Missouri Administrative Code

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…

tion of Child and/or Medical Support son or agency having custody of the depen- nate the review. Orders dent child subject to the order, or the division (B) The division may use all other in a TANF or Medicaid case, if— resources normally accessed to obtain the PURPOSE: This rule…

ditures tional assistant prosecuting attorneys needed and spousal support obligations, including to fulfill its responsibilities assumed under those activities associated with collection and PURPOSE: The purpose of this rule is to the agreement or, if the city or county is a enfo…

and Standardization of Claims Submissions ............................................4 13 CSR 40-108.030 Incentives ......................................................................................5 13 CSR 40-108.040 Prosecuting Attorneys’ Performance Standards ............…

tives on a pro rata share based on the percent expenses for the first failure, eight percent PURPOSE: This rule defines how the Family of the counties’ total IV-D collections. If at (8%) for the second consecutive failure, and Support Division will share available federal any tim…

RSMo 1993, amended 1995. Refund Offset Fee assistance case, the division shall assess the (Rescinded September 30, 2005) fee on each case in which at least five hun- dred fifty dollars ($550) of support has been…

AUTHORITY: section 454.400.2(5), RSMo disbursed to the obligee or payee in the fed- 2000. Original rule filed Sept. 10, 2004, eral fiscal year. PURPOSE: The purpose of this rule is to effective March 30, 2005. Emergency rescis- (B) The division shall assess the fee in define how …

fying to Include Medical Support Obliga- area. costs of the child(ren)’s necessary medical tions care. The percentage will be determined by (4) The parent seeking support and the parent using that parent’s percentage as set forth in PURPOSE: This rule sets forth the Family not se…

home for work, education, or medical pur- for an indefinite time, without any fixed or PURPOSE: This rule states the definition of poses, but would otherwise be living with the certain purpose to return to a former place of terms which are applicable to the blind pen- participant…

sion, the division shall not consider as prop- of the eye, or optometrist who conducted the erty the primary residence of the participant examination; PURPOSE: This rule establishes the require- and the first one hundred thousand dollars (B) The name of the individual examined me…

als with a Drug Felony Conviction involving the use or possession of controlled Health; or substances to which the participant has pled 2. Is currently enrolled in and accepted PURPOSE: This rule establishes the require- guilty or nolo contendere, or has been found for treatment …

(Rescinded May 30, 2017) ed; responsible for any other household expens- 3. A situation in which a propane tank is es. A relative, as defined in this rule, cannot AUTHORITY: section 207.022, RSMo 1994. filled at less than twenty-percent (20%) be considered a roomer/boarder. Emerg…

Energy Assistance Program (LIHEAP) and (E) “Fuel source” shall be defined as the supplier for residential heating and cooling. Utilicare fuel consumed in the operation of an appli- (Q) “Relative” shall be defined as an indi- ance manufactured and used for the purpose vidual who i…

1990. Emergency amendment filed Aug. 30, Service 1990, effective Nov. 1, 1990, expired March (Rescinded May 30, 2017) 1, 1991. Amended: Filed Aug. 30, 1990, effective Feb. 14, 1991. Emergency amend- AUTHORITY: section 207.020, RSMo 1994. ment filed Aug. 30, 1991, effective Nov. 1…

cedures AUTHORITY: sections 207.022 and 660.017, terms shall mean: RSMo 2016.* This version filed March 24, (A) “Attorney-in-fact” shall mean an PURPOSE: This rule defines the application 1976. Previous versions of this rule which individual or corporation appointed to act as pro…

cation process without having to submit an authorized representative form, but shall— Procedures *Original authority: 207.022, RSMo 2014 and 660.017, (A) Notify the division when the authority RSMo 1993, amended 1995. to represent the participant changes or termi- PURPOSE: This r…

Money Payments children and any needy nonparent caretaker mine the Amount of Cash Payments (Rescinded March 30, 2019) relative or related or unrelated guardian. The nonparent caretaker relative or the guardian, PURPOSE: This rule outline the methods AUTHORITY: section 207.020, RS…

PTD Supplemental Aid to the Blind (SAB) or income and resources available to these per- Blind Pension (BP), the person must receive sons and, if income and resources are not PURPOSE: This rule defines permanently AFDC and will be ineligible for SAB or BP. sufficient to provide a …

Cash Payments................................................................................14 13 CSR 40-2.120 Methods Used to Determine the Amount of Cash Payments ..........................14 13 CSR 40-2.130 Maximum Cash Payment Amounts ........................................…

of Cash Payments Title XIX. The expenses, income and (F) The person meets the prohibition in 13 resources of these SSI recipients will not be CSR 40-2.305, 13 CSR 40-2.340, 13 CSR PURPOSE: This rule outlines the restrictions counted in determining AFDC eligibility of 40-2.345, 13…

*Original authority: 207.022, RSMo 2014 and 660.017, Due and Payable the tenth of the month, or on the first working RSMo 1993, amended 1995. day after the tenth, if the tenth falls on a PURPOSE: This rule outlines when assis- weekend or a holiday.…

tance payments are due and payable to eligi- ble claimants. (5) Supplemental Nursing Care (SNC) bene- PURPOSE: This rule outlines the procedure fits shall be paid monthly in advance as fol- for appeals from county decisions and subse- (1) Scope. This rule governs the delivery of …

for Medical Assistance son is a student and is under the age of twen- Federal Poverty Level for two (2) persons; ty-two (22), the amount of the school expense plus PURPOSE: This rule provides that the deci- will be excluded from any earned income. If B. The amount by which the co…

(Rescinded August 30, 2018) ..............................................................29 13 CSR 40-2.230 Disposal of Excess Real Property ..........................................................29

amendment filed Dec. 13, 1993, effective AUTHORITY: section 207.020, RSMo 1986.* Jan. 1, 1994, expired April 30, 1994. Property Emergency rule filed Nov. 14, 1985, effective Amended: Filed Dec. 13, 1993, effective July Nov. 24, 1985, expired March 24, 1986. 10, 1994. Emergency am…

(Rescinded December 30, 2005) ..........................................................30

(Rescinded March 30, 2017) ...............................................................30 13 CSR 40-2.260 Newborns Deemed to be Eligible for Title XIX .........................................30 13 CSR 40-2.270 Determining Eligibility for Qualified Medicare Beneficiaries......…

(A) The child is no longer a resident of available resources of either the Qualified Eligible for Title XIX Missouri; Medicare Beneficiary or the spouse, or both, PURPOSE: This rule establishes that new- (B) The child is deceased; shall not exceed twice the couple resource borns …

(Rescinded August 30, 2018) programs and embedded activities in which a certificate. This activity must be supervised TA recipients perform work for the direct ben- on an ongoing basis no less frequently than AUTHORITY: section 207.020, RSMo 1994. efit of the community under the …

in Successful Supplemental Security Income Appeal (Rescinded August 30, 2018) ..............................................................31

Temporary Assistance for Needy Families (TANF) Block Grant ....................31

Who Has Been Convicted of Certain Felony Drug Offenses .........................32 13 CSR 40-2.310 Requirements as to Eligibility for Temporary Assistance ..............................32