Chapter 3. Missouri State Medical Care Plan
82 sections in this chapter.
16-30-3-16 CSR 30-3.010 Eligible Employees
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(Rescinded July 11, 1982) 1973. Original rule filed Dec. 18, 1975, 1973. Original rule filed Dec. 18, 1975, effective Jan. 1, 1976. Emergency amend- effective Jan. 1, 1976. Emergency rescission AUTHORITY: section 104.515, RSMo Supp. ment filed Dec. 22, 1978, effective Jan. 2, fil…
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.011 Definitions
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(Rescinded April 11, 1984) 16 CSR 30-3.021 Membership Agreement AUTHORITY: section 104.515, RSMo Supp. and Period 1981. Emergency rule filed Nov. 10, 1981, AUTHORITY: section 104.515, RSMo Supp. (Rescinded April 11, 1984) effective Nov. 20, 1981, expired March 20, 1981. Emergency…
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.012 Definitions
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(Rescinded July 10, 1994) AUTHORITY: section 104.500, RSMo Supp. 16 CSR 30-3.022 Membership Agreement 1988. Emergency rule filed Dec. 9, 1983, AUTHORITY: section 104.500, RSMo Supp. and Participation Period effective Jan. 1, 1984, expired April 17, 1988. Emergency rule filed Dec.…
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.022 Membership Agreement and Participation Period
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(Rescinded July 10, 1994)...................................................................7 16 CSR 30-3.030 Enrollment Options (Rescinded July 11, 1982)...........................................7
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.030 Enrollment Options
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Care Plan (Rescinded July 11, 1982) (Rescinded July 11, 1982)
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.031 Schedules for Benefits for Non-Medicare-Eligible Participants
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(Rescinded April 11, 1984) .................................................................7 16 CSR 30-3.032 Contributions (Rescinded July 10, 1994) ..................................................7 16 CSR 30-3.040 Employee’s Waiting Period (Rescinded July 11, 1982)...........…
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.041 Basic Benefits for Non-Medicare-Eligible Participants
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(Rescinded July 11, 1984)...................................................................8 16 CSR 30-3.042 Summary of Medical Benefits (Rescinded July 10, 1994) ..............................8 16 CSR 30-3.050 Effective Date of Coverage (Rescinded July 11, 1982)................…
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.042 Summary of Medical
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Benefits Covered Charges expired Nov. 18, 1984. Amended: Filed July (Rescinded July 10, 1994) (Rescinded July 10, 1994) 11, 1984, effective Oct. 11, 1984. Emergency rescission and rule filed Dec. 16, 1988, effec- AUTHORITY: section 104.500, RSMo Supp. AUTHORITY: section 104.500, …
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.050 Effective Date of Cover-
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age (Rescinded July 11, 1982) 16 CSR 30-3.061 Schedule of Benefits for Medicare-Eligible Participants 16 CSR 30-3.071 Benefits Available to AUTHORITY: section 104.515, RSMo Supp. (Rescinded April 11, 1984) Medicare-Eligible Participants 1973. Original rule filed Dec. 18, 1975, (R…
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.051 Major Medical Benefits for Non-Medicare-Eligible Participants
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(Rescinded April 11, 1984) .................................................................8 16 CSR 30-3.052 Benefit Provisions and Covered Charges (Rescinded July 10, 1994) .................8 16 CSR 30-3.060 Effective Date of Coverage Proviso (Rescinded July 11, 1982) .........…
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.061 Schedule of Benefits for Medicare-Eligible Participants
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(Rescinded April 11, 1984) .................................................................8 MATT BLUNT (7/31/01) CODE OF STATE REGULATIONS 1 Secretary of State 16 CSR 30-3.062 Limitations (Rescinded July 10, 1994) .....................................................8 16 CSR 30…
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.071 Benefits Available to Medicare-Eligible Participants
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(Rescinded April 11, 1984) .................................................................8 16 CSR 30-3.072 Coordination of Benefits (Rescinded July 10, 1994).....................................9
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.072 Coordination of Benefits
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Benefits Under Option I (High Option) (Rescinded July 10, 1994) 16 CSR 30-3.082 Extended Benefits on Termination of Insurance (Rescinded July 11, 1982) AUTHORITY: section 104.500, RSMo Supp. (Rescinded July 10, 1994) 1988. Emergency rule filed Dec. 9, 1983, AUTHORITY: section 104…
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.080 Schedule of Benefits Under Option I (High Option)
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(Rescinded July 11, 1982)...................................................................9 16 CSR 30-3.081 Extended Benefits for All Participants (Rescinded April 11, 1984)...................9 16 CSR 30-3.082 Extended Benefits on Termination of Insurance (Rescinded July 10, 19…
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.081 Extended Benefits for All
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Participants ment filed March 25, 1987, effective April 4, readopted: Filed Nov. 27, 1991, effective May (Rescinded April 11, 1984) 1987, expired Aug. 2, 1987. Amended: Filed 14, 1992. Emergency rescission filed Dec. March 25, 1987, effective July 13, 1987. 20, 1993, effective Ja…
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.091 Benefit Exclusions Applicable to Basic and Major Medical Programs
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(Rescinded April 11, 1984) .................................................................9 16 CSR 30-3.092 Conversion Privilege (Rescinded March 26, 1990) ......................................9
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.100 Hospital Expense Benefits Under Option I (High Option)
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(Rescinded July 11, 1982)...................................................................9
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.101 Coordination of Benefits Under Basic and Major Medical Programs
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(Rescinded April 11, 1984) .................................................................9 16 CSR 30-3.102 Miscellaneous Provisions (Rescinded July 10, 1994)....................................9
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.110 Successive Periods of Hospital Confinement Under Option I (High Option)
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(Rescinded July 11, 1982) .................................................................10 16 CSR 30-3.111 Abortions (Rescinded July 11, 1984) .....................................................10
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.111 Abortions
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(Rescinded April 11, 1984) Expense Benefits Under Option I (High amendment filed Dec. 29, 1978, effective Option) Jan. 9, 1979, expired May 10, 1979. AUTHORITY: section 104.515, RSMo Supp. (Rescinded July 11, 1982) Amended: Filed Jan. 16, 1979, effective April 1981. Emergency rul…
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.120 Limitations on Hospital Confinement Under Option I (High Option)
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(Rescinded July 11, 1982) .................................................................10 16 CSR 30-3.121 Termination of Coverage (Rescinded April 11, 1984)..................................10
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.121 Termination of Coverage
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(Rescinded April 11, 1984) Surgical Fees Under Option I (High Dec. 9, 1983, effective April 11, 1984. Option) AUTHORITY: section 104.515, RSMo Supp. (Rescinded July 11, 1982) 1981. Emergency rule filed Nov. 10, 1981, 16 CSR 30-3.170 Limitations on Maternity effective Nov. 20, 198…
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.130 Surgical Expense Benefits Under Option I (High Option)
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(Rescinded July 11, 1982) .................................................................10 16 CSR 30-3.131 Conversion Privilege (Rescinded April 11, 1984) ......................................10
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.140 Limitations on Surgical Expense Benefits Under Option I (High Option)
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(Rescinded July 11, 1982) .................................................................10 16 CSR 30-3.141 Miscellaneous Provisions (Rescinded April 11, 1984) .................................10 2 CODE OF STATE REGULATIONS (7/31/01) MATT BLUNT Secretary of State…
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.160 Maternity Hospital Expense and Obstetrical Benefits Under Option I
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(High Option) (Rescinded July 11, 1982) ...............................................10 16 CSR 30-3.161 Confidentiality of Records (Rescinded April 11, 1984) ...............................10
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.170 Limitations on Maternity Hospital Expense and Obstetrical Benefits Under
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Option I (High Option) (Rescinded July 11, 1982)....................................10 16 CSR 30-3.171 Transfer Between State Departments (Rescinded April 11, 1984) ...................10
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.180 Medical Expense Benefits Under Option I (High Option)
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(Rescinded July 11, 1982) .................................................................11 16 CSR 30-3.181 Processing of Medical Care Plan Benefit Claims (Rescinded July 11, 1984)......11
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.181 Processing of Medical
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Care Plan Benefit Claims April 17, 1984. Rescinded: Filed Dec. 9, filed Nov. 10, 1981, effective Nov. 20, 1981, (Rescinded April 11, 1984) 1983, effective April 11, 1984. expired March 20, 1982. Rescinded: Filed Feb. 10, 1982, effective July 11, 1982. AUTHORITY: section 104.515, …
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.190 Limitations on Medical Expense Benefits Under Option I (High Option)
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(Rescinded July 11, 1982) .................................................................11 16 CSR 30-3.191 Appeal Procedure (Rescinded April 11, 1984) ..........................................11
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.191 Appeal Procedure
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(Rescinded April 11, 1984) Feb. 10, 1982, effective July 11, 1982. expired March 20, 1982. Rescinded: Filed Feb. 10, 1982, effective July 11, 1982. AUTHORITY: section 104.515, RSMo Supp. 1982. Emergency rule filed April 14, 1983, effective April 24, 1983, expired Aug. 22, 16 CSR …
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.200 X-ray and Laboratory Benefits Under Option I (High Option)
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(Rescinded July 11, 1982) .................................................................11
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.201 Extension of Coverage by Medical Care Plan and Basic Life Insurance
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(Rescinded April 11, 1984)................................................................11
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.210 Limitations on X-ray and Laboratory Benefits Under Option I (High Option)
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(Rescinded July 11, 1982) .................................................................11
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.220 Supplementary Accident Expense Benefits Under Options I (High Option)
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(Rescinded July 11, 1982) .................................................................11
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.230 Covered Expenses Under Option I (High Option)
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(Rescinded July 11, 1982) .................................................................11
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.240 Limitations on Covered Expenses Under Options I (High Option)
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(Rescinded July 11, 1982) .................................................................11
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.250 Extension of Hospital, Surgical, Medical, X-ray and Laboratory
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and Supplementary Accident Benefits Under Option I (High Option) (Rescinded July 11, 1982) .................................................................11
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.260 Major Medical Expense Benefits Definitions Under Option I (High Option)
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(Rescinded July 11, 1982) .................................................................11
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.270 Definition and Explanation of Deductible Under Option I (High Option)
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(Rescinded July 11, 1982) .................................................................11 MATT BLUNT (7/31/01) CODE OF STATE REGULATIONS 3 Secretary of State
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.280 Benefits in Excess of Deductible Under Option I (High Option)
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(Rescinded July 11, 1982) .................................................................11
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.290 Preexisting Conditions Under Option I (High Option)
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(Rescinded July 11, 1982) .................................................................12
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.300 Expenses That Are Not Covered Under Major Medical Expense Benefits
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Under Option I (High Option) (Rescinded July 11, 1982) ...........................12
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.310 Maximum Amount Payable for All Disablements Under Option I
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(High Option) (Rescinded July 11, 1982) ...............................................12
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.320 Benefits Payable Upon Common Disaster Under Option I (High Option)
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` (Rescinded July 11, 1982) .................................................................12
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.330 Reinstatement of Maximum for Major Medical Expense Benefits Under
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Option I (High Option) (Rescinded July 11, 1982)....................................12
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.340 Extension of Benefits for Major Medical Expense Benefits Under Option I
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(High Option) (Rescinded July 11, 1982) ...............................................12
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.350 Schedule of Benefits Under Option II (Low Option) (Rescinded July 11, 1982) .12
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Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.360 Maternity Eligibility Under Option II (Low Option) (Rescinded July 11, 1982) .12
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Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.370 Hospital Expense Benefits Under Option II (Low Option)
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(Rescinded July 11, 1982) .................................................................12
Chapter 16-30-3Open chapter PDF ↗16-30-3-16 CSR 30-3.380 Successive Periods of Hospital Confinement Under Option II (Low Option)
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(Rescinded July 11, 1982) .................................................................12 16 CSR 30-3.390 Limitations Under Option II (Low Option) (Rescinded July 11, 1982).............12
Chapter 16-30-3Open chapter PDF ↗