Do Missouri SLPs Need the CCC? License, Medicaid and CE Rules

Missouri one-sheetOpen Missouri on the mapSLPA rules

Missouri at a glance

CCC	Required for Medicaid (in some cases)
License renewal CE	30 hrs every 2 years (even years)
Whose CE counts	Named sponsors or board-approved CE
Clinical fellowship	Provisional license required before the clinical fellowship starts: 36 weeks full time or part-time equivalents. The supervisor needs a full Missouri license; the CCC is not required.
School credential	CCC not required

Does Missouri require the CCC?

The MO HealthNet Therapy Manual (March 2026) enrolls any SLP "currently licensed by the State of Missouri." For augmentative communication devices, though, the team or site leader must be a Missouri-licensed SLP "who has a certificate of clinical competency" from ASHA and at least two years of experience. This applies to device evaluations only. Licensure: 20 CSR 2150-4 requires a passing exam score that meets the minimum ASHA sets for the CCC. It does not require holding the CCC.

Sources: Licensure: 20 CSR 2150-4 (Secretary of State); Licensure: Missouri statute text, Board of Registration for the Healing Arts; Medicaid: 13 CSR 70-70.010 (Secretary of State); Licensure: RSMo 345.050, requirements for license by examination (Missouri Revisor of Statutes)

What you can do

• Ask MO HealthNet to change the device-team requirement to "a Missouri-licensed speech-language pathologist with at least two years of experience evaluating and selecting devices." The experience requirement already covers competence.
• Ask for the change in the next Therapy Manual update.

Continuing education for Missouri SLPs

Hours: 30 hrs every 2 years (even years).
Topic rules: At least 20 from listed entities.
Whose CE counts: Listed groups (ASHA, MSHA, DESE, CEC and others); up to 10 from anyone else.

Sources: 20 CSR 2150-4.053

Compare every state in our CEU requirements by state guide.

Clinical fellowship and background checks

Provisional license required before the clinical fellowship starts: 36 weeks full time or part-time equivalents. The supervisor needs a full Missouri license; the CCC is not required.

Sources: Board: provisional license application

The compact requires fingerprint-based FBI checks for anyone applying for a compact privilege. Missouri's application has no fingerprint step; the board makes its own inquiries and asks history questions. Compact member; not issuing compact privileges yet.

Sources: Board: provisional license application; ASLP-IC compact map

School-based SLPs

School SLPs moved under the licensing board in 2019. DESE still lists its SLP certificate and/or the board license for supervisors of speech implementers.

Sources: DESE: speech implementers

SLP assistants in Missouri

The Board of Registration for the Healing Arts registers SLP assistants (RSMo 345.021; 20 CSR 2150-4). A 2025 amendment to the supervision rule replaced the old weekly minimum (Order of Rulemaking, Missouri Register, June 2, 2025).

Sources: 20 CSR 2150-4.201 (supervision); Amendment text (adopted without changes, 2025); Board: assistant application

Other notes

• Missouri moved school SLPs from DESE to the licensing board in 2019, a model for states considering the same switch (older spreadsheet note).

If your employer says you need the CCC

Many job posts and policies still list the CCC out of habit. Our employer education page has language you can share, and the Missouri one-sheet puts the license and the CCC side by side on two printable pages.

Checked against state sources through October 31, 2026. This page summarizes public rules for general information and is not legal advice. Rules change, and employers and payers can set their own requirements, so confirm with the board before you rely on it.