Missouri State Register
663 rulemaking notices from Missouri Department of Social Services.
13 CSR 70-15.160 — Outpatient Hospital Services Reimbursement Methodology. The division is amending section (1) and adding section (2)
Aug 1, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
Proposed-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-15.110 — Federal Reimbursement Allowance (FRA). The division is amending sections (1) and (2), and deleting sections (3)–(5)
Aug 1, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
Proposed-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-15.010 — 13 CSR 70-15.010
Aug 1, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
Proposed-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-15.015 — [Direct Medicaid] Supplemental Payments. The division is amending the title and previous section (1) and adding sections (1)–(2) and (4)–(15)
Aug 1, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
Proposed-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-3.250 — Payment Policy for Early Elective Delivery. The division is amending section (4)
Aug 1, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Conditions of Provider Participation,
Proposed-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-3.200 — Ambulance Service Reimbursement Allowance. The division is amending section (2)
Aug 1, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Conditions of Provider Participation,
Proposed-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-20.320 — Pharmacy Reimbursement Allowance. The MO HealthNet Division is amending section (2)
Aug 1, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Pharmacy Program
Emergency-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-15.220 — Disproportionate Share Hospital (DSH) Payments. The division is amending sections (1)–(5), deleting section (6), and renumbering and amending the current section (7)
Aug 1, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
Emergency-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-15.190 — Out-of-State Hospital Services Reimbursement Plan. The division is amending sections (2) –(6)
Aug 1, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
Emergency-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-15.160 — Outpatient Hospital Services Reimbursement Methodology. The division is amending section (1) and adding section (2)
Aug 1, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
Emergency-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-15.110 — Federal Reimbursement Allowance (FRA). The division is amending sections (1) and (2), and deleting sections (3)–(5)
Aug 1, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
Emergency-RulesDepartment of Social ServicesOpen in State Register ↗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
Aug 1, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
Emergency-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-15.010 — Inpatient Hospital Services Reimbursement Methodology Type of Rulemaking: Emergency Amendment II. SUMMARY OF FISCAL IMPACT Affected Agency or Political Subdivision Estimated Cost of Compliance in the Aggregate
Aug 1, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
Emergency-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-10.110 — Nursing Facility Reimbursement Allowance. The division is amending section (2)
Aug 1, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Nursing Home Program
Emergency-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-3.200 — Ambulance Service Reimbursement Allowance. The division is amending section (2) of this regulation
Aug 1, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Conditions of Provider Participation,
Emergency-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-10.020 — Prospective Reimbursement Plan for Nursing Facility and HIV Nursing Facility Services
Jul 15, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Nursing Home Program
Orders-Of-RulemakingDepartment of Social ServicesOpen in State Register ↗13 CSR 70-25.130 — Diabetes Prevention Program. The division is amending sections (1) – (5)
Jun 16, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Physician Program
Proposed-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-20.310 — Prospective Drug Use Review Process and Patient Counseling
Jun 2, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Pharmacy Program
Orders-Of-RulemakingDepartment of Social ServicesOpen in State Register ↗13 CSR 70-20.200 — Prescription Prior Authorization Process
Jun 2, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Pharmacy Program
Orders-Of-RulemakingDepartment of Social ServicesOpen in State Register ↗13 CSR 35-60.040 — Physical and Environmental Standards. The department is amending subsection (3)(I)
Jun 2, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / Children’s Division / Licensing of Foster Family Homes
Proposed-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 35-60.040 — Physical and Environmental Standards. The Department of Social Services is amending subsection (3) (I)
Jun 2, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / Children’s Division / Licensing of Foster Family Homes
Emergency-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-20.075 — 340B Drug Pricing Program
May 1, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Pharmacy Program
Orders-Of-RulemakingDepartment of Social ServicesOpen in State Register ↗13 CSR 70-25.140 — Biopsychosocial Treatment of Obesity for Youth and Adults. The MO HealthNet Division is amending sections (1)-(7), deleting section (3), and renumbering as necessary
Apr 15, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Physician Program
Proposed-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-20.300 — Retrospective Drug Use Review Process
Apr 1, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Pharmacy Program
Orders-Of-RulemakingDepartment of Social ServicesOpen in State Register ↗13 CSR 70-20.250 — Prior Authorization of New Drug Entities or New Drug Dosage Form
Apr 1, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Pharmacy Program
Orders-Of-RulemakingDepartment of Social ServicesOpen in State Register ↗13 CSR 70-20.045 — Maximum Day Supply Limit on Prescriptions Reimbursed by the MO HealthNet Division
Apr 1, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Pharmacy Program
Orders-Of-RulemakingDepartment of Social ServicesOpen in State Register ↗13 CSR 70-15.010 — Inpatient Hospital Services Reimbursement Methodology
Apr 1, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Rural Health Clinic
Orders-Of-RulemakingDepartment of Social ServicesOpen in State Register ↗13 CSR 70-3.030 — Sanctions for False or Fraudulent Claims for Title XIX Services
Apr 1, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Rural Health Clinic
Proposed-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-15.010 — (2)(F), 13 CSR 70-15.010(5), and Missouri’s supplemental cost report schedules. (H) Provider or facility. A PBRHC with a valid MO HealthNet participation agreement in effect with the Department of Social Services for the purpose of providin
Apr 1, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Rural Health Clinic
Proposed-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-94.020 — Provider-Based Rural Health Clinic. The division is amending section (1), removing sections (2)–(6), (9), and (10), adding new sections (2) and (3), and renumbering as necessary
Apr 1, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Rural Health Clinic
Proposed-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-3.030 — Sanctions for False or Fraudulent Claims for Title XIX Services
Apr 1, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Rural Health Clinic
Emergency-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-15.010 — (2)(F), 13 CSR 70-15.010(5), and Missouri’s supplemental cost report schedules.] Fiscal Year (FY). The clinic's fiscal reporting period that corresponds with the fiscal year of the hospital where the clinic is based. (H) [Provider or facili
Apr 1, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Rural Health Clinic
Emergency-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-94.020 — Provider-Based Rural Health Clinic. The division is amending sections (1), (2), (3), (4), (5), and (6) and removing sections (7), (8), (9), (10), and (11)
Apr 1, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Rural Health Clinic
Emergency-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-98.015 — Behavioral Health Services Program
Mar 3, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Behavioral Health Services
Orders-Of-RulemakingDepartment of Social ServicesOpen in State Register ↗13 CSR 70-25.160 — 13 CSR 70-25.160
Mar 3, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Physician Program
Orders-Of-RulemakingDepartment of Social ServicesOpen in State Register ↗13 CSR 70-20.047 — Ninety-Day Supply Requirement for Select Prescriptions
Mar 3, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Pharmacy Program
Orders-Of-RulemakingDepartment of Social ServicesOpen in State Register ↗13 CSR 70-20.030 — Drugs Covered by the MO HealthNet Division . Orders of Rulemaking
Mar 3, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Pharmacy Program
Orders-Of-RulemakingDepartment of Social ServicesOpen in State Register ↗13 CSR 70-4.080 — State Children’s Health Insurance Program
Mar 3, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Conditions of Participant Participation,
Orders-Of-RulemakingDepartment of Social ServicesOpen in State Register ↗13 CSR 35-71.045 — Personnel
Mar 3, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / Children’s Division / Rules for Residential Care Facilities
Orders-Of-RulemakingDepartment of Social ServicesOpen in State Register ↗2 CSR 80-2.002 — Adoption of the Procedures Governing the Cooperative State-Public Health Service/Food and Drug Administration Program of the National Conference on Interstate Milk Shipments, 2023 Revision of the United States Department of Health and Human
Mar 3, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Nursing Home Program
Orders-Of-RulemakingDepartment of Social ServicesOpen in State Register ↗13 CSR 70-10.020 — Prospective Reimbursement Plan for Nursing Facility and HIV Nursing Facility Services. The division is amending sections (4), (10), (11), and (12)
Mar 3, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Nursing Home Program
Proposed-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-10.020 — Prospective Reimbursement Plan for Nursing Facility and HIV Nursing Facility Services. The division is amending sections (4), (10), (11), and (12)
Mar 3, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Nursing Home Program
Emergency-RulesDepartment of Social ServicesOpen in State Register ↗20 CSR 2220-2.190 — is incorporated by reference and made a part of this rule, as published by the Department of Social Services, MO HealthNet Division, 615 Howerton Ct., Jefferson City, MO 65109, at its website at https://dssruletracker. mo.gov/dssproposed-ru
Feb 3, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Pharmacy Program
Proposed-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-20.310 — Prospective Drug Use Review Process and Patient Counseling. The Department of Social Services is amending the purpose statement and sections (1) – (6), removing section (7), and renumbering accordingly
Feb 3, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Pharmacy Program
Proposed-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-20.200 — [Drug] Prescription Prior Authorization Process. The department is amending the title, purpose statement, and sections (2), (3), and (9), removing sections (1),
Feb 3, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Pharmacy Program
Proposed-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-15.230 — Upper Payment Limit (UPL) Payment Methodology
Jan 15, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
Orders-Of-RulemakingDepartment of Social ServicesOpen in State Register ↗13 CSR 70-15.110 — Federal Reimbursement Allowance (FRA)
Jan 15, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
Orders-Of-RulemakingDepartment of Social ServicesOpen in State Register ↗13 CSR 70-8.010 — 13 CSR 70-8.010
Jan 15, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Program of All-Inclusive Care for the
Orders-Of-RulemakingDepartment of Social ServicesOpen in State Register ↗13 CSR 70-20.075 — 340B Drug Pricing Program. The division is amending sections (1)–(5) and adding section (6)
Jan 2, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Pharmacy Program
Proposed-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 35-71.015 — Background Checks for Personnel of Residential Care Facilities and Child Placing Agencies. The division is amending section (12)
Jan 2, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / Children’s Division / Rules for Residential Care Facilities for
Proposed-RulesDepartment of Social ServicesOpen in State Register ↗