Missouri Administrative Code

Centers, and Abortion Facilities ............................................................3

Ambulatory Surgical Centers ................................................................5 19 CSR 10-33.030 Reporting Financial Data by Hospitals ....................................................12

Data by Hospitals have ten (10) working days following receipt notified by registered mail. The Department of the written notification of noncompliance of Health shall notify state agencies that PURPOSE: This rule establishes procedures to provide the Department of Health with a …

Syndromic Surveillance .....................................................................17

Ambulatory Surgical Centers, and Abortion Facilities ................................35 JOHN R. ASHCROFT (5/31/20) CODE OF STATE REGULATIONS 1 Secretary of State Chapter 33—Hospital and Ambulatory Surgical Center Data Disclosure 19 CSR 10-33 Title 19—DEPARTMENT OF myelograms, art…

Missouri (PRIMO) Program (J) Advanced practice nurse means a nurse who has received a graduate degree from a participating accredited college or PURPOSE: This rule implements a system of incentives to develop university with a concentration in advanced practice nursing coordinate…

(8) A physician with a Missouri J-1 Visa Waiver must provide employment verification within thirty (30) days from a request PURPOSE: This rule establishes the procedure for requesting by the department. The department will make employment an attestation from the Department of Hea…

1. Acceptance as a provider by the Missouri Medicaid PURPOSE: This rule establishes the requirements and the process for agency; and participation of a health professional in the Healthy Communities 2. A copy of the sliding scale fee. Incentive Program. (4) Selection for particip…

department may offer one (1) or more NGOs each addressing PURPOSE: This rule establishes guidelines for implementing the a specific strategy related to the program purpose each fiscal Substance Use Disorder (SUD) Grant Program that will increase ac- year. cess to evidence-based l…

tenance Organizations Definitions provide annually to the department, audited (C) Fails to submit data within the time quality indicator data— frames established in this rule. PURPOSE: This rule establishes the proce- (A) Quality indicator data shall be in dures for health mainte…

Loan Repayment Programs in a formal course of instruction leading to an with a written request to continue service on associate degree, a diploma, a bachelor of the panel is received by the director within PURPOSE: This rule establishes the require- science degree, or a master of…

(Terminated October 6, 2023) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 John R. Ashcroft (11/30/23) CODE OF STATE REGULATIONS 1 Secretary of State 19 CSR 10-60—DEPARTMENT OF HEALTH AND SENIOR SERVICES DIVISION 10—OFFICE OF THE DIRECTOR TITLE 19—…

facility licensed by the department where marijuana product PURPOSE: This rule defines terms used in Chapter 1. is dispensed for medical or adult use. (1) “Administer” means the direct application of marijuana by (13) “Comprehensive dispensary licensee” means an entity way of any…

department determines the applicant provided false or PURPOSE: The Department of Health and Senior Services has misleading information in the application; the authority to promulgate rules for the enforcement of Article (D) A licensee may be subject to the penalties in (3)(A) if …

website. PURPOSE: This rule explains how medical and marijuana facility 2. Application fees are nonrefundable, except that a licensing and certification applications, with the exception of microbusiness facility applicant not chosen by lottery may seed-to-sale tracking system ent…

producing a clear, color, still photo from any video camera PURPOSE: The Department of Health and Senior Services image. has the authority to establish security requirements for any 8. Licensees shall store recordings from the video cameras premises licensed or certified under Ar…

within one (1) year of the date the licensee receives department PURPOSE: Under Article XIV, Sections 1 and 2 of the Missouri approval to operate, the licensee shall not conduct testing of Constitution, the Department of Health and Senior Services has marijuana product and may be…

marijuana product in the inventory of the facility due to PURPOSE: Under Article XIV, Sections 1 and 2 of the Missouri suspected criminal activity by a facility agent, the licensee Constitution, the Department of Health and Senior Services has shall report the facility agent to t…

(A) Licensees authorized by the department to transport PURPOSE: Under Article XIV, Sections 1 and 2 of the Missouri marijuana product shall transport all marijuana product from Constitution, the Department of Health and Senior Services has an originating facility to an authorize…

control plan, which shall address odor mitigation practices PURPOSE: Under Article XIV, Sections 1 and 2 of the Missouri such as system design and operational processes; Constitution, the Department of Health and Senior Services has 2. Engaging a professional engineer or certifie…

(Rescinded February 29, 2024) AUTHORITY: Executive Order 77-9 of the Governor filed Jan. 31, 1979, effective Sept. 28, 1979, Chapter 198 and sections 207.020 and 208.152, RSMo Supp. 1993, 251.070 and 536.023, RSMo 1986. This rule originally filed as 13 CSR 15-1.010. Emergency rul…

Grants 660.069(1), RSMo (Supp. 1987). (9) All applications shall be reviewed and PURPOSE: This rule describes the general grants awarded by a committee comprised of AUTHORITY: section 660.069, RSMo Supp. requirements that all applicants shall meet to representatives from the Divi…

(Rescinded August 30, 2018) AUTHORITY: sections 208.300–208.305, RSMo Supp. 1987. This rule previously filed as 13 CSR 15-3.010. Original rule filed Sept. 15, 1988, effective Jan. 27, 1989. Moved to 19 CSR 15-3.010, effective Aug. 28, 2001. Rescinded: Filed Jan. 5, 2018, effectiv…

(Rescinded August 30, 2018) AUTHORITY: sections 208.300–208.305, RSMo Supp. 1987. This rule previously filed as 13 CSR 15-3.020. Original rule filed Sept. 15, 1988, effective Jan. 27, 1989. Moved to 19 CSR 15-3.020, effective Aug. 28, 2001. Rescinded: Filed Jan. 5, 2018, effectiv…

(Rescinded August 30, 2018) AUTHORITY: sections 208.300–208.305, RSMo Supp. 1987. This rule previously filed as 13 CSR 15-3.030. Original rule filed Sept. 15, 1988, effective Jan. 27, 1989. Moved to 19 CSR 15-3.030, effective Aug. 28, 2001. Rescinded: Filed Jan. 5, 2018, effectiv…

(Rescinded August 30, 2018) AUTHORITY: sections 208.300–208.305, RSMo Supp. 1987. This rule previously filed as 13 CSR 15-3.040. Original rule filed Sept. 15, 1988, effective Jan. 27, 1989. Moved to 19 CSR 15-3.040, effective Aug. 28, 2001. Rescinded: Filed Jan. 5, 2018, effectiv…

(Rescinded August 30, 2018) AUTHORITY: sections 208.300–208.305, RSMo Supp. 1987. This rule previously filed as 13 CSR 15-3.050. Original rule filed Sept. 15, 1988, effective Jan. 27, 1989. Moved to JOHN R. ASHCROFT (7/31/18) CODE OF STATE REGULATIONS 3 Secretary of State…

Original rule filed Feb. 10, 1982, effective May 11, 1982. Moved to 19 CSR 15-6.025, effective Aug. 28, 2001. Moved to 19 CSR 15- 4.440 and amended: Filed Jan. 25, 2022, effective Aug. 30, 2022. *Original authority: 251.070, RSMo 1967; 536.023, RSMo 1975, amended 1976, 1997, 2004…

who are participants or who are eligible to senior center, including restoration, repair, PURPOSE: This rule defines terms used in participate in programs administered under expansion, and all related physical improve- this chapter. the Older Americans Act, family caregivers ment…

metropolitan area which is designated to (Rescinded August 30, 2018) Fiscal Management function only for the purpose of serving as an area agency on aging may apply to the divi- AUTHORITY: section 660.050, RSMo 1986. PURPOSE: This rule describes the division’s sion to be designat…

Agencies on Aging with delegated authority whose principal (3) Should the division withdraw designation function shall be the effective development of an area agency on aging, the division will PURPOSE: This rule describes the process and implementation of an area plan; notify th…

Secretary quate size and structure to operate efficiently tarian shall be designated by the board. and effectively. PURPOSE: This rule describes the action (6) All meetings of the board shall be open to that the division takes when an application (2) The area agency on aging gove…

Governing Body vices under a grant, contract, or stipend with (2) Nominees must be residents of the area the area agency on aging. they represent and must sign a code of ethics PURPOSE: This rule requires each area as approved by the governing body. agency on aging to have a gove…

Advisory Council reference as a portion of this rule would be unduly cumbersome or expensive. This mate- (3) The area agency on aging shall employ PURPOSE: This rule requires each area rial as incorporated by reference in this rule sufficient staff to carry out the required func-…

This rule previously filed as 13 CSR 15- Employment Opportunity/Preference in 4.105. Original rule filed Feb. 17, 1988, and volunteer); a description of the responsi- Hiring bility assigned to each position (paid and vol- effective June 15, 1988. Amended: Filed Aug. 28, 2000, eff…

Director meet to develop or amend and submit an area division requirement. The request shall— plan. (A) Be in writing; PURPOSE: This rule establishes and describes (B) Be signed by the chairperson of the procedures each area agency on aging shall (1) The area agency on aging shal…

and Plan Amendments......................................................................12 19 CSR 15-4.170 Area Agency on Aging Fiscal Management .............................................12 JOHN R. ASHCROFT (7/31/22) CODE OF STATE REGULATIONS 1 Secretary of State…

lished governmental procedures the following Fiscal Management assurances that at least the minimum amount shall apply. The area agency on aging shall submit the area plan and any plan amend- allotted for supportive services (Title III B of PURPOSE: This rule describes the requir…

or Construction of Multipurpose Senior Centers ......................................14 19 CSR 15-4.180 Area Agency on Aging Advocacy Responsibility .......................................15

Coordinated Service Delivery System ...................................................16 19 CSR 15-4.200 Area Agency on Aging Subgrants or Contracts .........................................17 19 CSR 15-4.210 Area Agency on Aging Grievance Procedures.............................…

(C) Where those services of comparable (C) Opportunity to review any pertinent Subgrants or Contracts quality can be provided more economically information relating to the issues; and by the area agency on aging. (D) Criteria to be used for making a final PURPOSE: This rule sets …

Responsibilities ..............................................................................17 19 CSR 15-4.230 Multipurpose Senior Center ................................................................18 19 CSR 15-4.240 Nutrition Service Requirements..........................…

Center written plan for purchase or construction of a struction or twenty (20) years after the com- multipurpose senior center with accompany- pletion of construction. PURPOSE: This rule establishes the require- ing justification and documentation. The ments that shall be met by …

2. The area agency on aging shall devel- quirements op written criteria by which to determine if (10) The area agency on aging shall report the the spouse and/or primary caregiver who PURPOSE: This rule establishes the require- occurrence or suspicion of a food-borne ill- resides…

dards al records shall be maintained by nutrition service providers: (6) Menu Planning Requirements. PURPOSE: This rule establishes the mini- (A) Daily record documenting persons (A) If one (1) meal per day is served, it mum standards for providing nutrition ser- who receive meal…

(C) Demonstrate the capacity to provide any political party or association to the cam- PURPOSE: This rule sets forth the require- support to other advocacy efforts, for exam- paign of any candidate for public or party ments for outreach services and requires out- ple, the long-te…

tance Service Standards (E) Collecting data on inquirers and main- other documents); and taining confidential, accurate and up-to-date (E) The cost of service (the word sliding PURPOSE: This rule sets forth minimum records. scale may be sufficient). standards for information and …

AUTHORITY: section 192.2000, RSMo 2016.* Confidentiality (7); This rule was previously filed as 13 CSR 15- (E) Ensure all drivers have completed ori- 6.015 and 13 CSR 15-4.300. Original rule PURPOSE: This rule establishes the length of entation training prior to transporting elig…

cedures (Rescinded August 30, 2022) AUTHORITY: sections 251.070 and 536.023, RSMo 1986; Executive Order of the Governor filed Jan. 31, 1979, effective Oct. 1, 1979 and in compliance with 45 CFR 1321.15(b)(2). This rule previously filed as 13 CSR 15-6.020. Original rule filed Feb.…

(Moved to 19 CSR 15-4.440) JOHN R. ASHCROFT (7/31/22) CODE OF STATE REGULATIONS 3 Secretary of State