Title XII — PUBLIC HEALTH AND WELFARE

208.223. Reimbursement for ambulance service to be based on mileage. — Reimbursement for ambulance services provided under this chapter shall be made based on mileage calculations from the point of pick up to the destination. ­­-------- (L. 2009 S.B. 307 § 1)

208.225. Medicaid per diem rate recalculation for nursing homes, amount. — 1. To implement fully the provisions of section 208.152, the MO HealthNet division shall calculate the Medicaid per diem reimbursement rates of each nursing home participating in the Medicaid program as a …

208.226. Antipsychotic medication, no restrictions on availability in MO HealthNet program — provider updates, content. — 1. No restrictions to access shall be imposed that preclude availability of any individual antipsychotic medication. 2. The provisions of this section shall n…

208.227. Multiple prescriptions, case management and surveillance programs to be established — rulemaking authority — state plan amendments and waivers. — 1. The division shall establish a pharmaceutical case management or polypharmacy program for high risk MO HealthNet participa…

208.229. Rebates on outpatient drugs — definitions. — 1. Pharmaceutical manufacturers shall pay to the state, in accordance with 42 U.S.C. Section 1396r-8, rebates on eligible utilization of covered outpatient drugs dispensed to MO HealthNet participants under the MO HealthNet ph…

208.230. Public assistance beneficiary employer disclosure act — report, content. — 1. This section shall be known and may be cited as the "Public Assistance Beneficiary Employer Disclosure Act". 2. The department of social services is hereby directed to prepare a MO HealthNet be…

208.238. Eligibility, automated process to check applicants and recipients. — The department of social services shall implement an automated process to ensure applicants applying for benefit programs are eligible for such programs. The automated process shall be designed to perio…

208.239. Eligibility redeterminations, renewals, and postenrollment verifications, resumed, when. — The department of social services shall resume annual MO HealthNet eligibility redeterminations, renewals, and postenrollment verifications no later than thirty days after July 6, …

208.240. Statewide dental delivery system authorized. — The MO HealthNet division within the department of social services may implement a statewide dental delivery system to ensure participation of and access to providers in all areas of the state. The MO HealthNet division may …

*208.244. Waiver of SNAP work requirements, inapplicable, when — savings used for child care assistance — annual report. — **1. Beginning January 1, 2016, the waiver of the work requirement for the supplemental nutrition assistance program under 7 U.S.C. Section 2015(o) shall no …

*208.247. Food stamp eligibility, felony conviction not to make ineligible, when. — 1. Pursuant to the option granted the state by 21 U.S.C. Section 862a(d), an individual who has pled guilty or nolo contendere to or is found guilty under federal or state law of a felony involvin…

208.250. Definitions. — The following words shall have the following meanings unless a different meaning clearly appears from the context: (1) "Corporation" means a domestic not-for-profit corporation organized under the provisions of chapter 355; (2) "Department" means the Misso…

208.255. Missouri elderly and handicapped transportation assistance program created, purpose. — There is hereby created the "Missouri Elderly and Handicapped Transportation Assistance Program". The purpose of this program is to provide state financial assistance to defray operati…

208.260. Funds appropriated to transportation department, duty to administer — distribution of funds, how determined. — Funds appropriated for this program shall be appropriated to and administered by the department of transportation. The distribution of funds to corporations sha…

208.265. Rules and procedures, developed by whom, published, where. — The director shall develop specific procedures and rules for the program for inclusion in the Missouri Register. These rules shall be subject to all state laws regarding the development of such rules. ­­-------…

208.285. Farmers' market nutrition program, department to apply for grants — vouchers for fresh produce — rulemaking authority. — 1. The department of agriculture shall apply for a grant under the United States Department of Agriculture's Senior Farmers' Market Nutrition Program …

208.300. Volunteer program for in-home respite care of the elderly — credit for service, limitation. — The department of health and senior services may establish a program under which elderly persons who are sixty years of age or older and others who have designated an elderly pe…

208.305. Volunteers or designated elderly beneficiaries needing respite assistance to receive, when, qualifications — paid assistance, when, rate. — At such time as an elderly person who has done volunteer work under the program established under section 208.300, or the designate…

208.325. Self-sufficiency program, targeted households — assessments — self-sufficiency pacts, contents, incentives for participation, review by director, term of pact — training for case managers — sanctions for failure to comply with pact provisions, review — evaluation of prog…

208.337. Accounts for children with custodial parents in JOBS (or FUTURES), conditions, limitations — waivers required. — 1. The division may deposit funds into an account on behalf of children whose custodial parent is a participant in the program authorized pursuant to the prov…

208.339. Telecommuting employment options, office of administration, division of personnel, duties. — The office of administration, division of personnel, shall explore telecommuting employment options for aid to families with dependent children recipients. ­­-------- (L. 1994 H.…

208.341. School programs — postponing sexual involvement — QUEST — rites of passage. — 1. The department of elementary and secondary education shall offer, upon request, to all schools the "Postponing Sexual Involvement Program". 2. The department of social services shall establi…

208.342. Earned income tax credit program, AFDC recipients. — The director of the department of social services shall, in conjunction with the state treasurer's office, coordinate an earned income tax credit program for qualifying AFDC recipients. ­­-------- (L. 1994 H.B. 1547 & …

208.345. Protocols for referral of public assistance recipients to federal programs. — The family support division, with the cooperation of the division of vocational rehabilitation, shall establish a protocol where persons who qualify for public assistance, including aid to fami…

208.400. Definitions. — As used in sections 208.400 to 208.425 and section 452.311, the following terms mean: (1) "Case manager", an employee of the division having responsibility for the assessment of the participant's educational and employment needs and for assisting the parti…

208.405. JOBS program established, duties of department. — 1. No later than October 1, 1990, the family support division shall establish and operate a job opportunities and basic skills training (JOBS) program for AFDC recipients. 2. The family support division, subject to approp…

208.410. Volunteers to be given priority — publicity or recruitment program — persons excused from participation — pretermination hearing required before loss of benefits or services as sanction for nonparticipation — rules and regulations, sanctions. — 1. The division, in determ…

208.415. Rulemaking authority — assessment and service plan — community work experience program authorized, participation voluntary, when, required when. — 1. The division shall adopt rules and regulations pursuant to chapter 536 to administer such program. Such rules shall inclu…

208.420. Department to apply for and accept federal funds. — The department of social services shall make application for and accept such federal moneys as shall be awarded for the purpose of carrying out demonstration projects authorized under Title V of the Family Support Act o…

208.425. Welfare reform coordinating committee established. — There is hereby established in the department of social services a "Welfare Reform Coordinating Committee" to assist in the development of regional and state implementation plans for welfare reform. ­­-------- (L. 1989…

208.431. Medicaid managed care organization reimbursement allowance, amount. — 1. For purposes of sections 208.431 to 208.437, the following terms mean: (1) "Engaging in the business of providing health benefit services", accepting payment for health benefit services; (2) "Medica…

208.432. Record keeping required, submission to department. — Each Medicaid managed care organization shall keep such records as may be necessary to determine the amount of its reimbursement allowance. Every Medicaid managed care organization shall submit to the department of soc…

208.433. Calculation of reimbursement allowance amount — notification of Medicaid managed care organizations — offset permitted, when. — 1. The director of the department of social services shall make a determination as to the amount of Medicaid managed care organization's reimbu…

208.434. Amount final, when — protest, procedure. — 1. Each Medicaid managed care organization reimbursement allowance determination shall be final after receipt of written notice from the department of social services, unless the Medicaid managed care organization files a protes…

208.435. Rulemaking authority. — 1. The department of social services shall promulgate rules, including emergency rules if necessary, to implement the provisions of sections 208.431 to 208.437, including but not limited to: (1) The form and content of any documents required to be…

208.436. Remittance to the department — deposit in dedicated fund. — 1. (1) The Medicaid managed care organization reimbursement allowance owed or, if an offset has been requested, the balance, if any, after such offset, shall be remitted by the managed care organization to the d…

208.437. Reimbursement allowance period — notification of balance due, when — delinquent payments, procedure, basis for denial of licensure — expiration date. — 1. A Medicaid managed care organization reimbursement allowance period as provided in sections 208.431 to 208.437 shall…

208.453. Hospitals to pay a federal reimbursement allowance for privilege of providing inpatient care, defined — elimination of allowance for certain hospitals. — Every hospital as defined by section 197.020, except any hospital operated by the department of health and senior ser…

208.455. Formula for federal reimbursement allowance established by rule — procedure. — 1. Each hospital's federal reimbursement allowance shall be based on a formula set forth in rules and regulations promulgated by the department of social services. No rule or portion of a rule…

208.457. Report annually by hospitals required, content — filed with department of social services. — Each hospital shall keep such records as may be necessary to determine the amount of its federal reimbursement allowance. On or before September 1, 1992 and the first day of Janu…

208.459. Director of department of social services to determine amount of allowance — notification of amount due when — payment may be made in increments — offset by Medicaid payments due hospital on request. — 1. The director of the department of social services shall make a det…

208.461. Protest by hospital, procedure — filed when — hearing — final decision due when — appeal to administrative hearing commission. — 1. Each federal reimbursement allowance assessment shall be final, unless the hospital files a protest with the director of the department of …

208.463. Documents content and form prescribed by rule. — The director of the department of social services shall prescribe by rule the form and content of any document required to be filed pursuant to the provisions of sections 208.450* to 208.480. ­­-------- (L. 1992 H.B. 1744 …

208.465. Balance of reimbursement to be remitted to department of social services payable to department of revenue — federal reimbursement allowance fund created, exempt from lapse provisions — investment earnings credited to fund. — 1. The federal reimbursement allowance owed or…

208.467. Reimbursement allowance period, notification of balance due — delinquent when, state's lien against hospital property may be enforced — penalties. — 1. A federal reimbursement allowance period shall be from the first day of October until the thirtieth day of September of…

208.469. Tax exempt or nonprofit status granted by state not to be affected. — Nothing in sections 208.450* to 208.480 shall be deemed to affect or in any way limit the tax exempt or nonprofit status of any hospital granted by state law. ­­-------- (L. 1992 H.B. 1744 § 208.445) E…

208.471. Medicaid reimbursement payments to hospitals, amount, how calculated. — 1. The department of social services shall make payments to those hospitals which have a Medicaid provider agreement with the department. 2. In each state fiscal year, the amount of federal reimburse…

208.473. Federal reimbursement allowance requirements to apply only as long as federal participation in state's Medicaid program. — The requirements of sections 208.450* to 208.480 shall apply only as long as the revenues generated under section 208.453 are eligible for federal f…

208.475. Effective date of allowance. — The allowance imposed by sections 208.453 to 208.480 shall be effective upon promulgation of rules and regulations issued by the department of social services, but not later than October 1, 1992. ­­-------- (L. 1992 H.B. 1744 § 208.460) Exp…

208.477. Medicaid eligibility, criteria used, effect when more restrictive than FY2003. — For each state fiscal year, if the criteria used to determine eligibility for Medicaid coverage under a Section 1115 waiver are more restrictive than those in place in state fiscal year 2003…