Missouri Administrative Code

Administration and service delivery; (D) Ensuring responsiveness to the communities and PURPOSE: This rule describes requirements for and responsibilities individuals served; of the governing body in Opioid Treatment Programs, Substance (E) Delegating operational management to a …

period. A minimum of twelve (12) clock hours of training must PURPOSE: This rule describes personnel policies and procedures be completed annually. for Opioid Treatment Programs, Substance Use Disorder Treatment 2. Training shall assist staff in meeting the needs of Programs, Com…

practices into its service array. At a minimum, the organization PURPOSE: This rule describes procedures to obtain certification shall employ or have a formal contract with the following: as a Substance Use Disorder Treatment Program, Comprehensive A. Licensed and credentialed pr…

(O) Corporal punishment, purposeful infliction of physical PURPOSE: This rule defines terms used in the certification of pain upon an individual for punitive or disciplinary reasons; psychiatric and substance abuse programs. (P) Crisis, an event or time period for an individual c…

(Rescinded September 11, 1983) RSMo Supp. 1980. Original rule filed Jan. 14, 1981, effective June 11, 1981. Rescinded: AUTHORITY: sections 630.050 and 630.655, Filed May 13, 1983, effective Sept. 11, 1983. RSMo Supp. 1980. Original rule filed Jan. 14, 1981, effective June 11, 198…

Certification (Rescinded September 11, 1983) AUTHORITY: sections 630.050 and 630.655, RSMo Supp. 1980. Original rule filed Jan. 14, 1981, effective June 11, 1981. Amended: Filed April 14, 1982, effective July 11, 1982. Rescinded: Filed May 13, 1983, effective Sept. 11, 1983.

Structure (Rescinded September 11, 1983) AUTHORITY: sections 630.050 and 630.655, RSMo Supp. 1980. Original rule filed Jan. 14, 1981, effective June 11, 1981. Rescinded: Filed May 13, 1983, effective Sept. 11, 1983.

Requirements (Rescinded September 11, 1983) AUTHORITY: sections 630.050 and 630.655, RSMo Supp. 1980. Original rule filed Jan. 14, 1981, effective June 11, 1981. Rescinded: Filed May 13, 1983, effective Sept. 11, 1983.

Requirements (Rescinded September 11, 1983) AUTHORITY: sections 630.050 and 630.655, RSMo Supp. 1980. Original rule filed Jan. 14, 1981, effective June 11, 1981. Rescinded: Filed May 13, 1983, effective Sept. 11, 1983.

Procedures (Rescinded September 11, 1983) AUTHORITY: sections 630.050 and 630.655, RSMo Supp. 1980. Original rule filed Jan. 14, 1981, effective June 11, 1981. Amended: Filed April 14, 1982, effective July 11, 1982. MATT BLUNT (10/31/01) CODE OF STATE REGULATIONS 3 Secretary of S…

1995; 630.050, RSMo 1980, amended 1993, 1995, 2008; and 630.405, RSMo 1980, amended 1993, 1995, 2001, PURPOSE: This rule defers to state statute AUTHORITY: sections 34.100, 630.050, and 2011. for the definition of terms used in this chap- 630.405, RSMo 2016.* Original rule filed …

Oct. 16, 1986, effective July 13, 1987. Emer- Individuals Served by the Department July 7, 1992, effective July 17, 1992, expired gency amendment filed July 7, 1992, effective Nov. 13, 1992. Amended: Filed July 7, 1992, July 17, 1992, expired Nov. 13, 1992. PURPOSE: This rule pre…

Copying of Public Records..................................................................3 9 CSR 25-3.040 Compensation to Public Administrators ....................................................3

Admitted to Programs or Facilities of the Department of Mental Health (Rescinded May 30, 1999) ..................................................................3 9 CSR 25-3.060 Payments to Counties with State Mental Health Facilities...............................3 JOHN R. ASHCR…

ments to Providers sidered to be in default if: (5) After any review, if requested, and the (A) The account is not subject to a repay- PURPOSE: This rule prescribes requirements overpayment amount has been finally deter- ment plan and is not fully repaid within six for the collec…

(Rescinded October 30, 2018)...............................................................3 JOHN R. ASHCROFT (9/30/18) CODE OF STATE REGULATIONS 1 Secretary of State Chapter 5—Administration of Personal Spending Funds 9 CSR 25-5 Title 9—DEPARTMENT OF MENTAL HEALTH Division 25—Fi…

(Rescinded March 30, 1996) Rebecca McDowell Cook (Z/29/96) CODE OF STATEREGULATIONS 3 Secretary Of state

Receive County Community Mental Health a written plan for how these handicapped gram, and for recording client intake of med- Funds individuals can access necessary services ication which shall include client name, med- (this offsets any concerns about the federal ication, dose o…

Inspection Procedures (Rescinded June 25, 1992)

Policy Requirements (Rescinded June 25, 1992)

and Optional Services (Rescinded June 25, 1992) 4 CODE OF STATE REGULATIONS (6/30/14) JASON KANDER Secretary of State

(Rescinded October 30, 2001) (2) Applicable Program Regulations. The organization must comply with the regulations applicable to each program and/ AUTHORITY: sections 313.842, 630.050 and 630.655, RSMo 1994. or service for which certification is being sought. Original rule filed …

(Rescinded October 30, 2001) (D) 9 CSR 10-5.206 Report of Events; and (E) 9 CSR 10-5.220 Privacy Rule of Health Insurance Portability AUTHORITY: sections 630.050, 630.655 and 631.010, RSMo 1994. and Accountability Act of 1996 (HIPAA). Original rule filed May 13, 1983, effective S…

(Rescinded July 30, 2018) (B) Notice of any change in program location, service array, or administration must be submitted to the department for AUTHORITY: sections 630.050, 630.655 and 631.010, RSMo 2000. approval prior to the change to ensure the program meets all Original rule…

(Rescinded October 30, 2001) AUTHORITY: sections 302.540, 630.050, 630.655, and 631.102, AUTHORITY: sections 630.050 and 630.655, RSMo 1986. Original RSMo 2016.* 45 CFR parts 160 and 164, the Health Insurance rule filed May 13, 1983, effective Sept. 13, 1983. Rescinded: Filed Por…

Programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 9 CSR 30-3.040 Client Rights (Rescinded October 30, 2001) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 9 CSR 30-3.050 Planning and Eva…

(Rescinded October 30, 2001) 5. Marital and Family Therapists (licensed or provisionally licensed); AUTHORITY: sections 630.050 and 630.655, RSMo 1986. Original 6. Licensed Clinical Social Workers; rule filed May 13, 1983, effective Sept. 13, 1983. Amended: Filed 7. Licensed Mast…

(Rescinded October 30, 2001) a master’s level Qualified Addiction Professional (QAP) or a Qualified Mental Health Professional (QMHP) followed by sign AUTHORITY: sections 630.050, 630.455 and 630.655, RSMo 1986. off by a licensed diagnostician. Signature stamps shall not be Origi…

(Rescinded October 30, 2001) diagnoses completed by provisionally licensed providers. AUTHORITY: sections 630.050, 630.200 and 630.655, RSMo 1986. (3) Treatment Plan. All individuals shall participate in the Original rule filed May 13, 1983, effective Sept. 13, 1983. Amended: dev…

Programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Requirements for Substance Use Disorder Treatment Programs . . . . . . . . . . . 8 9 CSR 30-3.120 Detoxification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 9 CSR 30-3.130 Outpatient Treatment . . . . . . . . . …

medication; PURPOSE: This rule describes the goals, eligibility and discharge (B) Modified Medical Detoxification. This level of care is criteria, levels of care, and performance indicators for detoxification offered by medical staff in a non-hospital setting with services progra…

verified, and documents in the individual’s record that a higher PURPOSE: This rule describes the specific functions, policies, and dose was clinically indicated. practices required for certified opioid treatment programs. 1. Each opioid agonist medication is administered and dis…

behavioral health disorders. PURPOSE: This rule describes the specific service delivery (C) The treatment provider shall arrange other services and requirements for gambling disorder treatment. make referrals to address other problems the individual or the family may have such as…

any untoward or critical incident including, but not limited to, PURPOSE: This rule describes the goals, eligibility and discharge any incident of alcohol or drug use by a client on its premises. criteria, available services, and performance indicators for residential treatment. …

Rehabilitation (CSTAR) (3) Medicaid Eligibility. An organization must be certified as a CSTAR program to qualify for Medicaid reimbursement PURPOSE: This rule establishes requirements for service delivery for delivery of substance use disorder treatment services to as a Comprehen…

in Comprehensive Substance Treatment and Rehabilitation (CSTAR) Programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

Utilizing the American Society of Addiction Medicine (ASAM) Criteria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

Rehabilitation (CSTAR) Programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

Rehabilitation (CSTAR) Programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 9 CSR 30-3.160 Institutional Treatment Centers (Rescinded June 30, 2024) . . . . . . . . . . . . . . . . 41

(Rescinded June 30, 2024) disclose their trauma history in order to receive those services. Women’s treatment shall incorporate universal, trauma- AUTHORITY: sections 313.842, 630.050, and 630.655, RSMo 2016. informed principles into every service, regardless of whether Original …

Program for Women and Children . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

Program for Adolescents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 9 CSR 30-3.195 Outpatient Substance Use Disorder Treatment Programs . . . . . . . . . . . . . . . . 46 9 CSR 30-3.200 Research (Rescinded October 30, 2001) . . . . .…

(Rescinded October 30, 2001) (3) Performance Indicators. The following are intended as AUTHORITY: sections 630.050, 630.192–630.198 and 630.655, examples of indicators that can be used by the department RSMo 1986. Original rule filed May 13, 1983, effective Sept. 13, 1983. and th…

Programs arrest, prior drinking and driving arrests, prior participation in a SATOP, and prior treatment for a substance use disorder; PURPOSE: This rule identifies the Department of Mental Health (B) Consistent use of screening criteria including the rate at as being responsible…

cause for revocation of program certification. PURPOSE: This rule establishes a supplemental fee which shall be collected by all certified Substance Awareness Traffic Offender AUTHORITY: sections 302.420, 302.425, 302.540, 302.580, 630.050, Programs as required by state statute a…

(Rescinded October 30, 2001) over the course of ten (10) hours to assist individuals in understanding the choices they made that led to their arrest AUTHORITY: sections 630.050, 630.140 and 630.655, RSMo 1986. and the resulting consequences. All persons completing this Original r…

(Rescinded October 30, 2001) based on the type of services provided by the program and whether services are offered to individuals and groups at the AUTHORITY: sections 630.050 and 630.655, RSMo 1986. Original program site. In addition— rule filed May 13, 1983, effective Sept. 13…

Program (REACT) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56 9 CSR 30-3.240 Medication (Rescinded October 30, 2001) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58 9 CSR 30-3.250 Dietary Services (Rescinde…

4. The drop-in center shall provide coffee, tea, or other free PURPOSE: This rule describes the certification and service delivery or low-cost beverages and may offer free or low-cost healthy requirements for recovery support programs. food items; 5. The drop-in center shall offe…