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 70-15.010

Inpatient Hospital Services Reimbursement Methodology. This proposed amendment changes the inpatient reimbursement methodology, deletes or clarifies outdated terms, language, and provisions regarding inpatient hospital services reimbursement methodologies.

 

YES

This proposed amendment does not have an adverse impact on small businesses.

Missouri Register – July 15, 2022. Volume 47, Number 14 (Pages 973-989)

7/15/22
13CSR 70-15.015

Direct Medicaid Payments. This amendment provides for the calculation of the Outpatient Direct Medicaid payments made on or after July 1, 2022.  The division is removing the calculation of the Inpatient Direct Medicaid Payment.

 

YES

This proposed amendment does not have an adverse impact on small businesses.

Missouri Register – July 15, 2022. Volume 47, Number 14 (Pages 990-995)

7/15/22

13 CSR 70-15.110

Federal Reimbursement Allowance (FRA) This rule establishes the formula for determining the Federal Reimbursement Allowance each hospital, except public hospitals which are operated primarily for the care and treatment of mental disorders and any hospital operated by the Department of Health, is required to pay for the privilege of engaging in the business of providing inpatient health care in Missouri.

YES

 

Missouri Register – July 15, 2022
Volume 47, Number 14 (Page 996 - 1001)

7/15/22
13 CSR 70-15.160

Outpatient Hospital Services Reimbursement Methodlogy. This proposed amendment updates all documents incorporated by reference and used to create the outpatient simplified fee schedule. 

YES

 

Missouri Register – July 15, 2022
Volume 47, Number 14 (Page 1002-1005)

7/15/22
13 CSR 70-15.010

IOut-of-State Hospital Services Reimbursement Plan. PURPOSE: This amendment establishes the method of reimbursing out-of-state hospitals for inpatient or outpatient care provided to any participants of Missouri Medicaid, whether they are under age twenty-one (21) or age twenty-one (21) and over. The division is amending the methodology for both inpatient and outpatient reimbursement for out-of-state hospitals, and updating outdated language and terms.

 

NO

This proposed amendment does not have an adverse impact on small businesses.

Missouri Register – August 1, 2022. Volume 47, Number 15 (Pages 1083-1085)

7/15/22
13 CSR 70-15.190

IOut-of-State Hospital Services Reimbursement Plan. PURPOSE: This amendment establishes the method of reimbursing out-of-state hospitals for inpatient or outpatient care provided to any participants of Missouri Medicaid, whether they are under age twenty-one (21) or age twenty-one (21) and over. The division is amending the methodology for both inpatient and outpatient reimbursement for out-of-state hospitals, and updating outdated language and terms.

 

NO

This proposed amendment does not have an adverse impact on small businesses.

Missouri Register – August 1, 2022. Volume 47, Number 15 (Pages 1083-1085)
August 1, 2022 Missouri Register (mo.gov)

8/1/22
13CSR 70-15.220

Disproportionate Share Hospital (DSH) Payments. PURPOSE: This proposed amendment removes outdated language and updates the methodology for calculating the Disproportionate Share Hospital (DSH) payment to align with the federal statute.

 

YES

This proposed amendment does not have an adverse impact on small businesses.

Missouri Register – August 1, 2022. Volume 47, Number 15 (Pages 1086-1096)
August 1, 2022 Missouri Register (mo.gov)

8/1/22
           

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