Proposed-Ruless

13 CSR 70-90.010 — Home Health-Care Services. The MO HealthNet Division is amending subsections (1)(A)–(C) and (3) (B), section (7), and paragraphs (8)(A)3. and (8)(B)3

Dec 1, 2022

13 CSR 70-98.030 — Applied Behavior Analysis Services. The division is amending all sections of the rule, is adding a new section (2), and is renumbering accordingly

Oct 3, 2022

13 CSR 40-37.010 — Basis for Provision. This rule established the basis and criteria for provision of early periodic screening, diagnosis, and treatment services

Oct 3, 2022

13 CSR 70-95.010 — Private Duty Nursing. The MO HealthNet Division is amending sections (3) and (10)

Sep 1, 2022

13 CSR 70-8.010 — Program of All-Inclusive Care for the Elderly

Sep 1, 2022

13 CSR 70-91.010 — (4)(A) Personal Care Program, regardless to who the reimbursement is paid and regardless of whom in their employment or service produced or submitted the MO HealthNet claim or both; 22. Billing for the same service as another provider when

Sep 1, 2022

13 CSR 70-3.030 — [Sanctions] Administrative Actions for Improperly Paid, False, or Fraudulent Claims for MO HealthNet Services. This amendment changes the title of the rule, the purpose, and revis- es sections (1) through (6)

Sep 1, 2022

13 CSR 70-15.220 — Disproportionate Share Hospital (DSH) Payments. The division is amending sections (1)–(8)

Aug 1, 2022

13 CSR 70-15.190 — Out-of-State Hospital Services Reimbursement Plan. The division is amending sections (1) and (2), deleting sec- tions (3)–(14), and adding new sections (3)–(6)

Aug 1, 2022

13 CSR 70-15.230 — [Supplemental] Upper Payment Limit (UPL) Payment Methodology. The division is amending section (2)

Jul 15, 2022

13 CSR 70-15.160 — Outpatient Hospital Services Reimbursement Methodology. The division is amending section (5)

Jul 15, 2022

13 CSR 70-15.110 — Federal Reimbursement Allowance (FRA). The division is amending subparagraph (1)(A)13.G., and adding new sec- tion (5)

Jul 15, 2022

13 CSR 70-15.015 — Direct Medicaid Payments. The division is deleting sections (1) and (2) and adding a new section (1)

Jul 15, 2022

13 CSR 70-15.010 — Inpatient Hospital Services Reimbursement Methodology. The division is amending sections (1)–(11) and adding sections (12)–(15)

Jul 15, 2022

13 CSR 70-5.010 — Nonemergency Medical Transportation (NEMT) Services. The division is amending section (1)

Jul 1, 2022

13 CSR 70-4.051 — Copayment for Pharmacy Services. This rule established the regulatory basis for the MO HealthNet requirement of eligible participant copayment when receiving covered pharmacy services

Jul 1, 2022

13 CSR 70-3.320 — Electronic Visit Verification (EVV). The division is amending sections (1), (2), and (3)

Jul 1, 2022

20 CSR 2110-2.120 — Dental Assistants. The board is amending sub- section (4)(A) and sections (5) and (7)

Apr 15, 2022

13 CSR 65-2.020 — Provider Enrollment and Application. The department is amending sections (1)-(6) and (9), adding new sections

Apr 15, 2022

13 CSR 70-65.010 — Rehabilitation Center Program. The MO HealthNet Division is amending sections (1) and (7)

Feb 15, 2022

13 CSR 70-15.030 — Payment and Payment Limitations for Inpatient Hospital Care. The MO HealthNet Division is amending section (1)

Feb 15, 2022

13 CSR 70-15.020 — Procedures for Admission Certification, Continued Stay Review, and Validation Review of Hospital Admissions. The division is amending the title and section (1)

Feb 15, 2022

13 CSR 70-4.120 — Department is the Payer of Last Resort, Department’s [Lien] Claim for Recovery, Participant’s Duty of Cooperation. The Department of Social Services is amending the chapter title, title of the rule, and sections (4), (5), (7), (9), (10),

Feb 15, 2022

13 CSR 70-4.110 — Placement of Liens on Property of Certain Institutionalized MO HealthNet [Eligible Persons] Participants. The division is amending the chapter and rule title, the purpose, and sections (1)-(6), and removing section (8)

Feb 15, 2022

13 CSR 70-4.100 — Preventing Medicaid Payment of Expenses Used to Meet Spenddown. The division is amending the chapter title and sections (1), (3), (4), and (5)

Feb 15, 2022

13 CSR 70-3.180 — Medical Pre-Certification Process. The division is amending the purpose and sections (1), (2), (4), and (7)

Feb 15, 2022

13 CSR 70-3.120 — Limitations on Payment of Out-of-State Non- emergency Medical Services. The department is amending sections

Feb 15, 2022

13 CSR 70-3.330 — Telemedicine Services

Jan 3, 2022

13 CSR 70-3.230 — Payment Policy for Provider Preventable Conditions. The department is amending section (2) of the rule

Jan 3, 2022

13 CSR 35-71.150 — Designation Rules for Qualified Residential Treatment Programs

Jan 3, 2022

13 CSR 70-20.031 — List of Drugs for Which Prior Authorization Is Required and Drugs Excluded from Coverage Under the MO HealthNet Pharmacy Program. The division is adding a new sec- tion (1), amending new sections (2) and (5), and renumbering as nec- essary

Dec 1, 2021

13 CSR 70-90.010 — Home Health-Care Services. The MO HealthNet Division is adding subsection (2)(C), amending sections

Nov 15, 2021

13 CSR 40-7.050 — Presumptive Eligibility. The department is amend- ing sections (1), (2), and (4)

Nov 15, 2021

13 CSR 40-7.010 — Scope and Definitions. The division is amending subsection (1)(K)

Nov 15, 2021

13 CSR 40-2.015 — Authorized Representatives. The division is amending subsection (2)(D) and adding section (19)

Nov 15, 2021

13 CSR 70-100.010 — Missouri Rx Plan Benefits and Limitations. The Department of Social Services is removing sections (3)–(8),

Nov 1, 2021

13 CSR 70-15.040 — [Inpatient] Hospital [and] Outpatient [Hospital] Settlements. The division is amending the title, the pur- pose, and sections (1), (2), and (4), removing section (3) and (5), adding a new section (4), and renumbering as necessary

Nov 1, 2021

13 CSR 70-6.020 — Ground Emergency Medical Transportation Uncompensated Cost Reimbursement Program

Nov 1, 2021

13 CSR 70-3.035 — Violations Attested to by the Department of Health and Senior Services

Nov 1, 2021

13 CSR 35-73.035 — Staff Qualifications and Requirements. The division is amending sections (1)-(8)

Nov 1, 2021

13 CSR 35-73.030 — Personnel Practices and Personnel. The divi- sion is amending sections (1), (2), (6), and (7)

Nov 1, 2021

13 CSR 35-73.017 — Hearings and Judicial Review. The division is Page 1990 Proposed Rules November 1, 2021 Vol. 46, No. 21 amending section (1)

Nov 1, 2021

13 CSR 35-73.012 — Basis for Licensure and Licensing Procedures. The division is amending sections (2), (3), and (6)

Nov 1, 2021

13 CSR 35-73.010 — Scope and Definitions. The division is amending the title of the rule, moving sections (1)-(44) into subsections under a new section (2), and is adding a new section (1)

Nov 1, 2021

13 CSR 35-71.300 — Notification Requirements for License-Exempt Residential Care Facilities

Nov 1, 2021

13 CSR 35-71.045 — Personnel. The Department of Social Services is amending the chapter title and sections (1)–(3)

Nov 1, 2021

13 CSR 35-71.030 — 13 CSR 35-71.030

Nov 1, 2021