Applications postmarked February 1 or later are considered delinquent.

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Sources & Citations

Every mandatory topic and conditional requirement above cites the underlying statute or rule. Numbered references below correspond to the bracketed citations next to each requirement.

  1. RSMo 334.735 -- Physician Assistant Definitions and NCCPA Requirement
    Primary sourceAccessed 2026-04-21
    Show verbatim text
    “"Physician assistant", a person who has graduated from a physician assistant program accredited by the Accreditation Review Commission on Education for the Physician Assistant or its successor agency, prior to 2001, or the Committee on Allied Health Education and Accreditation or the Commission on Accreditation of Allied Health Education Programs, who has passed the certifying examination administered by the National Commission on Certification of Physician Assistants and has active certification by the National Commission on Certification of Physician Assistants who provides health care services delegated by a licensed physician.”RSMo 334.735
  2. RSMo 334.747 -- Controlled Substance Prescriptive Authority for PAs
    Primary sourceAccessed 2026-04-21
  3. RSMo 334.738 -- PA License Application and Biennial Renewal
    Primary sourceAccessed 2026-04-21
    Show verbatim text
    “A license is valid for two years from the date it is issued and may be renewed annually by filing an application for renewal with the department and paying the required renewal fee as set by the department. The department must notify licensees in writing of the expiration date of the person's license at least thirty days before that date.”RSMo 334.738

This page is provided for general educational purposes and reflects the best available information as of the last reviewed date above. CME requirements change. Atlas CME is not affiliated with the Missouri Board of Registration for the Healing Arts, or any other state medical board, licensing authority, or professional organization. Physicians are solely responsible for verifying their own current CME requirements directly with their state's medical board before relying on any information presented here.

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