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Missouri State Register, Rulemaking Pipeline

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Your Policy Risk Impact Agent

Missouri/State Register

← All Missouri coverage

Missouri State Register

689 rulemaking notices from Missouri Department of Social Services.

All filings689 Orders-Of-Rulemaking268 Proposed-Rules240 In-Additions111 Emergency-Rules70

All agencies689 Department of Commerce and Insurance4,195 Department of Health and Senior Services3,568 Department of Social Services689 Department of Public Safety674 Department of Conservation623

689 rulemaking notices·Filtered byMissouri Department of Social Services✕

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
Proposed-RulesDepartment of Social ServicesOpen in State Register ↗
13 CSR 70-20.320 — Pharmacy Reimbursement Allowance
Dec 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 70-15.220 — Disproportionate Share Hospital (DSH) Payments
Dec 1, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program

Showing 51–100 of 689

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Department of Natural Resources

602

Department of Revenue496

Department of Elementary and Secondary Education480

Department of Agriculture388

Department of Mental Health282

Department of Transportation140

Department of Economic Development129

Department of Higher Education and Workforce Development100

Department of Labor and Industrial Relations93

Orders-Of-RulemakingDepartment of Social ServicesOpen in State Register ↗

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

Orders-Of-RulemakingDepartment of Social ServicesOpen in State Register ↗

13 CSR 70-15.110 — Federal Reimbursement Allowance (FRA)

Dec 1, 2025

Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program

Orders-Of-RulemakingDepartment of Social ServicesOpen in State Register ↗

13 CSR 70-15.015 — Supplemental Payments

Dec 1, 2025

Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program

Orders-Of-RulemakingDepartment of Social ServicesOpen in State Register ↗

13 CSR 70-3.250 — Payment Policy for Early Elective Delivery

Dec 1, 2025

Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Conditions of Provider Participation,

Orders-Of-RulemakingDepartment of Social ServicesOpen in State Register ↗

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,

Orders-Of-RulemakingDepartment of Social ServicesOpen in State Register ↗

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

Proposed-RulesDepartment of Social ServicesOpen in State Register ↗

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

Proposed-RulesDepartment of Social ServicesOpen in State Register ↗

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

Proposed-RulesDepartment of Social ServicesOpen in State Register ↗

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

Emergency-RulesDepartment of Social ServicesOpen in State Register ↗

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

Emergency-RulesDepartment of Social ServicesOpen in State Register ↗

11 CSR 45-1.015 — Code of Ethics

Oct 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 70-15.015 — 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

Proposed-RulesDepartment of Social ServicesOpen in State Register ↗

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

Proposed-RulesDepartment of Social ServicesOpen in State Register ↗

13 CSR 70-25.130 — Diabetes Prevention Program

Oct 1, 2025

Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Physician Program

Orders-Of-RulemakingDepartment of Social ServicesOpen in State Register ↗

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

Orders-Of-RulemakingDepartment of Social ServicesOpen in State Register ↗

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

Proposed-RulesDepartment of Social ServicesOpen in State Register ↗

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

Proposed-RulesDepartment of Social ServicesOpen in State Register ↗

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

Proposed-RulesDepartment of Social ServicesOpen in State Register ↗

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,

Proposed-RulesDepartment of Social ServicesOpen in State Register ↗

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

Orders-Of-RulemakingDepartment of Social ServicesOpen in State Register ↗

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

Proposed-RulesDepartment of Social ServicesOpen in State Register ↗

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

Proposed-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) 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

Proposed-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

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 ↗