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. And, you may email comments on a Proposed Rule to Rules.Comment@DSS.mo.gov. 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 70-10.020 | This amendment provides for a rebasing of nursing facility and HIV nursing facility per diem rates using a more current cost report year, changes the resident classification system used to determine the case mix index, updates the value based purchasing per diem adjustment, provides for a facility size and occupancy rate adjustment, describes the process for reviewing information used in determining the case mix index and mental illness diagnosis add-on, clarifies data used for determining the mental illness diagnosis add-on, clarifies capital rate used in the interim rate, clarifies when an independent audit is required, and provides for reviews to be done on minimum data set submissions and adjustments to the reimbursement rate based on the MDS reviews, effective for dates of service beginning July 1, 2024. These revisions correspond to the state fiscal year 2025 appropriation for nursing facilities and are contingent upon approval by the Centers for Medicare and Medicaid Services (CMS). | Yes | Missouri Register – March 3, 2025 Volume 50, Number 5 (367-378) | 03/03/2025 |