Missouri Administrative Code
8,209 sections across 1,588 Missouri regulatory chapters.
19-30-20-19 CSR 30-20.114 Environmental Waste Management and
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*Original authority: 192.006, RSMo 1993, amended 1995; 197.080, RSMo 1953, amended 1993, 1995, 2013, 2017; and 338.165, RSMo 2014. Support Services PURPOSE: This rule specifies the requirements for environmental and support services provided by a hospital.…
Chapter 19-30-20Open chapter PDF ↗19-30-20-19 CSR 30-20.116 Infection Prevention and Control
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(Rescinded November 30, 2019) shall be made available to the public for inspection and copying at no more than the actual cost of reproduction. This note applies AUTHORITY: section 192.006, RSMo 2000, and sections 197.080, only to the reference material. The entire text of the ru…
Chapter 19-30-20Open chapter PDF ↗19-30-20-19 CSR 30-20.118 Outpatient Services in Hospitals
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(Rescinded November 30, 2019) following minimum standards: (A) The curriculum of the UAP Program shall consist of a AUTHORITY: section 192.006, RSMo 2000, and sections 197.080 standard plan of instruction to include: and 197.154, RSMo Supp. 2013. This rule previously filed as 19 …
Chapter 19-30-20Open chapter PDF ↗19-30-20-19 CSR 30-20.120 Anesthesia Services in Hospitals
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(Rescinded November 30, 2019) for up to fifty (50) hours of classroom time of comparable subject matter; AUTHORITY: sections 192.006 and 197.080, RSMo 2000 and 4. A minimum of one hundred (100) hours of clinical 197.154, RSMo Supp. 2007. This rule previously filed as 19 CSR pract…
Chapter 19-30-20Open chapter PDF ↗19-30-20-19 CSR 30-20.122 Home-Care Services in Hospitals
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(Rescinded January 30, 2014) medical terminology); B. Patient/Client Rights (Health Insurance Portability AUTHORITY: sections 192.006 and 197.080, RSMo 2000, and and Accountability Act (HIPAA), privacy, confidentiality, ad- section 197.154, RSMo Supp. 2007. This rule previously f…
Chapter 19-30-20Open chapter PDF ↗19-30-20-19 CSR 30-20.124 Medical Services
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(Rescinded November 30, 2019) psychological/social needs, activities of daily living, ambu- lation, positioning, personal care, elimination and toileting, AUTHORITY: section 192.006, RSMo 2000, and sections 197.080 nutrition, hydration, feeding, bed making); and 197.154, RSMo Sup…
Chapter 19-30-20Open chapter PDF ↗19-30-20-19 CSR 30-20.125 Unlicensed Assistive Personnel Training
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Program trical, hazardous materials transportation safety information (HAZMAT), emergency procedures, body mechanics); PURPOSE: This rule requires hospitals to have a personnel training (B) The clinical practicum of one hundred (100) hours shall policy that requires unlicensed he…
Chapter 19-30-20Open chapter PDF ↗19-30-20-19 CSR 30-20.126 Obstetrical and Newborn Services in Hospitals
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(Rescinded November 30, 2019) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 19 CSR 30-20.128 Pediatric Services in Hospitals (Rescinded November 30, 2019) . . . . . . . . 24
Chapter 19-30-20Open chapter PDF ↗19-30-20-19 CSR 30-20.130 Post-Anesthesia Recovery Services in Hospitals
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(Rescinded November 30, 2019) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 19 CSR 30-20.132 Psychiatric Services in Hospitals (Rescinded November 30, 2019) . . . . . . 25 19 CSR 30-20.134 Rehabilitation Services in Hospitals (Rescinded November 30, 201…
Chapter 19-30-20Open chapter PDF ↗19-30-20-19 CSR 30-20.132 Psychiatric Services in Hospitals
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(Rescinded November 30, 2019) mean— (A) Department shall mean the Department of Health and AUTHORITY: sections 192.006 and 197.080, RSMo 2000 and Senior Services; 197.154, RSMo Supp. 2007. This rule previously filed as 19 CSR 30- (B) Essential caregiver shall mean a family member…
Chapter 19-30-20Open chapter PDF ↗19-30-20-19 CSR 30-20.134 Rehabilitation Services in Hospitals
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(Rescinded November 30, 2019) CSR 30-20.011(9). AUTHORITY: sections 192.006 and 197.080, RSMo 2000 and (2) Every hospital within Missouri shall develop an essential 197.154, RSMo Supp. 2007. This rule previously filed as 19 CSR caregiver program which shall allow a patient who ha…
Chapter 19-30-20Open chapter PDF ↗19-30-20-19 CSR 30-20.136 Respiratory Care Services
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(Rescinded November 30, 2019) department under this rule. AUTHORITY: section 192.006, RSMo 2000, and sections 197.080 (3) The essential caregiver program shall be operable during and 197.154, RSMo Supp. 2013. This rule previously filed as 19 a state of emergency declared pursuant…
Chapter 19-30-20Open chapter PDF ↗19-30-20-19 CSR 30-20.138 Specialized Inpatient Care Services
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(Rescinded November 30, 2019) designated as essential caregivers, although the hospital may limit the in-person contact to one (1) caregiver at a time. The AUTHORITY: section 192.006, RSMo 2000, and sections 197.080 caregiver shall not be required to have previously served in a a…
Chapter 19-30-20Open chapter PDF ↗19-30-20-19 CSR 30-20.140 Surgical Services
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(Rescinded November 30, 2019) return during the scheduled hours or be replaced by another essential caregiver; AUTHORITY: section 192.006, RSMo 2000, and sections 197.080 (C) Include procedures to enable physical contact between and 197.154, RSMo Supp. 2013. This rule previously …
Chapter 19-30-20Open chapter PDF ↗19-30-20-19 CSR 30-20.142 Variance Requests
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(Rescinded November 30, 2019) caregiver is inconsistent with the patient’s therapeutic care and treatment or is a safety risk to other patients or staff at AUTHORITY: section 192.006, RSMo 2000, and sections 197.080 the facility. Any limitations placed upon a particular essential…
Chapter 19-30-20Open chapter PDF ↗19-30-20-19 CSR 30-20.144 Standards and Guidelines for Essential
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Caregiver Program caregiver. Consistent with 42 CFR 482.12(h), a hospital shall inform each patient, or such patient’s guardian or legal PURPOSE: This rule establishes the standards and guidelines representative, where appropriate, of his or her visitation rights regarding the es…
Chapter 19-30-20Open chapter PDF ↗19-30-22-19 CSR 30-22.010 General Design and
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Construction Standards for Rehabilitation 2. Construction shall be undertaken only so noted; and brief noted descriptions of the Hospitals after the plans and specifications have general construction and finish, the structural received the written approval of the Depart- system, …
Chapter 19-30-22Open chapter PDF ↗19-30-22-19 CSR 30-22.020 Administration Standards for Rehabilitation Hospitals
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(Rescinded August 30, 2014) ..............................................................10
Chapter 19-30-22Open chapter PDF ↗19-30-22-19 CSR 30-22.030 Standards for Registration as a Hospital Infectious Waste Generator
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(Rescinded August 30, 2014) ..............................................................10 JASON KANDER (7/31/14) CODE OF STATE REGULATIONS 1 Secretary of State Chapter 22—Rehabilitation Hospitals 19 CSR 30-22 Title 19—DEPARTMENT OF 1. Plans and specifications shall be pre- des…
Chapter 19-30-22Open chapter PDF ↗19-30-24-19 CSR 30-24.010 General Design and Construction Standards for Psychiatric Hospitals
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(Rescinded November 30, 2019) ............................................................3
Chapter 19-30-24Open chapter PDF ↗19-30-24-19 CSR 30-24.020 Administration Standards for Psychiatric Hospitals
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(Rescinded November 30, 2019) ............................................................3
Chapter 19-30-24Open chapter PDF ↗19-30-24-19 CSR 30-24.030 Preparation of Plans and Specifications for Psychiatric Hospitals
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(Rescinded November 30, 2019) ............................................................3
Chapter 19-30-24Open chapter PDF ↗19-30-24-19 CSR 30-24.040 Standards for Registration as a Hospital Infectious Waste Generator
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(Rescinded August 30, 2014) ................................................................3 JOHN R. ASHCROFT (10/31/19) CODE OF STATE REGULATIONS 1 Secretary of State Chapter 24—Psychiatric Hospitals 19 CSR 30-24 Title 19—DEPARTMENT OF ed: Filed Dec. 31, 2013, effective Aug. 30…
Chapter 19-30-24Open chapter PDF ↗19-30-26-19 CSR 30-26.010 Home Health Licensure
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Rule employees with direct patient contact and department survey, such survey as provided independent contractors with direct patient in section 197.415.4, RSMo; PURPOSE: This rule defines the minimum contact. The training shall be presented by an C. The application is accompanie…
Chapter 19-30-26Open chapter PDF ↗19-30-30-19 CSR 30-30.010 Definitions and Procedures for Licensing Ambulatory Surgical
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Centers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 19 CSR 30-30.020 Administration Standards for Ambulatory Surgical Centers . . . . . . . . . . . . 4
Chapter 19-30-30Open chapter PDF ↗19-30-30-19 CSR 30-30.020 Administration Standards for Ambulatory
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Surgical Centers except specific designated areas where smoking may be permitted. Each designated area shall have one hundred PURPOSE: The Division of Regulation and Licensure, Department percent (100%) of the air supplied to the room exhausted. of Health and Senior Services has …
Chapter 19-30-30Open chapter PDF ↗19-30-30-19 CSR 30-30.030 General Design and Construction Standards for Ambulatory
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Surgical Centers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Chapter 19-30-30Open chapter PDF ↗19-30-30-19 CSR 30-30.040 Preparation of Plans and Specifications for Ambulatory Surgical
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Centers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 19 CSR 30-30.050 Definitions and Procedures for Licensing Abortion Facilities . . . . . . . . . . . 12 19 CSR 30-30.060 Standards for the Operation of Ab…
Chapter 19-30-30Open chapter PDF ↗19-30-30-19 CSR 30-30.061 Complication Plans for Certain Drug- and Chemically-Induced
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Abortions Via Abortion Facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Chapter 19-30-30Open chapter PDF ↗19-30-30-19 CSR 30-30.062 Complication Plans for Certain Drug- and Chemically Induced
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Abortions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 19 CSR 30-30.070 Physical Standards for Abortion Facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Chapter 19-30-30Open chapter PDF ↗19-30-30-19 CSR 30-30.080 Definitions Relating to Birthing Centers and Procedures for
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Licensing Birthing Centers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 19 CSR 30-30.090 Organization and Management Standards for Birthing Centers . . . . . . . 24
Chapter 19-30-30Open chapter PDF ↗19-30-30-19 CSR 30-30.090 Organization and Management Standards
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for Birthing Centers explosion or natural disaster. The plan shall be kept current and all personnel shall be knowledgeable of the plan. PURPOSE: This rule establishes standards for the operation of (G) The administrator shall be responsible for developing, birthing centers in or…
Chapter 19-30-30Open chapter PDF ↗19-30-30-19 CSR 30-30.100 General Design and New Construction Standards for Birthing
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Centers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Chapter 19-30-30Open chapter PDF ↗19-30-30-19 CSR 30-30.110 General Design and Construction Standards for Existing Birthing
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Centers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Denny Hoskins (8/31/25) CODE OF STATE REGULATIONS 1 Secretary of State 19 CSR 30-30—DEPARTMENT OF HEALTH AND DIVISION 30—DIVISION OF REGULATION SENIOR SERV…
Chapter 19-30-30Open chapter PDF ↗19-30-33-19 CSR 30-33.010 Reporting Patient Abstract Data by Hospitals and
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Ambulatory Surgical Centers (Moved to 19 CSR 10-33.010) .........................3
Chapter 19-30-33Open chapter PDF ↗19-30-33-19 CSR 30-33.020 Reporting Charges for Leading Diagnoses and Procedures by Hospitals and
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Ambulatory Surgical Centers (Moved to 19 CSR 10-33.020) .........................3 19 CSR 30-33.030 Reporting Financial Data by Hospitals (Moved to 19 CSR 10-33.010) ...............3 Rebecca McDowell Cook (6/30/98) CODE OF STATE REGULATIONS 1 Secretary of State Chapter 33—Hospita…
Chapter 19-30-33Open chapter PDF ↗19-30-33-19 CSR 30-33.030 Reporting Financial
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Data by Hospitals (Moved to 19 CSR 10-33.030) Rebecca McDowell Cook (6/30/98) CODE OF STATE REGULATIONS 3 Secretary of State
Chapter 19-30-33Open chapter PDF ↗19-30-35-19 CSR 30-35.010 Hospice Program Operations
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medication when a pharmacist cannot provide medication PURPOSE: This rule defines the minimum requirements for the services for a patient within a reasonable time based on the provision of hospice services by state certified hospice programs. patient’s clinical needs at the time.…
Chapter 19-30-35Open chapter PDF ↗19-30-35-19 CSR 30-35.030 State Certification Management
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(3) Change of Ownership. The hospice certification shall not PURPOSE: This rule defines the state activities related to the be transferable or assignable. If during the period in which John R. Ashcroft (2/28/23) CODE OF STATE REGULATIONS 19 Secretary of State DIVISION 30—DIVISION…
Chapter 19-30-35Open chapter PDF ↗19-30-41-19 CSR 30-41.010 Head and Spinal Cord
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Injury Reporting Requirements Original rule filed June 2, 1987, effective Aug. 27, 1987. PURPOSE: The Department of Health is *Original authority 1986. mandated by section 192.737, RSMo 1986 to establish and maintain an information reg- istry and reporting system for the purpose …
Chapter 19-30-41Open chapter PDF ↗19-30-45-19 CSR 30-45.010 Definitions and Abbreviations Relating to Trauma Centers
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(Rescinded February 28, 1999) .............................................................3 19 CSR 30-45.020 Trauma Center Designation Requirements (Rescinded February 28, 1999) ..........3 19 CSR 30-45.030 Standards for Trauma Center Designation (Rescinded February 28, 1999) ..…
Chapter 19-30-45Open chapter PDF ↗19-30-45-19 CSR 30-45.020 Trauma Center Desig-
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nation Requirements (Rescinded February 28, 1999) AUTHORITY: section 190.241, RSMo Supp. 1987. Original rule filed Nov. 14, 1989, effective Jan. 26, 1990. Rescinded: Filed Aug. 28, 1998, effective Feb. 28, 1999.
Chapter 19-30-45Open chapter PDF ↗19-30-45-19 CSR 30-45.030 Standards for Trauma
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Center Designation (Rescinded February 28, 1999) AUTHORITY: section 190.241, RSMo Supp. 1987* Original rule filed Nov. 14, 1989, effective Jan. 26, 1990. Rescinded: Filed Aug. 28, 1998, effective Feb. 28, 1999.
Chapter 19-30-45Open chapter PDF ↗19-30-45-19 CSR 30-45.040 Standards for Pediatric
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Trauma Center Designation (Rescinded February 28, 1999) AUTHORITY: section 190.241, RSMo Supp. 1987. Original rule filed Nov. 14, 1989, effective Jan. 26, 1990. Rescinded: Filed Aug. 28, 1998, effective Feb. 28, 1999. 19 CSR 30-45.050 Triage, Transportation and Treatment of Traum…
Chapter 19-30-45Open chapter PDF ↗19-30-45-19 CSR 30-45.050 Triage, Transportation and Treatment of Trauma Patients
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(Rescinded February 28, 1999) ..............................................................3 Rebecca McDowell Cook (1/29/99) CODE OF STATE REGULATIONS 1 Secretary of State Chapter 45—Trauma Centers 19 CSR 30-45 Title 19—DEPARTMENT OF HEALTH Division 30—Division of Health Standar…
Chapter 19-30-45Open chapter PDF ↗19-30-60-19 CSR 30-60.010 Definitions Relating to Child Care Facilities
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(Moved to 5 CSR 25-300.010) ..............................................................3
Chapter 19-30-60Open chapter PDF ↗19-30-60-19 CSR 30-60.020 Application for Annual Fire Safety and Health and Sanitation
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Inspections and Inspection Procedures (Moved to 5 CSR 25-300.020) ..............3 19 CSR 30-60.030 Local Inspections (Moved to 5 CSR 25-300.030) ........................................3 19 CSR 30-60.040 Variance Requests (Moved to 5 CSR 25-300.120)...............................…
Chapter 19-30-60Open chapter PDF ↗19-30-60-19 CSR 30-60.030 Local Inspections
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(Moved to 5 CSR 25-300.030)
Chapter 19-30-60Open chapter PDF ↗19-30-60-19 CSR 30-60.040 Variance Requests
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(Moved to 5 CSR 25-300.120)
Chapter 19-30-60Open chapter PDF ↗19-30-60-19 CSR 30-60.050 Staffing Requirements
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(Moved to 5 CSR 25-300.040)
Chapter 19-30-60Open chapter PDF ↗