Proposed Rules

The following are summaries and other information related to Proposed Rules that the Department of Social Services has submitted to the Secretary of State for Publication in the Missouri Register. These rules will not go into effect until the public has had an opportunity to submit written comments, and to attend a public hearing if one is scheduled.

Any person may offer comments on a Proposed Rule. The instructions for submitting comments, and the location and date of a hearing if one is scheduled, are located after the text of each rule. Please note that the official text of a Proposed Rule is the version that appears in the Missouri Register, not the draft copy on this site. Refer to the official copy if you wish to submit comments.

We hope you find this site helpful and informative.

Proposed Rule Summary Fiscal Note(s) Link to
Missouri
Register
Date Posted
13 CSR 70-10.016

This proposed amendment provides for a per diem decrease to nursing facility and HIV nursing facility per diem rates of $5.37 effective for dates of service beginning August 1, 2017, through June 30, 2018.  The per diem decrease shall be reduced to $4.83 effective for dates of service beginning July 1, 2018.  This per diem decrease corresponds to the appropriation granted in the State Fiscal Year 2018 budget, approved by the Governor, and is contingent upon approval by the Center for Medicare and Medicaid Services (CMS).  Hospice providers delivering hospices services in nursing facilities will also be affected by this change because their reimbursement for room and board is 95% of the nursing facility per diem rate. 

Yes September 1, 2017 – Volume 42, Number 17 9/1/17

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