Missouri Administrative Code

Disabled. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 9 CSR 40-6.130 Programming for the Mentally Disordered. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 9 CSR 40-6.134 Programming for…

Emergency rule filed Sept. 20, 1983, effective Oct. 1, 1983, expired Jan. 15, 1984.

Developmentally Disabled Emergency rule filed Sept. 20, 1983, effective Oct. 1, 1983, expired Jan. 15, 1984.

for the Mentally Disordered Emergency rule filed Sept. 20, 1983, effective Oct. 1, 1983, expired Jan. 15, 1984. 9 CSR 40-6.145 Maintenance, Housekeeping and Laundry for the Mentally Retarded or Developmentally Disabled Emergency rule filed Sept. 20, 1983, effective Oct. 1, 1983, …

or Developmentally Disabled . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 2 CODE OF STATE REGULATIONS John R. Ashcroft (2/29/24) Secretary of State 9 CSR 40-6—DEPARTMENT OF MENTAL HEALTH DIVISION 40—LICENSING RULES TITLE 9—DEPARTMENT OF MEN…

(Rescinded December 30, 2020) AUTHORITY: sections 630.050 and 630.705, RSMo (1994). Original rule filed Oct. 13, 1983, effective Jan. 15, 1984. Amended: Filed March 14, 1984, effective Aug. 15, 1984. Amended: Filed July 15, 1985, effec- tive Feb. 1, 1986. Amended: Filed Jan. 2, 1…

Health Care (Rescinded December 30, 2020) AUTHORITY: sections 630.050 and 630.705, RSMo (1994). Original rule filed Oct. 13, 1983, effective Jan. 15, 1984. Amended: Filed March 14, 1984, effective Aug. 15, 1984. Amended: Filed July 15, 1985, effec- tive Feb. 1, 1986. Amended: Fil…

(Rescinded December 30, 2020) AUTHORITY: sections 630.050 and 630.705, RSMo (1994). Original rule filed Oct. 13, 1983, effective Jan. 15, 1984. Amended: Filed Jan. 2, 1990, effective June 11, 1990. Amended: Filed July 17, 1995, effective March 30, 1996. Rescinded: Filed May 14, 2…

Emergency rule filed Sept. 20, 1983, effective Oct. 1, 1983, expired Jan. 15, 1984.

(Rescinded December 30, 2020) AUTHORITY: sections 630.050 and 630.705, RSMo (1994). Original rule filed Oct. 13, 1983, effective Jan. 15, 1984. Amended: Filed July 15, 1985, effective Feb. 1, 1986. Amended: Filed Jan. 2, 1990, effective June JOHN R. ASHCROFT (11/30/20) CODE OF ST…

(Rescinded December 30, 2020) AUTHORITY: sections 630.050 and 630.705, RSMo (1994). Original rule filed Oct. 13, 1983, effective Jan. 15, 1984. Amended: Filed July 15, 1985, effective Feb. 1, 1986. Amended: Filed Jan. 2, 1990, effective June 11, 1990. Amended: Filed Dec. 29, 1995…

ments al skills that promote community inclusion, (1:4) shall be maintained for children/youth (Rescinded December 30, 2020) integration, and independence. between the ages of three (3) and eleven (11). (A) Activities and services/supports shall A daily staffing ratio of one (1) …

Health Care rehabilitation in realistic community settings. 5. At least one (1) staff person must be (Rescinded December 30, 2020) (C) Transportation to/from the program on duty at all times when individuals served site to various locations in the community are present at the pro…

(Rescinded December 30, 2020) shall be a minimum of one (1) staff for each (3) All direct care staff must be eighteen (18) sixteen (16) individuals (1:16) served. AUTHORITY: sections 630.050 and 630.705, years of age or older and have a high school RSMo (1994). Original rule file…

1995, 2008 and 630.705, RSMo 1980, amended 1982, Requirements 3. At least one (1) staff person must be 1984, 1985, 1990, 2000, 2011, 2014. on duty at all times when individuals served PURPOSE: This rule specifies the program are present at the program. and staffing requirements f…

(Rescinded December 30, 2020) AUTHORITY: sections 630.050 and 630.705, RSMo (1994). Original rule filed Oct. 13, 1983, effective Jan. 15, 1984. Amended: Filed Feb. 4, 1986, effective July 1, 1986. Amended: Filed Jan. 2, 1990, effective June 11, 1990. Amended: Filed April 1, 1993,…

(Rescinded December 30, 2020) ............................................................4 9 CSR 40-9.145 Maintenance, Housekeeping and Laundry (Rescinded December 30, 2020).........4 9 CSR 40-9.155 Fire Safety (Rescinded December 30, 2020) ......................................…

ing and Laundry (Rescinded December 30, 2020) AUTHORITY: sections 630.050 and 630.705, RSMo (1994). Original rule filed Oct. 13, 1983, effective Jan. 15, 1984. Amended: Filed Feb. 4, 1986, effective July 1, 1986. Amended: Filed July 17, 1995, effective March 30, 1996. Rescinded: …

(Rescinded December 30, 2020) AUTHORITY: sections 630.050 and 630.705, RSMo (1994). Original rule filed Oct. 13, 1983, effective Jan. 15, 1984. Amended: Filed Feb. 4, 1986, effective July 1, 1986. Amended: Filed Jan. 2, 1990, effective June 11, 1990. Amended: Filed April 1, 1993,…

Developmental Disabilities for example, finding applicants eligible at screening, or waiving screening in favor of determining eligibility through PURPOSE: This rule describes the process and terminology used assessment; and to determine eligibility for Division of Developmental …

Developmental Disabilities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 John R. Ashcroft (3/31/23) CODE OF STATE REGULATIONS 1 Secretary of State DIVISION 45—DIVISION OF DEVELOPMENTAL DISABILITIES 9 CSR 45-2—DEPARTMENT OF MENTAL HEALTH T…

tive. such services and supports. Commensurate PURPOSE: This rule prescribes procedures (F) MO HealthNet—Missouri’s name for with the level of need of the individual and for development and implementation of indi- the state’s Medicaid program, authorized the scope of services and…

(Rescinded June 30, 2016) ...................................................................4 9 CSR 45-3.030 Individual Rights................................................................................4 9 CSR 45-3.040 Rights of Designated Representatives, Parents, and Guard…

(2) Adults who do not have a legal guardian (8) Changes in legal information including, PURPOSE: This rule defines the rights of per- have the right to designate a representative to but not limited to, arrests, incarceration, court orders, and legal actions other than sons eligib…

Representatives, Parents, and Guardians age the individual and members of the indi- tive patterns of behaviors, interests, or activ- vidual support plan team in developing and PURPOSE: This rule prescribes policies for ities. Symptoms of ASD must be present in implementing indivi…

(Rescinded September 30, 2002) ...........................................................5 9 CSR 45-3.060 Services for Individuals with Autism Spectrum Disorder ...............................5

with Developmental Disabilities.............................................................7 9 CSR 45-3.080 Self-Directed Supports .......................................................................10 9 CSR 45-3.090 Behavior Supports..........................................…

Services which are provided as an alternative minor), may identify a designated representa- PURPOSE: This rule establishes the scope of to care in institutions such as nursing facili- tive for purposes of utilizing SDS. Designated and requirements for the use of Self-Directed tie…

(Rescinded November 30, 2018) fiscal year. AUTHORITY: section 630.655, RSMo 1994. (5) Any provider that has received an exemp- This rule was previously filed as 9 CSR 10- tion under section (4) and then either obtains, 5.170. Original rule filed Dec. 11, 1989, operates, or acquir…

Intellectual Disabilities.......................................................................3 9 CSR 45-4.030 Family Support Stipends (Rescinded October 30, 2016)................................7 9 CSR 45-4.040 Family Support Loans (Rescinded October 30, 2016).................…

(Rescinded October 30, 2016) AUTHORITY: section 633.190, RSMo 1994. This rule was originally filed as 9 CSR 70- 1.010. Original rule filed April 4, 1994, effec- tive Oct. 30, 1994. Amended: Filed May 25, 1995, effective Dec. 30, 1995. Rescinded: Filed March 3, 2016, effective Oct…

(Rescinded October 30, 2016) AUTHORITY: section 633.190, RSMo 1994. This rule was originally filed as 9 CSR 70- 1.015. Original rule filed April 4, 1994, effec- tive Oct. 30, 1994. Amended: Filed May 25, 1995, effective Dec. 30, 1995. Rescinded: Filed March 3, 2016, effective Oct…

with Intellectual and Developmental Disabilities. . . . . . . . . . . . . . . . . . . . . . . . 3

(Rescinded March 30, 2005). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

(Rescinded March 30, 2005). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

(Rescinded June 30, 2016). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 9 CSR 45-5.060 Procedures to Obtain Certification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 9 CSR 45-5.105 Definitions for Fi…

the purpose of determining compliance with certification PURPOSE: This rule describes procedures to obtain certification standards, program requirements, and other state and federal John R. Ashcroft (1/30/24) CODE OF STATE REGULATIONS 7 Secretary of State DIVISION 45—DIVISION OF …

but does meet the intent of the definition by providing an PURPOSE: This rule establishes definitions for the fire safety rules alternative way out of a building; promulgated under this chapter. (S) Mixed occupancy is when a facility is located in the same building or structure a…

Service Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 9 CSR 45-5.130 Fire Safety for Group Homes Serving 4–9 People. . . . . . . . . . . . . . . . . . . . . . . . . 16 9 CSR 45-5.140 Fire Safety for Group Hom…

People not be used indoors. However, short-term supervised use of candles for special occasions or dinners is permitted. PURPOSE: This rule establishes fire safety requirements for group (M) The facility may use a cellular phone when all of the homes serving four to nine (4–9) pe…

People candles for special occasions or dinners is permitted. (M) The facility may use a cellular phone when all of the PURPOSE: This rule establishes fire safety requirements for group following conditions are met: homes serving ten to sixteen (10–16) people funded through the 1…

Advisory Councils (Rescinded July 30, 2018)............................................3 JOHN R. ASHCROFT (6/30/18) CODE OF STATE REGULATIONS 1 Secretary of State Chapter 6—Advisory Councils 9 CSR 45-6 Title 9—DEPARTMENT OF MENTAL HEALTH Division 45—Division of Developmental Disa…

meet criteria for DD health home provider eligibility. PURPOSE: This rule establishes the requirements for designation (H) DD Health Home Team—DD Health Home core team shall as a Developmental Disabilities (DD) Health Home by the Missouri consist of the following staff: Health Ho…

(Rescinded August 6, 1992) AUTHORITY: section 630.050, RSMo 1986. Original rule filed Aug. 4, 1987, effective May 2, 1988. Rescinded: Filed March 6, 1992, effective Aug. 6, 1992.

(Rescinded August 6, 1992) AUTHORITY: section 630.050, RSMo 1986. Original rule filed Aug. 4, 1987, effective May 2, 1988. Rescinded: Filed March 6, 1992, effective Aug. 6, 1992.

(Rescinded August 6, 1992) AUTHORITY: section 630.050, RSMo 1986. Original rule filed Aug. 4, 1987, effective May 2, 1988. Rescinded: Filed March 6, 1992, effective Aug. 6, 1992. 9 CSR 50-1.045 Eligibility for Services From the Division of Mental Retardation and Developmental Dis…

and Developmental Disabilities (Moved to 9 CSR 45-2.010) .........................3 9 CSR 50-1.055 Rights of Protectors, Parents and Guardians (Moved to 9 CSR 45-3.040) ...........3