Proposed-Ruless

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

13 CSR 35-35.130 — Contracted Foster Care Case Management Costs. The division is amending sections (5), (6), and (7)

Apr 15, 2026

13 CSR 70-94.030 — Transformation of Rural Community Health (ToRCH). The division is amending section (6)

Apr 1, 2026

13 CSR 70-15.030 — Payment and Payment Limitations for Inpatient Hospital Care. The division is amending sections

Apr 1, 2026

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

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

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

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

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

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

Feb 2, 2026

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

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

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

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

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

13 CSR 35-60.010 — Family Homes Offering Foster Care. The 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 70-15.015 — 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

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

13 CSR 70-15.230 — Upper Payment Limit (UPL) Payment Methodology. The division is amending section (2) and adding section (3)

Oct 1, 2025

13 CSR 70-10.110 — Nursing Facility Reimbursement Allowance. The division is amending sections (1) and (2)

Sep 15, 2025

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

13 CSR 70-3.230 — Payment Policy for Provider Preventable Conditions. The department is amending sections (2) and (3)

Sep 2, 2025

13 CSR 70-20.320 — Pharmacy Reimbursement Allowance. The 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) and (7), deleting section (6), and renumbering as necessary

Aug 1, 2025

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

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 70-15.010 — 13 CSR 70-15.010

Aug 1, 2025

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

13 CSR 70-3.250 — Payment Policy for Early Elective Delivery. The division is amending section (4)

Aug 1, 2025

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

Aug 1, 2025

13 CSR 70-25.130 — Diabetes Prevention Program. The division is amending sections (1) – (5)

Jun 16, 2025

13 CSR 35-60.040 — Physical and Environmental Standards. The department is amending subsection (3)(I)

Jun 2, 2025

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

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. (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

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

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

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

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

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

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

Jan 2, 2025

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

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), adding section (5), and renumbering as necessary

Sep 3, 2024

13 CSR 70-1.010 — Organization and Description. The division is amending section (2)

Jul 15, 2024

13 CSR 40-100.020 — Administrative Hearings. The department is amending sections (1)–(5) and adding section (6)

Jul 15, 2024

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

Jul 15, 2024

13 CSR 70-8.020 — Oversight of PACE Organizations and Providers

Jul 1, 2024