Moniteau Creek Conservation Area offers multiple access points via Routes A, W, and CC with designated parking lots for launching boats and accessing the 2. 25-mile creek for paddling and fishing.

The area provides primitive camping in designated lots and is open 4 a. m. to 10 p. m. daily, with 24-hour access for fishing, boating, and camping activities.

Electric motors only are permitted on the area's waters, and boats cannot be left unattended overnight.