663 rulemaking notices from Missouri Department of Social Services.
13 CSR 70-98.015 — Behavioral Health Services Program
Jun 1, 2026
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Behavioral Health Services
13 CSR 70-15.070 — Inpatient Psychiatric Services for Individuals Under Age Twenty-One
Jun 1, 2026
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-10.040 — Medicaid Eligibility and Preadmission Screening for Mentally Ill and Intellectually Disabled Individuals
Apr 15, 2026
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Nursing Home Program
13 CSR 70-10.020 — Prospective Reimbursement Plan for Nursing Facility and HIV Nursing Facility Services
Apr 15, 2026
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Nursing Home Program
2 CSR 80-6.055 — State Approval of Milk-Testing Laboratories
Apr 15, 2026
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-15.020 — Procedures for Admission Certification, Continued Stay Review, and Validation Review of Hospital Admissions. The division is amending sections (1), (6), and (11)
Apr 15, 2026
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 35-35.130 — Contracted Foster Care Case Management Costs. The division is amending sections (5), (6), and (7)
Apr 15, 2026
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / Children’s Division / Alternative Care
13 CSR 70-94.030 — Transformation of Rural Community Health (ToRCH). The division is amending section (6)
Apr 1, 2026
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Rural Health Clinic Program
13 CSR 70-15.030 — Payment and Payment Limitations for Inpatient Hospital Care. The division is amending sections
Apr 1, 2026
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-15.015 — The net fiscal impact is estimated based on the DRG modeling and updates to the data used to calculate the inpatient per diems. There was an increase in the FRA tax rate which increased the inpatient per diems. There was also an increase to
Apr 1, 2026
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-15.010 — Inpatient Hospital Services Reimbursement Methodology Type of Rulemaking: Proposed Amendment II. SUMMARY OF FISCAL IMPACT Estimate of the number of
Apr 1, 2026
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-4.120 — Department is the Payer of Last Resort, Department’s Claim for Recovery, Participant’s Duty of Cooperation. The division is amending sections (1) and (2)
Apr 1, 2026
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Conditions of Participant Participation,
13 CSR 40-91.020 — Vocational Rehabilitation for the Blind
Mar 16, 2026
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / Family Support Division / Sales/Use Tax—Taxpayers Rights
13 CSR 70-15.230 — Upper Payment Limit (UPL) Payment Methodology
Feb 17, 2026
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-98.015 — Behavioral Health Services Program. The MO HealthNet Division is amending section (1) and deleting sections (4) and (5)
Feb 2, 2026
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Behavioral Health Services
13 CSR 70-25.110 — Payment for Early Periodic Screening, Diagnostic, and Treatment Program Services. The department is amending section (1) by updating incorporation by reference language
Feb 2, 2026
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Physician ProgramProposed Rules
13 CSR 70-15.070 — Inpatient Psychiatric Services for IndividualsUnderAgeTwenty-One.Thedivisionisamending sections (1), (2), and (4)
Feb 2, 2026
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-6.020 — Ground Emergency Medical Transportation Uncompensated Cost Reimbursement Program. The MO HealthNet Division is amending sections (1) – (4). Proposed Rules February 2, 2026 Vol. 51, No. 3 Page 194
Feb 2, 2026
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Emergency Ambulance Program
13 CSR 70-2.100 — Title XIX Procedure of Exception to Medical Care Services Limitations. MO HealthNet Division is amending sections (1), (2), and (3)
Feb 2, 2026
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet DivisionMissouri Register / General Scope of Medical Service
13 CSR 70-15.070 — Inpatient Psychiatric Services for IndividualsUnderAgeTwenty-One.Thedivisionisamending sections (1), (2), and (4)
Feb 2, 2026
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-3.230 — Payment Policy for Provider Preventable Conditions
Jan 2, 2026
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Conditions of Provider Participation,
13 CSR 35-71.050 — Staff Qualifications and Requirements
Jan 2, 2026
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Nursing Home Program
13 CSR 70-10.020 — Prospective Reimbursement Plan for Nursing Facility and HIV Nursing Facility Services. The division is amending sections (4), (11), and (12)
Jan 2, 2026
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Nursing Home Program
13 CSR 70-15.160 — 13 CSR 70-15.160
Dec 15, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-10.040 — Medicaid Eligibility and Preadmission Screening for Mentally Ill and [Mentally Retarded] Intellectually Disabled Individuals. The division is amending the rule title, sections (1), (3), (4), (6), (7), and (8), and adding a new section (9)
Dec 15, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Nursing Home Program
13 CSR 70-20.320 — Pharmacy Reimbursement Allowance
Dec 1, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Pharmacy Program
13 CSR 70-15.220 — Disproportionate Share Hospital (DSH) Payments
Dec 1, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-15.190 — Out-of-State Hospital Services Reimbursement Plan
Dec 1, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-15.110 — Federal Reimbursement Allowance (FRA)
Dec 1, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-15.015 — Supplemental Payments
Dec 1, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-3.250 — Payment Policy for Early Elective Delivery
Dec 1, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Conditions of Provider Participation,
13 CSR 70-3.200 — Ambulance Service Reimbursement Allowance
Dec 1, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Conditions of Provider Participation,
13 CSR 40-91.020 — Vocational Rehabilitation for the Blind. The department is amending sections (1)-(5), (8)-(13), (15), (19), removingandrenumberingsection(4),addingnewsection(5), adding a new section (20), and renumbering and amending the current section (2
Nov 17, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / Family Support Division / Rehabilitation Services for the Blind
13 CSR 35-60.010 — Family Homes Offering Foster Care. The division is amending section (2)
Nov 17, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / Children’s Division / Licensing of Foster Family Homes
13 CSR 35-34.080 — Children’s Income Disbursement System (KIDS). This rule established the procedures for the handling of monies which are received on behalf of a child in the custody of the Children’s Division
Nov 17, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / Director of Revenue / Sales/Use Tax—Use Tax
13 CSR 35-60.010 — Family Homes Offering Foster Care. The Children’s Division is amending section (2)
Nov 17, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / Children’s Division / Licensing of Foster Family Homes
13 CSR 35-34.080 — Children’s Income Disbursement System (KIDS). This rule established the procedures for the handling of monies which are received on behalf of a child in the custody of the Children’s Division
Nov 17, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / Children’s Division / Homeless, Dependent and Neglected
11 CSR 45-1.015 — Code of Ethics
Oct 15, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-15.015 — The net fiscal impact is estimated based on the DRG modeling and updates to the data used to calculate the inpatient per diems. There was an increase in the FRA tax rate which increased the inpatient per diems. There was also an increase to
Oct 15, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-15.010 — Inpatient Hospital Services Reimbursement Methodology. The division is amending sections (1)—(5), deleting sections (6)—(12) and (16), and renumbering sections
Oct 15, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-25.130 — Diabetes Prevention Program
Oct 1, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Physician Program
13 CSR 35-60.040 — Physical and Environmental Standards
Oct 1, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / Children’s Division / Licensing of Foster Family Homes
13 CSR 70-15.230 — Upper Payment Limit (UPL) Payment Methodology. The division is amending section (2) and adding section (3)
Oct 1, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-10.110 — Nursing Facility Reimbursement Allowance. The division is amending sections (1) and (2)
Sep 15, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Nursing Home Program
13 CSR 35-71.050 — Staff Qualifications and Requirements. The Department of Social Services is amending sections (1) and (2), adding a new section (3), renumbering and amending sections (3)—(12), and removing current section (12)
Sep 15, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / Children’s Division / Rules for Residential Care Facilities for
13 CSR 70-3.230 — Payment Policy for Provider Preventable Conditions. The department is amending sections (2) and (3)
Sep 2, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Conditions of Provider Participation,
13 CSR 70-94.020 — Provider-Based Rural Health Clinic
Aug 15, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Rural Health Clinic Program
13 CSR 70-20.320 — Pharmacy Reimbursement Allowance. The division is amending section (2)
Aug 1, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Pharmacy Program
13 CSR 70-15.220 — Disproportionate Share Hospital (DSH) Payments. The division is amending sections (1) – (5) and (7), deleting section (6), and renumbering as necessary
Aug 1, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-15.190 — Out-of-State Hospital Services Reimbursement Plan. The division is amending sections (2) and (6), deleting section (3), and renumbering sections (4), (5), and (6)
Aug 1, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program