State guide
Missouri Home Care Compliance
All six compliance areas for Missouri home care agencies, each cited to official sources.
Last reviewed: July 24, 2026
Missouri at a glance Missouri licenses only skilled home health agencies (two skilled services required); private-pay non-medical in-home care needs no license, though Medicaid in-home services providers contract with the state. Missouri's minimum wage hit $15.00 on January 1, 2026 under Proposition A — but the legislature repealed Prop A's paid sick leave mandate effective August 28, 2025, so there is no sick leave requirement. State overtime mirrors 1.5x over 40.
Requirements by category
Health Benefits & ACA → Missouri uses HealthCare.gov, expanded Medicaid in 2021 by constitutional amendment, and has no state benefits mandates. HealthCare.govYesNo Occupational Health → Missouri licenses home health agencies (19 CSR 30-26), but the licensing rule works by requiring compliance with the federal Medicare… No specific rule5+ employees (construction: 1+) Caregiver Training → Missouri licenses home health agencies under 19 CSR 30-26, which incorporates the federal Conditions of Participation (75-hour aide… 75 (federal, incorporated)20 hrs (Medicaid); none…12 hrs/yr (federal) Wage & Hour → Missouri's minimum wage hit $15.00 on January 1, 2026 under Proposition A — but the legislature repealed Prop A's paid sick leave mandate… $15.001.5x >40None (repealed 8/28/25) Licensure & Survey Readiness → Missouri licenses only skilled home health agencies (two skilled services required); private-pay non-medical in-home care needs no… MO DHSS§§ 197.400-.477 RSMo; 19 CSR 30-26Home health agency; none for… Background Checks → Missouri centers screening on the Family Care Safety Registry: in-home care workers must register, and employers must run FCSR checks that… NoFCSR; Employee Disqualification…
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Reviewed quarterly by Vitable Health.