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 Note(s) Link to
Date Posted
13 CSR 70-10.016 This proposed amendment provides for a per diem increase to nursing facility and HIV nursing facility per diem reimbursement rates of one dollar and twenty-nine cents ($1.29) effective for dates of service February 1, 2019 through June 30, 2019. The per diem increase shall be reduced to fifty-four cents ($0.54) effective for dates of service beginning July 1, 2019. These per diem adjustments correspond to the state fiscal year (SFY) 2019 supplemental appropriation for nursing facilities and are contingent upon approval by the Centers for Medicare and Medicaid Services (CMS). Yes Missouri Register – June 17, 2019
Volume 44, Number 12 (Page 1669-1674)
13 CSR 70-10.110 This amendment provides for a change in the Nursing Facility Reimbursement Allowance (NFRA) rate to twelve dollars and ninety-three cents ($12.93) effective July 1, 2018. Yes Missouri Register – June 17, 2019
Volume 44, Number 12 (Page 1675-1681)