Missouri Administrative Code

(Rescinded January 12, 1990) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 19 CSR 60-50.021 CN Program Administration (Rescinded November 30, 1994) . . . . . . . . . . . 3

(Rescinded November 30, 1994)

(Rescinded January 12, 1990) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 19 CSR 60-50.031 Certificate of Need (CN) Applications (Rescinded November 30, 1994) . . . 3

19 CSR 60-50.010 State Health Planning and Development (Rescinded November 30, 1994) Agency (SHPDA) (Rescinded January 12, 1990) AUTHORITY: section 197.320, RSMo 1986. Emergency rule filed July 3, 1989, effective July 13, 1989, expired Nov. 9, 1989. Original AUTHORITY: section 19…

(Rescinded January 12, 1990) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

19 CSR 60-50.050 Certificate of Need Necessary (Rescinded January 12, 1990). . . . . . . . . . . . . 3 19 CSR 60-50.051 Information on MHFRC Meetings (Rescinded November 30, 1994). . . . . . . 3 19 CSR 60-50.060 Waiver of Certificate of Need (Rescinded January 12, 1990) . . . . .…

AUTHORITY: section 197.320, RSMo 1986. Emergency rule filed (Rescinded January 12, 1990) July 3, 1989, effective July 13, 1989, expired Nov. 9, 1989. Original rule filed July 3, 1989, effective Jan. 12, 1990. Amended: Filed Nov. AUTHORITY: sections 197.315.1, 197.315.7, 197.315.1…

(Rescinded January 12, 1990) filed July 3, 1989, effective Jan. 12, 1990. Amended: Filed March 16, 1990, effective June 28, 1990. Amended: Filed July 17, 1990, AUTHORITY sections 197.320 and 197.330(9), RSMo 1986. This rule effective Dec. 31, 1990. Amended: Filed Nov. 16, 1990, e…

(Rescinded November 30, 1994) AUTHORITY: sections 197.320 and 197.330(3), RSMo 1986. This rule AUTHORITY: section 197.320, RSMo 1986. Emergency rule filed July was previously filed as 13 CSR 60-3.060 and 19 CSR 30-50.090. 3, 1989, effective July 13, 1989, expired Nov. 9, 1989. Or…

AUTHORITY: sections 197.320 and 197.330(3), RSMo 1986. This (Rescinded January 12, 1990) rule was previously filed as 13 CSR 60-3.070 and 19 CSR 30-50.100. Emergency rule filed Nov. 20, 1980, effective Dec. 1, 1980, expired AUTHORITY: sections 197.315.2, 197.315.3, 197.315.4, 197…

(Rescinded November 30, 1994) was previously filed as 13 CSR 60-3.080 and 19 CSR 30-50.110. Emergency rule filed Nov. 20, 1980, effective Dec. 1, 1980, expired AUTHORITY: section 197.320, RSMo 1986. Emergency rule filed July April 1, 1981. Original rule filed Sept. 11, 1980, effe…

(Rescinded January 12, 1990) AUTHORITY: section 197.320, RSMo 1986. This rule was previously filed as 13 CSR 60-3.090 and 19 CSR 30-50.120. Emergency rule AUTHORITY: sections 197.315.8, 197.315.10, 197.320, 197.325, filed Nov. 20, 1980, effective Dec. 1, 1980, expired April 1, 19…

(Rescinded January 12, 1990) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 19 CSR 60-50.110 Appeals (Rescinded January 12, 1990) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 19 CSR 60-50.120 Annual Report, Public Access (Resc…

(Rescinded January 12, 1990)

(Rescinded January 12, 1990) Dec. 14, 2001, effective June 30, 2002. Amended: Filed Oct. 1, 2010, effective May 30, 2011. AUTHORITY: sections 197.300–197.365 and 536.043, RSMo 1986. This rule was previously filed as 13 CSR 60-3.100 and 19 CSR 30- *Original authority: 197.320, RSM…

Applications (Rescinded January 12, 1990) . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 19 CSR 60-50.200 Purpose and Structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 19 CSR 60-50.300 Definitions for the Certificate of…

services to its patients/residents. PURPOSE: This rule describes the purpose of the Certificate of Need (CON) statute and the structure of the Missouri Health Facilities (4) Cost means— Review Committee. (A) Price paid or to be paid by the applicant for a new institutional health…

(Rescinded June 30, 2002) licensed under Chapter 197, RSMo, meeting the requirements AUTHORITY: section 197.320, RSMo Supp. 1999. Emergency rule described in 42 CFR, section 412.23(e); filed Aug. 29, 1997, effective Sept. 8, 1997, expired March 6, 2. The project involves the acqu…

or beds in a long-term care hospital meeting the requirements PURPOSE: This rule delineates the process for submitting a Letter found in 42 CFR section 412.23(e) at any cost; of Intent to begin the Certificate of Need (CON) review process and 5. The project involves a capital exp…

(A) Purchase Agreement (Form MO 580-2352 included PURPOSE: This rule provides the information requirements and herein); and the details for how to complete the Letter of Intent package to (B) Schematic drawings and evidence of site control, with begin the Certificate of Need (CON…

(A) For full CON applications, the CONP staff shall post the PURPOSE: This rule delineates the process for submitting a analysis and immediately notify the committee at least twenty Certificate of Need (CON) application for a CON review. (20) days in advance of the first committe…

50.450(4)–(5) for the proposal by addressing the applicable PURPOSE: This rule provides the information requirements and Community Need Criteria and Standards using the standards the application format for how to complete a Certificate of Need in 19 CSR 60-50.440 through 19 CSR 6…

New Hospitals (B) Provide the most recent three (3) full years of evidence that the average occupancy of the same type(s) of beds at each PURPOSE: This rule lists the service-specific criteria and standards other hospital in the proposed service area exceeds eighty used in the Ce…

Feasibility PURPOSE: This rule outlines the criteria and standards against which a project involving a health care facility would be evaluated relative to the financial feasibility of the project in a Certificate of Need (CON) review. (1) Proposals for any new hospital, skilled n…

(Rescinded June 30, 2002) 19 CSR 60-50.600 Certificate of Need Decisions AUTHORITY: section 197.320, RSMo Supp. 1997. Emergency rule PURPOSE: This rule describes the process for making decisions on filed Aug. 29, 1997, effective Sept. 8, 1997, expired March 6, Certificate of Need…

at no more than the actual cost of reproduction. This note applies PURPOSE: This rule describes the process for submitting additional only to the reference material. The entire text of the rule is printed information and for requesting a public hearing on Certificate of here. Nee…

(6) If the committee forfeits a CON, or a Non-Applicability PURPOSE: This rule describes the procedure for filing Periodic CON letter becomes null and void, CONP staff shall notify all Progress Reports after approval of Certificate of Need (CON) affected state agencies of this ac…

remain clear of the podium and staff area until specifically PURPOSE: This rule describes the meeting format and protocol in called by the chairman); and a Certificate of Need (CON) review meeting. (H) Prescribed time limits shall be monitored by the timekeeper, and presenters sh…

PURPOSE: This rule describes the duties and responsibilities of the Certificate of Need (CON) Program staff. (1) The role of the Missouri Health Facilities Review Committee (committee) includes the following: (A) Make specific decisions about applications, applicability and admin…

melanomatous skin cancers—to the director tion (CDC) National Program of Cancer Cases of the department or to the director’s desig- Registries (NPCR) and years of tobacco use. PURPOSE: This rule establishes a method of nated representative. Hospitals that electroni- The departmen…

15, 2011, effective Jan. 30, 2012. Amended: PURPOSE: The purpose of this regulation is Filed Nov. 23, 2021, effective June 30, 2022. to comply with section 536.023(3), RSMo, which requires each agency to adopt as a reg- *Original authority: 344.070, RSMo 1969, amended 1979, 1993,…

isters, manages, or supervises an assisted living facility or PURPOSE: This rule clearly defines terms as used in Chapter 344, residential care facility, as defined in Chapter 198, RSMo. This RSMo, and in these rules. includes residential care facilities that were licensed as a r…

Administrators. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Assisted Living Administrators. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Administrators. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 19 CSR 73-2.025 Licensure by Reciprocity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 19 CSR 73-2.031 Prescri…

(5) Upon meeting the requirements of this rule and upon PURPOSE: This rule describes the procedures and requirements for board approval, the applicant must complete and pass the reciprocity licensure. state examination. PUBLISHER’S NOTE: The secretary of state has determined that…

Training 4. Volunteers and auxiliaries; and 5. Chemical dependency of the resident; PURPOSE: This rule describes the course of instruction and train- (E) Medical Record Keeping: ing that may be prescribed by the board under the authority as set 1. Medical records systems; forth i…

Amended: Filed Aug. 31, 2018, effective April 30, 2019. ** PURPOSE: This rule establishes the procedures by which a currently licensed administrator may retire his/her license and *Original authority: 344.070, RSMo 1969, amended 1979, 1993, 1995, 2007. the procedures for reactiva…

PURPOSE: This rule describes the conditions and procedures for PURPOSE: This rule sets forth the requirements for registration renewing a license that has expired. with the board for training agencies and single offering providers offering courses of study and training intended t…

Filed Jan. 31, 2003, effective Aug. 30, 2003. Amended: Filed Dec. PURPOSE: This rule sets forth the procedure for requesting an 28, 2007, effective Aug. 30, 2008. Amended: Filed June 15, 2011, emergency license and extension and the conditions which must effective Jan. 30, 2012. …

Suspended/Revoked Licenses (1) Every person licensed as a nursing home administrator or PURPOSE: This rule describes the conditions and procedures for residential care and assisted living administrator must display the restoration and rehabilitation of suspended/revoked licenses.…

istrator must submit a written request for a duplicate license PURPOSE: This rule describes the board’s procedure for the to the board office, along with a written explanation as to why investigation of a complaint or referral and stipulates the con- the original license is no lo…

Employment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 2 CODE OF STATE REGULATIONS John R. Ashcroft (10/31/23) Secretary of State 19 CSR 73-2—DEPARTMENT OF HEALTH AND DIVISION 73—MISSOURI BOARD OF SENIOR SERVICES…

(Rescinded August 30, 2018) 27, 2002. Original rule filed Jan. 16, 2002, effective Aug. 30, 2002. Rescinded: Filed AUTHORITY: section 208.553.3(5), RSMo Jan. 5, 2018, effective Aug. 30, 2018. Supp. 2001. Emergency rule filed Jan. 16, 2002, effective March 1, 2002, expired Aug. 27…

tion Process 2002, effective March 1, 2002, expired Aug. (Rescinded August 30, 2018) 27, 2002. Original rule filed Jan. 16, 2002, effective Aug. 30, 2002. Rescinded: Filed AUTHORITY: section 208.553.3(5), RSMo Jan. 5, 2018, effective Aug. 30, 2018. Supp. 2001. Emergency rule file…

sions Supp. 2001. Emergency rule filed Jan. 16, (Rescinded August 30, 2018) 2002, effective March 1, 2002, expired Aug. 27, 2002. Original rule filed Jan. 16, 2002, AUTHORITY: section 208.553.3(5), RSMo effective Aug. 30, 2002. Rescinded: Filed Supp. 2001. Emergency rule filed Ja…

ties 27, 2002. Original rule filed Jan. 16, 2002, (Rescinded August 30, 2018) effective Aug. 30, 2002. Rescinded: Filed Jan. 5, 2018, effective Aug. 30, 2018. AUTHORITY: section 208.553.3(5), RSMo Supp. 2001. Emergency rule filed Jan. 16, 2002, effective March 1, 2002, expired Au…

into the Program (Rescinded August 30, 2018) AUTHORITY: section 208.553.3(5), RSMo Supp. 2001. Emergency rule filed Jan. 16, 2002, effective March 1, 2002, expired Aug. 27, 2002. Original rule filed Jan. 16, 2002, effective Aug. 30, 2002. Rescinded: Filed Jan. 5, 2018, effective …