Free Missouri HHA Practice Test 2026

Study for the Missouri Home Health Aide competency exam with state-specific practice questions aligned to Missouri Department of Health and Senior Services requirements.

Start Free Practice — No Account Required

Missouri HHA Exam Facts

  • Training Hours Required: 75 hours (16 hours clinical)
  • Written Exam Questions: 75 multiple-choice questions
  • Time Limit: 90 minutes
  • Passing Score: 70% or higher
  • Exam Fee: Varies by approved training program
  • Retake Policy: 3 attempts allowed; must repeat training after 3rd failure
  • Certification Validity: 24-month renewal with 12 in-service hours
  • Governing Body: Missouri Dept. of Health and Senior Services (DHSS)

Official registry: Missouri Nurse Aide Registry

Missouri HHA Exam FAQ

What are the HHA training requirements in Missouri?

Missouri requires 75 hours of HHA training through a DHSS-approved program, including at least 16 hours of supervised clinical training. Programs must comply with CMS 42 C.F.R. § 484.80.

How many questions are on the Missouri HHA competency exam?

The Missouri HHA written competency exam has 75 multiple-choice questions covering all 8 CMS-required domains. A separate hands-on skills evaluation is also required.

What is the passing score for the Missouri HHA exam?

You must score at least 70% on the written exam and correctly demonstrate at least 5 randomly selected clinical skills during the skills evaluation.

How many times can I retake the Missouri HHA exam?

Missouri allows up to 3 attempts to pass the competency evaluation. After 3 failures, you must complete the full HHA training program again before retesting.

How do I verify my certification on the Missouri Nurse Aide Registry?

The Missouri DHSS maintains the nurse aide registry. Once you pass your competency evaluation, your training program or employer submits your results for listing.

Does Missouri accept out-of-state HHA certifications?

Missouri may recognize out-of-state HHA certifications that meet DHSS and CMS standards. Contact the Missouri Department of Health and Senior Services to confirm whether your prior certification qualifies.