Missouri Administrative Code

(Moved to 5 CSR 25-200.050) 13 CSR 35-32.060 Eligibility and Autho- rization for Child Care Subsidy (Moved to 5 CSR 25-200.060) 13 CSR 35-32.070 Registration Require- ments for Child Care Providers Serving Four (4) or Less Unrelated Children (Moved to 5 CSR 25-200.070) 13 CSR 35-…

(Moved to 5 CSR 25-200.060) ............................................................3

Less Unrelated Children (Moved to 5 CSR 25-200.070) ..............................3

for State or Federal Child Care Funds (Moved to 5 CSR 25-200.090) .............3 13 CSR 35-32.100 Participant Overpayments (Moved to 5 CSR 25-200.100) ..............................3 13 CSR 35-32.110 Child Care Provider Overpayments (Moved to 5 CSR 25-200.110) ..................3

ments (Moved to 5 CSR 25-200.100)

Overpayments (Moved to 5 CSR 25-200.110) JOHN R. ASHCROFT (12/31/21) CODE OF STATE REGULATIONS 3 Secretary of State

(Moved to 5 CSR 25-200.120) ............................................................3 13 CSR 35-32.130 Recordkeeping (Moved to 5 CSR 25-200.130) ...........................................3 JOHN R. ASHCROFT (12/31/21) CODE OF STATE REGULATIONS 1 Secretary of State Chapter 32—…

(Rescinded April 30, 2026) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Denny Hoskins (3/31/26) CODE OF STATE REGULATIONS 1 Secretary of State 13 CSR 35-34—DEPARTMENT OF SOCIAL SERVICES DIVISION 35—CHILDREN’S DIVISION TITLE 13—DEPARTMENT OF …

no longer needed; PURPOSE: This rule requires the establishment of a case plan for (F) A description of the appropriateness and necessity for every child in the custody of Children’s Division or receiving social placement away from the biological parents if the court has services…

in Foster Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 13 CSR 35-35.120 Foster Care Case Management Contracts . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 13 CSR 35-35.130 Contracted Foster Care Case M…

scribes the services and activities necessary for the purpose PURPOSE: This rule establishes the governing provisions for foster of achieving a permanent familial relationship for the child. care case management contracts to provide a comprehensive sys- The case plan shall includ…

(Rescinded May 30, 2024) AUTHORITY: section 207.020, RSMo 2000, and section 210.566.6, RSMo Supp. 2013. Original rule filed Oct. 29, 2013, effective April 30, 2014. Rescinded: Filed Oct. 23, 2023, effective May 30, 2024. Material covered in this rule is now covered in 13 CSR 35-3…

parent or guardian; PURPOSE: This rule is to define the Adoption and Guardianship (K) Relative. A grandparent or any other person related to Subsidy Program. another by blood or affinity or a person who is not so related to the child but has a close relationship with the child or…

be a grandparent or great-grandparent, aunt or great-aunt, PURPOSE: This rule defines guardianship services. uncle or great-uncle, adult sibling, or adult first cousin of the child who has been approved as a guardianship placement by (1) Guardianship services are defined as asses…

PURPOSE: This rule sets criteria for provision of guardianship PURPOSE: This rule defines adoption services. services. (1) Adoption services are defined as assessment and evaluation (1) The Children’s Division shall accept home assessments from of the child and his/her needs; arr…

(Moved to 13 CSR 35-35.140)..............................................................3 JOHN R. ASHCROFT (12/31/21) CODE OF STATE REGULATIONS 1 Secretary of State Chapter 50—Licensing 13 CSR 35-50 Title 13—DEPARTMENT OF SOCIAL SERVICES Division 35—Children’s Division Chapter 5…

applicant satisfies all of the qualification requirements for a PURPOSE: The principles of this rule are to support the licensing license. of family homes that are resilient, safe, healthy, and economically (C) The applicant for a license or the renewal of a license secure and wh…

PURPOSE: This rule tells the ages and number of children to be PURPOSE: This rule explains who can qualify to be a foster parent. kept in a foster home. It also lists the exceptions. It gives the health requirements, standards of living, and personal information required. (1) The…

therapy/counseling reports, and school records. PURPOSE: This rule establishes conditions for providing foster (C) The division designee shall evaluate the child’s condition family homes for children with significant emotional or behavioral and make a determination if treatment f…

Resource Providers the upkeep of the premises; or (J) Abuses or neglects children, or is the subject of reports PURPOSE: This rule describes the waiver of certain non-safety of child abuse or neglect which upon investigation result in foster home licensing standards to be granted…

within one (1) year from the date of denial or revocation. PURPOSE: This rule addresses the procedures for license denial or If a licensee or applicant for license has previously had an 14 CODE OF STATE REGULATIONS (10/31/25) Denny Hoskins Secretary of State 13 CSR 35-60—DEPARTME…

Closures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Denny Hoskins (3/31/26) CODE OF STATE REGULATIONS 1 Secretary of State 13 CSR 35-60—DEPARTMENT OF SOCIAL SERVICES DIVISION 35—CHILDREN’S DIVISION TITLE 13…

Applicable to this Chapter documenting a critical incident; (E) “Director” is the director of the Children’s Division; PURPOSE: This rule clarifies the terms used in the licensing rules (F) “Division” is the Children’s Division of the Department for residential treatment agencies…

and Child Placing Agencies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 13 CSR 35-71.020 License Application, Renewal, and Monitoring . . . . . . . . . . . . . . . . . . . . . . . 9

Youth Operating Sites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 13 CSR 35-71.030 Hearings and Judicial Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 13 CSR 35-71.035 Court Review and Dispos…

(A) The division shall have the authority to suspend the PURPOSE: This rule addresses the procedures for license denial, license of an agency when— revocation, suspension, or suspension of intake and the right 1. The division determines that the suspension of the for an administr…

(J) Performing and retaining a written evaluation of the PURPOSE: This rule defines the provisions for judicial review and executive director on an annual basis; disposition of the child(ren). (K) Providing the division a written statement which sets forth the kind and extent of …

agency’s corrective action plan; and PURPOSE: This rule sets forth the requirements for the (Q) Ensuring that no unrelated business is established at the incorporation, administration, and financing of an agency. licensed agency operating site without providing the division with …

PURPOSE: This rule sets forth the requirements for child (4) Personnel Records. The LRCF shall maintain personnel abuse/neglect and criminal background screenings, medical records for each staff member, employee, intern, volunteer, examinations, personnel records, job description…

law, professional staff without a bachelor’s degree or higher PURPOSE: This rule sets forth the requirements for personnel described in this section may perform casework, group work practices, including staff qualifications, staff/child ratios, staff tasks, or planning of service…

educational level, special achievements, and any school PURPOSE: This rule sets forth the policies and procedure problems; requirements for intake and admission, discharge, and social I. The history of any other placements outside the home, services. including the reasons for pla…

corrective action taken by the agency. If the agency fails to take PURPOSE: This rule sets forth the provisions for protection of appropriate action to prevent future abuse or neglect, or both, the child, including child abuse or neglect, or both, exploitation, the division may d…

(2) Emergency Medical Procedure. PURPOSE: This rule sets forth the procedures for health care, (A) At least one (1) staff member shall be qualified/certified emergency medical care, psychiatric and psychological care, to administer first aid, including adult/child cardio pulmonar…

PURPOSE: This rule sets forth the records, documents and reports, 13 CSR 35-71.095 Exceptions for Transitional Living Services which an agency shall maintain and, upon request, submit to the Programs residential licensing unit. PURPOSE: The purpose of this rule is to set forth ex…

Toddler, or Preschool Age Children (Birth Through Age Six (6)) . . . . . . . 30 13 CSR 35-71.110 Child Care Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Youth Providing Maternity Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Denny Hoskins (1/29/26) CODE OF STATE REGULATIONS 1 Secretary of State…

Youth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

for Children and Youth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 13 CSR 35-71.150 Designation Rules for Qualified Residential Treatment Programs . . . . . . 44

Treatment Programs of family members in the child’s treatment program by— A. Facilitating outreach to the family members of PURPOSE: This rule sets forth the requirements for the designation the child, including siblings. The agency shall maintain of a Qualified Residential Treat…

Facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 2 CODE OF STATE REGULATIONS Denny Hoskins (1/29/26) Secretary of State 13 CSR 35-71—DEPARTMENT OF SOCIAL SERVICES DIVISION 35—CHILDREN’S DIVISION TITLE 13…

applicants, and birth and/or adoptive parents; foster parent or adoptive applicants to receive PURPOSE: This rule clarifies the terms used (C) “Adoption services” means the provi- a child, which includes a written report and in the licensing rules for child placing agen- sion of …

Review notice within ten (10) days of denial or revo- the suspension for an additional thirty (30) cation of licensure to the agency, which shall calendar days if the agency has failed to rec- PURPOSE: This rule addresses the proce- include the reason(s) for the denial or revoca-…

Requirements (D) The administrator’s responsibilities clients; include: C. The approval of decisions regard- PURPOSE: This rule sets forth the require- 1. Developing, implementing, and main- ing family and child eligibility for service, ments for personnel practices, including st…

ments sliding fee scales or subsidies. (E) If the agency uses a schedule for pay- (F) Birth parent, child, and adoptive parent ments, the agency shall provide the client(s) records shall be cross-referenced for identifi- PURPOSE: This rule sets forth the require- cation purposes,…

age shall be given an annual eye examination. (E) No child shall self-administer medica- Children twelve (12) years of age and older tion unless the practice is approved by a PURPOSE: This rule sets forth the proce- shall be given an eye examination on an as- licensed physician, …

(D) Other income maintenance/self–suffi- PURPOSE: In accordance with requirements ciency programs and services— in section 536.023, RSMo, this rule describes 1. Community Services Block Grant the functions and general organization of the (CSBG) Programs; Family Support Division o…

provided to all parties to the case. PURPOSE: This rule sets forth procedures by which the Family (C) Hearings held by the Administrative Hearings Section Support Division conducts hearings before its designated hearing will be held by telephone or other electronic means. Any off…

tion Guidelines A. A parent who is not currently 2. If only one (1) of the parents provide employed, whether or not he/she has a work information, use the information provided; PURPOSE: This rule sets forth the guidelines history, and is now disabled and unable to 3. If neither p…

Withholding Exceptions for Child Support (M) “Written agreement” means an agree- amount of the accrued arrearage, up to the Orders ment in writing between the obligor and the remaining bond amount; and obligee, and in cases in which there is an 2. Issue an income withholding orde…

the entry date of the order unless— subsection (2)(D), and may continue to do so Support Debts to Consumer Reporting 1. The obligee and the obligor each sign after the arrearage is less than one thousand Agencies and within twenty (20) calendar days return dollars ($1,000). to th…