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 70-10.030 This amendment provides for ICF/IID reimbursement rates to be recalculated (i.e., rebased) using a more recent base year, which allows the division to pay rates that reflect more current costs incurred by ICF/IID providers. YES

Missouri Register – May 1, 2023 Volume 48, Number 9 (Page 804-807)
May 1, 2023 Missouri Register (

13 CSR 70-4.120 This amendment brings 13 CSR 70.120 into compliance with U.S. Supreme Court decision Gallardo v. Marstiller by removing language limiting recovery to funds dedicated to past medical expenses. The amendment also updates the definition of medical expenses. This rule establishes the procedures for MO HealthNet's cost recovery of medical expenses from liable third party payments, settlements, awards, judgments, and insurance contracts and a participant's duty to cooperate. NO

Missouri Register – May 1, 2023 Volume 48, Number 10 (Page 921-922)
May 15, 2023 Missouri Register (