Missouri State Register

20 CSR 700-1.005 — Scope and Definitions. The director is amending section (1) and subsections (2)(C)–(M)

Apr 15, 2019

20 CSR 500-6.700 — Workers’ Compensation Managed Care Organizations. This rule described circumstances when use of a managed care plan approved by the department could justify premi- um discounts for workers’ compensation insurance

Apr 15, 2019

20 CSR 500-6.500 — Performance Standards for Workers’ Compensation Carriers. The director is amending sections (1) and

Apr 15, 2019

20 CSR 500-6.300 — Self-Insurance. The director is amending sec- tions (1)–(4) and (8), deleting sections (5)–(7) and (9), and amending the purpose statement

Apr 15, 2019

20 CSR 500-6.100 — Policy and Endorsement Forms. The director is deleting sections (1)–(6), adding new section (1), and renumbering as necessary

Apr 15, 2019

20 CSR 400-9.100 — Eligibility. This rule implemented section 143.999 related to individual medical accounts

Apr 15, 2019

20 CSR 400-8.300 — Uniform Health Care Billing Forms. This rule established standardized forms to be used for the billing and reim- bursement of health care services

Apr 15, 2019

20 CSR 400-8.200 — Procedures for the Filing of All Policy Forms and Certain Rates for Life or Health Policies, Contracts, or Related Forms. This rule outlined procedures for filing life or acci- dent and health insurance policies, health maintenance organiza

Apr 15, 2019

20 CSR 400-8.100 — Filing Fees. This rule outlined forms and proce- dures to be followed when filing forms for life and health products with the division

Apr 15, 2019

20 CSR 400-7.400 — Pharmacies and Prescription Drugs. This rule outlined provisions related to pharmacy benefits under plans offered by Health Maintenance Organizations

Apr 15, 2019

20 CSR 400-7.300 — Evidence Required to Prove Criteria for Designation as Community-Based Health Maintenance Organization. This rule described how a health maintenance organi- zation (HMO) could demonstrate to the Department that it met the criteria outlined

Apr 15, 2019

20 CSR 400-7.200 — Provider Selection Standards. This rule required health carriers to file selection standards for primary care and specialty health care providers with the Department on an annual basis

Apr 15, 2019

20 CSR 400-7.170 — Distribution of Written Disclosure Information. This rule provided additional detail about the enrollees who are enti- tled to disclosure information under section 354.442, RSMo

Apr 15, 2019

20 CSR 400-7.160 — Multiple Names Prohibited. This rule outlined requirements regarding the name of a health maintenance organiza- tion

Apr 15, 2019

20 CSR 400-7.150 — Health Maintenance Organizations—Dis- enrollments. This rule described when a Health Maintenance Organization could disenroll an enrollee

Apr 15, 2019

20 CSR 400-7.130 — Authorization for Emergency Medical Services. This rule outlined requirements applicable to a Health Maintenance Organization (HMO) when prior authorization for emergency services was required

Apr 15, 2019

20 CSR 400-7.110 — Health Maintenance Organizations— Resolution of Enrollee Grievances. This rule outlined guidelines and procedures to be used by Health Maintenance Organizations (HMOs) in resolving enrollee grievances

Apr 15, 2019

20 CSR 400-7.100 — Copayments. This rule provided that a health maintenance organization may require copayments of its enrollees and set forth limitations on copayments per service and per year

Apr 15, 2019

20 CSR 400-7.080 — Enrollee Protection Provisions. This rule out- lined provisions to protect enrollees who were covered by Health Maintenance Organizations (HMO)

Apr 15, 2019

20 CSR 400-7.070 — Bonding Requirements. This rule outlined the Health Maintenance Organization (HMO) bonding requirements and how they were deemed satisfied

Apr 15, 2019

20 CSR 400-7.060 — Integration With Other Benefits. This rule mandated that Health Maintenance Organizations (HMO) have lan- guage in their contracts to allow for coordination of benefits as out- lined in 20 CSR 400-2.030

Apr 15, 2019

20 CSR 100-9.100 — 20 CSR 100-9.100

Apr 15, 2019

20 CSR 400-7.010 — Forms Which Must be Approved Prior to Use. This rule described forms to be submitted to the department for approval prior to use by health maintenance organizations

Apr 15, 2019

20 CSR 400-6.600 — Conversion Privilege. This rule described the conversion privilege for health plans offered by health services cor- porations

Apr 15, 2019

20 CSR 400-6.400 — Benefit Payment Standards. This rule outlined circumstances that would constitute a reason for the director to order an investigation

Apr 15, 2019

20 CSR 400-6.300 — Ambulatory Surgical Centers. This rule allowed health services corporations to vary the benefit amounts payable to ambulatory surgical centers

Apr 15, 2019

20 CSR 400-6.200 — Approval Criteria for Membership Contracts. This rule outlined approval criteria for membership contracts for Health Services Corporations

Apr 15, 2019

20 CSR 400-5.300 — Solicitation of Insurance on Military Installations in Missouri. This rule clarified that solicitation of Page 1156 Proposed Rules April 15, 2019 Vol. 44, No. 8 insurance on military installations in Missouri could only be done by

Apr 15, 2019

20 CSR 400-2.120 — Application Questions and Underwriting Practices Relating to HIV Infection. This rule outlined provisions related to underwriting practices regarding HIV infection

Apr 15, 2019

20 CSR 400-2.110 — Life and Health Benefits Relating to HIV Infection. This rule outlined additional provisions to aid in the inter- pretation of state laws about life and health benefits for HIV infec- tion

Apr 15, 2019

20 CSR 400-2.100 — Standards for HIV Testing. This rule outlined standards for the use of HIV testing by insurers, health service cor- porations, and health maintenance organization

Apr 15, 2019

20 CSR 400-2.080 — Conversion: Semiprivate Room Rate. This rule outlined the average semiprivate room rate charged in the largest metropolitan area of the state, for purposes of conversion of group policies

Apr 15, 2019

20 CSR 400-2.070 — Conversion Privilege. This rule required the inclusion of a conversion privilege on a group health insurance pol- icy

Apr 15, 2019

20 CSR 400-2.050 — Notice of Renewal Dates on Renewable Policies. This rule outlined requirements for notice of renewal dates on accident and sickness insurance policies

Apr 15, 2019

20 CSR 200-21.600 — Severability Clause

Apr 15, 2019

20 CSR 200-21.500 — Contents of Corporate Governance Annual Disclosure

Apr 15, 2019

20 CSR 200-21.400 — Filing Procedures

Apr 15, 2019

20 CSR 200-21.300 — Definitions

Apr 15, 2019

20 CSR 200-16.010 — Conversion of Mutual Life Insurance Holding Company. This rule 20 CSR 200-16.010 and rules 20 CSR 200- 16.020 through 20 CSR 200-16.130 prescribed procedures to be fol- lowed in the demutualization of a mutual life insurance holding com- pa

Apr 15, 2019

20 CSR 200-8.100 — Federal Liability Risk Retention Act. The director is amending sections (1)–(4) and amending the purpose statement

Apr 15, 2019

20 CSR 10-3.300 — Conflict of Interest. This rule regulated the inter- nal affairs of the department regarding conflicts of interest

Apr 15, 2019

20 CSR 10-3.200 — Gratuities. This rule regulated the internal affairs of the department regarding gratuities

Apr 15, 2019

20 CSR 10-3.100 — Confidentiality. This rule regulated the internal affairs of the department regarding confidentiality

Apr 15, 2019

20 CSR 10-1.010 — General Organization. The director is amending sections (1), (2), (4), and (5) and deleting section (3)

Apr 15, 2019

13 CSR 40-13.020 — Vision Re-examination. The Family Support Division is amending the rule purpose, sections (1)–(13), adding a new section (4), and renumbering as necessary

Apr 15, 2019

13 CSR 40-13.015 — Eligibility for Blind Pension

Apr 15, 2019

13 CSR 40-13.010 — Scope and Definitions

Apr 15, 2019

11 CSR 75-16.010 — Peace Officer Standards and Training Commission Fund. The director is amending subsection (1)(B) by changing the address that collected surcharges are sent to

Apr 15, 2019

10 CSR 60-15.020 — Applicability of Corrosion Control Treatment Steps to Small, Medium-Size, and Large Water Systems. The commission is amending paragraph (2)(A)1

Apr 15, 2019

10 CSR 10-6.030 — Sampling Methods for Air Pollution Sources. The commission proposes to amend sections (21), (22), and (23). If the commission adopts this rule action, the department intends to submit this rule amendment to the U.S. Environmental Protection

Apr 15, 2019