Emergency-Ruless

13 CSR 70-15.070 — Inpatient Psychiatric Services for IndividualsUnderAgeTwenty-One.Thedivisionisamending sections (1), (2), and (4)

Feb 2, 2026

13 CSR 35-60.010 — Family Homes Offering Foster Care. The Children’s Division is amending section (2)

Nov 17, 2025

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

13 CSR 70-20.320 — Pharmacy Reimbursement Allowance. The MO HealthNet Division is amending section (2)

Aug 1, 2025

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

13 CSR 70-15.190 — Out-of-State Hospital Services Reimbursement Plan. The division is amending sections (2) –(6)

Aug 1, 2025

13 CSR 70-15.160 — Outpatient Hospital Services Reimbursement Methodology. The division is amending section (1) and adding section (2)

Aug 1, 2025

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

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

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

13 CSR 70-10.110 — Nursing Facility Reimbursement Allowance. The division is amending section (2)

Aug 1, 2025

13 CSR 70-3.200 — Ambulance Service Reimbursement Allowance. The division is amending section (2) of this regulation

Aug 1, 2025

13 CSR 35-60.040 — Physical and Environmental Standards. The Department of Social Services is amending subsection (3) (I)

Jun 2, 2025

13 CSR 70-3.030 — Sanctions for False or Fraudulent Claims for Title XIX Services

Apr 1, 2025

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

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

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

13 CSR 70-20.075 — 340B Drug Pricing Program. The division is amending sections (1)–(5), and adding new section (6)

Jan 2, 2025

13 CSR 70-15.230 — Upper Payment Limit (UPL) Payment Methodology The division is amending section (2) and the

Sep 3, 2024

13 CSR 70-15.110 — Federal Reimbursement Allowance (FRA). The division is amending section (1), deleting section (2), renumbering sections (3) and (4), and adding section (5)

Sep 3, 2024

13 CSR 70-15.010 — Inpatient Hospital Services Reimbursement Methodology The division is amending sections (2), (6), (8), and

Sep 3, 2024

13 CSR 35-38.010 — Adoption and Guardianship Subsidy. The division is amending sections (1), (10), and (12)

Jul 15, 2024

13 CSR 70-94.030 — Transformation of Rural Community Health (ToRCH)

Jun 3, 2024

13 CSR 70-15.160 — Outpatient Hospital Services Reimbursement Methodology. The division is removing sections(1)through(4),amendingsection(5),andrenumbering accordingly

Jul 17, 2023

13 CSR 70-15.110 — Federal Reimbursement Allowance (FRA). The division is amending subsections (1)(A), (B), and (C), removing subsection (1)(D) and section (2), added new section

Jul 17, 2023

13 CSR 70-3.030 — Sanctions for False or Fraudulent Claims for Title XIX Services

Jul 3, 2023

13 CSR 70-10.020 — Prospective Reimbursement Plan for Nursing Facility and HIV Nursing Facility Services

Jul 3, 2023

13 CSR 35-71.015 — Background Checks for Personnel of Residential Care Facilities and Child Placing Agencies. The division is amending subsections (4)(A)–(B) and (6)(H)

Jul 3, 2023

13 CSR 70-10.030 — Prospective Reimbursement Plan for Nonstate-Operated Facilities for ICF/IID Services. The division is amending subsection (4)(B)

May 1, 2023

13 CSR 70-3.200 — Ambulance Service Reimbursement Allowance. MO HealthNet Division is amending sections (1) and (2) of this rule

Mar 15, 2023

11 CSR 30-7.020 — Alternate Equipment Regulations for Animal- Drawn Vehicles. The director is amending section (2)

Jan 3, 2022

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

Jan 3, 2022

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 amending section (1)

Nov 1, 2021

13 CSR 35-73.012 — Basis for Licensure and Licensing Procedures. The division is amending sections (2)-(4), and (6), and deleting the Page 1933 November 1, 2021 Vol. 46, No. 21 Missouri Register November 1, 2021

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 sections (1), (2), (3), and (5)

Nov 1, 2021

13 CSR 35-71.030 — Hearings and Judicial Review. The division is amending sections (1), (2), and (3)

Nov 1, 2021

13 CSR 35-71.020 — Basic Residential Treatment for Children and Youth Core Requirements (Applicable To All Agencies)-Basis for Licensure and Licensing Procedures. The division is amending sections (1)-(6)

Nov 1, 2021

13 CSR 35-71.015 — Background Checks for Personnel of Residential Care Facilities and Child Placing Agencies

Nov 1, 2021

19 CSR 30-82.050 — Transfer and Discharge Procedures. The department is amending sections (4), (6), (7), and (8)

Oct 1, 2021

13 CSR 70-15.110 — Federal Reimbursement Allowance (FRA). The division is amending subparagraph (1)(A)13.G., removing sections

Oct 1, 2021

13 CSR 70-15.015 — Direct Medicaid Payments. The division is amending subsections (1)(A) and (2)(B)

Oct 1, 2021

13 CSR 70-3.200 — Ambulance Service Reimbursement Allowance. The division is amending the purpose and paragraph (1)(A)5

Oct 1, 2021

2 CSR 90-20.040 — NIST Handbook 130, “Uniform Regulation for the Method of Sale of Commodities.” The director is amending section (1) to specify the current edition of NIST Handbook 130

Aug 16, 2021

13 CSR 70-15.160 — [Prospective] Outpatient Hospital Services Reimbursement Methodology. The MO HealthNet Division is adding a new section (5). The division is also amending to remove the Outpatient Surgical Procedures on a Fee Schedule, the last four pages p

Aug 16, 2021

13 CSR 35-73.017 — for child placing agencies; or (B) Apply for licensure as an unaccredited individual or orga- nization. Page 1135 July 15, 2021

Jul 15, 2021