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.  And, you may email comments on a Proposed Rule to 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
Link to Missouri Register Date Posted
13 CSR 70-15.160 This amendment changes the methodology for reimbursement of outpatient services provided by hospitals enrolled in the MO HealthNet program. Section (5) establishes an outpatient simplified fee schedule in place of the current prospective outpatient payment percentage. YES Missouri Register – June 1, 2021 Volume 46, Number 11 (Pages 937-943) 6/1/21
13 CSR 70-20.070 The purpose of this amendment is to remove the outdated reimbursement information for covered drugs and completely remove the reimbursement information for 340B providers.  The 340B reimbursement information has been moved concurrently with this amendment to proposed rule 13 CSR 70-20.075. NO Missouri Register – June 1, 2021 Volume 46, Number 11 (Pages 944) 6/1/21
13 CSR 70-20.075 This rule establishes the payment methodology for 340B covered entities as defined in section 1927(a)(5)(B) of the Social Security Act that choose to carve-in Medicaid. YES Missouri Register – June 1, 2021 Volume 46, Number 11 (Pages 944-947) 6/1/21