Missouri DO CME requirements

At a glance: DO (osteopathic physician)

Hours

50 hours every 2 years

Renewal cycle

Every 2 years

Deadline

December 31 of the odd-numbered year (current period: January 1, 2026 to December 31, 2027); you then attest at license renewal, due by January 31

Required topics

1

Hours carry over

No

First renewal

Confirm with your Board 20 CSR 2150-2.125(1): no CME is required in the reporting period in which you are first licensed in Missouri, but only if you have never held a permanent license to practice the healing arts in Missouri or any other U.S. state. If you were licensed elsewhere first, the waiver does not apply; the rule does not prorate, so confirm with the Board how many hours you need for a partial first period.

Reporting

You attest on the renewal form, under penalty of perjury, that you completed the required hours (20 CSR 2150-2.125(2)). Keep records (course titles, dates, locations, sponsors, category and hours) for at least three years after the reporting period; the Board may audit (20 CSR 2150-2.125(3)). Alternatives: 40 hours of AMA Category 1 or AOA 1-A in which every activity includes a post-test satisfies the requirement (2.125(1)(A)); American specialty board certification or recertification during the period, or at least 60 days in an AMA- or AOA-approved internship, residency or qualifying fellowship, counts as full compliance (2.125(6)–(8)).

Board

Missouri State Board of Registration for the Healing Arts

20 CSR 2150-2.125(1): the CME period is the 24 months from January 1 of each even-numbered year to December 31 of each odd-numbered year, the same for every licensee. The license itself is registered every year (20 CSR 2150-2.050, annual registration) and renewal fees are timely if received by January 31 (20 CSR 2150-2.001(17)). A licensee who has not completed and reported the 50 hours in time may not practice unless the Board grants an extension (requested in writing before December 31, $50 fee; finish by February 28 and document by March 10).

Deadline

• December 31, 2027

Find your Missouri DO deadline and add it to your calendar

Required topics

• Health benefits of nutrition Confirm with your Board1 hour · Every renewal · Every licensee
  20 CSR 2150-2.125(1), amended effective June 30, 2026: at least 1 of the 50 hours must pertain to the health benefits of nutrition. The rule took effect partway through the January 1, 2026 to December 31, 2027 reporting period; the rule text applies it to the 50 hours reported for that period, but the Board has not published separate guidance. Plan to complete it by December 31, 2027. Any accredited course in the accepted credit types counts; the rule does not limit providers.

Credit that counts

• AOA Category 1-A20 CSR 2150-2.125(1): CME accredited by the AOA as Category 1-A or 2-A. AOA Category 2-A also counts toward the 50 (except under the 40-hour post-test option). AOA Category 1-B and 2-B and AMA PRA Category 2 are not named and do not count.
• AMA PRA Category 1 Credit™20 CSR 2150-2.125(1): CME accredited by the AMA as Category 1.
• AAFP Prescribed credit20 CSR 2150-2.125(1) names "the American Academy of Family Practice Prescribed Credit".