Missouri Administrative Code

gram in effect with the Missouri Department of Social Services, PURPOSE: This rule establishes the regulatory basis for the admin- MO HealthNet Division. istration of the emergency ambulance program. This rule provides for such methods and procedures relating to the utilization o…

Reimbursement Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Denny Hoskins (5/31/26) CODE OF STATE REGULATIONS 1 Secretary of State 13 CSR 70-6—DEPARTMENT OF SOCIAL SERVICES DIVISION 70—MO HEALTHNET DIVISION TITLE 13—DEPARTMENT…

ment Program 6, 2019. This rule does not incorporate any (5) Provider Participation. subsequent amendments or additions. (A) The following types of providers may PURPOSE: This rule establishes the regula- be reimbursed by MO HealthNet for items tory basis for the administration o…

Program to rehabilitation center providers by amend- Division. Providers must bill their usual and ing this rule. customary charge for rehabilitation center PURPOSE: This rule establishes the regulato- services. Reimbursement will not exceed the ry basis for the administration of…

the Therapy Provider Manual. The provider shall ascertain the PURPOSE: This rule establishes the regulatory basis for the patient’s MO HealthNet status before any service is performed. administration of the therapy program. This rule provides for The participant’s eligibility sha…

A. A Medicaid managed-care program other than PACE; PURPOSE: This rule establishes the requirements for agencies B. A hospice program; contracting to provide services to eligible participants through the C. A Medicaid 1915(c) home and community-based MO HealthNet Division’s (MHD)…

Providers 1991, 2007, 2012, 2024; 208.201, RSMo 1987, amended 2007; and 660.017, RSMo 1993, amended 1995. PURPOSE: This rule establishes a process of cooperation between the MO HealthNet Division (MHD) and Program of All-Inclusive Care for the Elderly (PACE) organizations and the…

(D) Intermittent home health aide; and PURPOSE: This rule provides the regulatory basis for payment (E) Supplies identified as specific and necessary to the de- for home health-care services provided to MO HealthNet-eligible livery of a participant’s nursing care and prescribed i…

per month. Any service plan developed in accordance with PURPOSE: Personal care services are medically-oriented services paragraphs (1)(B)2. and 3. is a state-approved service plan. provided in the individual’s home, or in a licensed Residential 4. The participant will be informe…

(Rescinded June 30, 2018). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 13 CSR 70-91.030 Personal Care Assistance (Rescinded December 30, 2010). . . . . . . . . . . . . . . 8 John R. Ashcroft (7/31/23) CODE OF STATE REGULATIONS 1 Secretary…

Program (Rescinded December 30, 2015) AUTHORITY: sections 208.153 and 208.201, RSMo Supp. 2007 and sections 208.159 and 208.168, RSMo 2000. This rule was previ- ously filed as 13 CSR 40-81.126. Original rule filed May 13, 1983, effective Aug. 11, 1983. Amended: Filed June 3, 1993…

(Rescinded August 30, 2018) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3

(Rescinded August 30, 2018) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 JOHN R. ASHCROFT (7/31/18) CODE OF STATE REGULATIONS 1 Secretary of State Chapter 93—Medicaid Clinic Program 13 CSR 70-93 Title 13—DEPARTMENT OF SOCIAL SERVICES Division 70—MO HealthN…

provided by the division for that purpose. PURPOSE: This rule establishes the regulatory basis for Title XIX A. An independent RHC may be exempt from filing a Medicaid payment for Independent Rural Health Clinic Services. Medicaid cost report if there is no MO HealthNet reimburse…

Health (ToRCH) due to better condition management; (H) “Rural community health hub” shall mean a partnership PURPOSE: This rule establishes the Transformation of Rural among the ToRCH entity, primary care, behavioral health, Community Health (ToRCH) program. The purpose of ToRCH …

emergency situations. Services reimbursed by MO HealthNet PURPOSE: This rule establishes the basis for MO HealthNet may not exceed the prior authorization approved by the enrollment and reimbursement of providers of private duty Bureau of Special Health Care Needs, therefore, any…

(Rescinded June 30, 2018) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 JOHN R. ASHCROFT (5/31/18) CODE OF STATE REGULATIONS 1 Secretary of State Chapter 96—Medicaid Primary and Prenatal Care Clinic Program 13 CSR 70-96 Title 13—DEPARTMENT OF SOCIAL SERVI…

Program terminated unless good cause for failure to cooperate is estab- lished. Good cause for failure to cooperate shall be established PURPOSE: This rule establishes that the Department of Social when the applicant, participant, parent, guardian, or caretaker Services, MO Healt…

MO 65109. This rule does not incorporate any subsequent PURPOSE: This rule establishes the regulatory basis for the pro- amendments or editions; and gram requirements of the MO HealthNet behavioral health ser- (C) Use of the DSM-5-TRTM will be allowed when assessing vices program…

Health Services (Rescinded November 30, 2024) . . . . . . . . . . . . . . . . . . . . . 3 13 CSR 70-98.030 Applied Behavior Analysis Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Denny Hoskins (3/31/25) CODE OF STATE REGULATIONS 1 Secretary of State…

Rehabilitation Program MO HealthNet Division or its designee. for half-day (three (3) to four (4) hours) and full day (five (5) or more hours) units when PURPOSE: This rule establishes the regula- (2) Persons Eligible. Prior authorized Com- the participant meets the admission cri…

(Moved to 19 CSR 73-1.010) MATT BLUNT (7/31/03) CODE OF STATE REGULATIONS 3 Secretary of State

(Moved to 19 CSR 73-2.010)

(Moved to 19 CSR 73-2.015) 13 CSR 73-2.060 Registration of Training 13 CSR 73-2.020 Procedures and Require- Agencies and Single Offering Providers ments for Licensure of Nursing Home (Moved to 19 CSR 73-2.060) Administrators (Moved to 19 CSR 73-2.020) 13 CSR 73-2.065 Reciprocity …

Nursing Home Administrators (Moved to 19 CSR 73-2.020)..........................3 13 CSR 73-2.025 Licensure by Reciprocity (Moved to 19 CSR 73-2.025) .................................3 13 CSR 73-2.030 Examination (Rescinded August 11, 1980)........................................…

(Moved to 19 CSR 73-2.025) AUTHORITY: section 344.070, RSMo Supp. 1993. Original rule filed April 18, 1990,

(Rescinded August 11, 1980) Jan. 31, 1996, effective July 30, 1996. AUTHORITY: section 344.070, RSMo 1978. Original rule filed March 5, 1974, effective 13 CSR 73-2.070 Examination March 15, 1974. Rescinded: Filed May 13, (Moved to 19 CSR 73-2.070) 1980, effective Aug. 11, 1980.…

Instruction and Training (Moved to 19 CSR 73-2.080) (Moved to 19 CSR 73-2.031)

(Rescinded August 11, 1980) AUTHORITY: section 344.070, RSMo 1978. 13 CSR 73-2.090 Disciplinary Action Original rule filed March 5, 1974, effective (Moved to 19 CSR 73-2.090) March 15, 1974. Rescinded: Filed May 13, 1980, effective Aug. 11, 1980.

System (Rescinded November 30, 2001) 13 CSR 73-2.100 Restoration and Rehabilitation of Suspended/Revoked AUTHORITY: section 344.070, RSMo Supp. Licenses 1997. Original rule filed May 13, 1980, (Moved to 19 CSR 73-2.100) effective Aug. 11, 1980. Amended: Filed April 14, 1983, effe…

License

(Moved to 19 CSR 73-2.060) ...............................................................3

(Rescinded July 30, 1996) ...................................................................3 13 CSR 73-2.070 Examination (Moved to 19 CSR 73-2.070) ................................................3 13 CSR 73-2.080 Temporary Emergency Licenses (Moved to 19 CSR 73-2.080) ........…

Conduct (Moved to 19 CSR 73-2.095)

(Moved to 19 CSR 73-2.100)................................................................3 13 CSR 73-2.105 Disciplinary Proceedings (Moved to 19 CSR 73-2.105) .................................3 13 CSR 73-2.110 Display of License (Moved to 19 CSR 73-2.110)........................…

date has been extended to maximum release institution head shall forward to the chairman PURPOSE: This procedure establishes the date because of disciplinary action; of the Board of Probation and Parole names guidelines for the Department of Corrections 2. Inmates whose convictio…

director shall be responsible to the director (F) St. Mary’s Honor Center (SMHC), PURPOSE: This rule provides a general for the supervision of institutions in his/her 1548 Papin Street, St. Louis, MO 63103. description of the organization and opera- respective zone. (314) 621-163…

ence in the community is likely to evoke inmate has previously been approved for PURPOSE: The division director may extend adverse reaction; leave, it shall be necessary to submit chrono- the limits of confinement of an inmate by (D) Inmates with an extended and recent logical en…

PURPOSE: This regulation complies with section 536.023, RSMo which requires each agency to adopt as a rule a description of its operation and the methods where the public may obtain information or make submissions or requests. (1) The State Board of Probation and Parole is a divi…

ings, Reviews and Release Dates es, Appendices P, Q, R, and S (published September 2016 and effective January 2017) (3) Purpose of Parole Hearings. PURPOSE: This rule sets forth factors are eligible for release after thirty-three per- (A) Parole hearings allow the offenders the r…

incorporate any subsequent amendments or years or more after parole or conditional PURPOSE: This rule establishes a uniform additions. release may be eligible for discharge at the parole policy in order to promote consistent end of three (3) years under supervision pro- exercise …

(Rescinded March 30, 2008) AUTHORITY: section 558.011.4(2), RSMo Supp. 1990. This rule was previously filed as 13 CSR 80-2.040. Original rule filed Nov. 13, 1979, effective March 13, 1980. Emer- gency amendment filed May 13, 1982, effec- tive July 1, 1982, expired Nov. 28, 1982. …

and Parole me by a licensed medical practitioner.” and section 217.690, RSMo Supp. 2011.* This rule was previously filed as 13 CSR 80-3.010. PURPOSE: There must be certain conditions (7) The seventh condition reads, “WEAPONS: Original rule filed Feb. 5, 1968, effective Feb. to be…

an Alleged Violator release has occurred. hearing officer has reason to believe the alleged violator is incapable of understanding PURPOSE: There is statutory authority gov- (2) The alleged violator may indicate his/her the proceedings. erning the arrest and detention of persons …

tor in preparation for or resulting from the Brewer, 408 U.S. 471, 92 S.Ct. 2593, 33 PURPOSE: An alleged supervised released preliminary hearing. L.Ed.2d 484 (1972). ROBIN CARNAHAN (5/31/12) CODE OF STATE REGULATIONS 3 Secretary of State 14 CSR 80-4—DEPARTMENT OF CORRECTIONS Divi…

1993, 1995; 217.690, RSMo 1982, amended 1986, 1987, checks and cash will not be accepted; and tion Fee 1989, 1992, 1995, 2002, 2005; and 217.755, RSMo 1982. C. The completed payment voucher PURPOSE: This rule identifies definitions shall accompany the payment. used in this chapte…

dure accrue until such time as the case is closed. (1) For the purpose of 14 CSR 80-5— (A) The term “intervention fee” refers to If the case is active on or after the first day of PURPOSE: This rule establishes a process by the month in which the case is suspended and the monthly…

Intervention Program Credentialing of the application; 3. If denied, the letter will state specific PURPOSE: This rule identifies definitions reasons for the denial. The provider may used in this chapter. reapply one (1) year from the date of their final denial; and (1) For the p…