Supervisors in Missouri

Counseling (LPC / LMHC)

Your weekly supervision can be in person or by live two-way video with no cap on video hours, but phone-only or text supervision does not count.

• At least 1 hour of supervision weekly with your registered supervisor
• At least 2 weeks each month must be individual supervision
• Video must be live, with both audio and visual interaction

Missouri Committee for Professional Counselors · 20 CSR 2095-2.020(7)(C)

Social Work (LCSW)

Your supervision can be in person or over confidential live video, with no cap on video hours.

• 2 individual hours every 2 weeks, or 4 hours per 4 weeks
• Up to 50% of monthly supervision may be group
• Video must be live, two-way and confidential

Missouri State Committee for Social Workers · 20 CSR 2263-2.030(3)(A)4.; 20 CSR 2263-2.031

Marriage & Family Therapy (LMFT)

Video supervision can count toward your face-to-face hours, but you must request it first and use a secure, private, live audio-video system.

Video can replace face-to-face supervision only after you submit a request for electronic supervision.

• Submit a request before using video supervision
• Use a secure, real-time system with audio and video
• At least 100 of your 200 supervision hours must be individual

Missouri State Committee of Marital and Family Therapists · 20 CSR 2233-2.020(8)(B)4.

Psychology

Missouri requires weekly face-to-face individual supervision but never says whether video counts, so confirm with the board before relying on video hours.

• At least 1 hour per week of individual face-to-face supervision
• Group supervision does not count
• Some training programs require an onsite supervisor 15 hours weekly

Missouri State Committee of Psychologists · 20 CSR 2235-2.040(1)(D)

Collaborating Physician (NP)

Your collaborating physician can be remote if your agreement covers telehealth, but you must first practice one month with them on site.

You must first practice one month with the physician continuously on site. After that, the proximity rule is waived only if the agreement sets out telehealth use.

• First month: physician continuously present before you practice apart
• Physician present every 2 weeks; telehealth OK under RSMo 335.175
• Physician reviews 10% of charts every 14 days (20% controlled substances)

Missouri State Board of Nursing and State Board of Registration for the Healing Arts (joint rules) · RSMo 334.104.3(5)(b), 334.104.3(9)-(11), 334.104.9; RSMo 335.175; 20 CSR 2150-5.100(3)(A), (3)(E)-(F)

Supervising Physician (PA)

Your collaborating physician can be remote after a first month practicing together on site, but must 'be present' every two weeks.

You must first practice one month with the physician continuously on site. After that, the physician must be present every two weeks, by telehealth only if you deliver care by telehealth.

• First month: physician continuously present before you practice apart
• Physician present every 2 weeks (telehealth OK if you use telehealth)
• Physician reviews 10% of charts every 14 days (20% controlled substances)

Missouri State Board of Registration for the Healing Arts (Advisory Commission for Physician Assistants) · RSMo 334.735.5, 334.735.9(5), 334.735.9(10)-(11), 334.735.13; 20 CSR 2150-7.135(6)-(7)