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 70-65.010 Rehabilitation Center Program. This amendment changes the record retention time from five (5) years to six (6) years. NO Missouri Register – September 15, 2021
Volume 46, Number 18 (Pages 1685)
09/15/2021
13 CSR 70-3.120 Limitations on Payment of Out-of-State Nonemergency Medical Services. This amendment adds services provided via Telemedicine and Developmental Disabilities waiver Assistive Technology to the list of services that are exempt from the requirement for prior authorization of nonemergency MO HealthNet-covered services for out-of state providers. This amendment also changes the expiration of out of-state nonemergency prior authorizations for transplant services from one hundred eighty (180) days to three hundred sixty-five (365) days from the date the out-of-state transplant services are approved. NO Missouri Register – September 15, 2021
Volume 46, Number 18 (Pages 1675)
09/15/2021
13 CSR 70-3.180 Medical Pre-certification Process. This amendment adds clarifying language, updates an incorporation by reference, and updates outdated terms. NO Missouri Register – September 15, 2021
Volume 46, Number 18 (Pages 1675-1676)
09/15/2021
13 CSR 70-4.100 Preventing Medicaid Payment of Expenses Used to Meet Spenddown. This amendment updates a legal reference in section (1) and outdated terminology throughout the rule.  The amendment will change the term “Division of Medical Services” to the “MO HealthNet Division” and “recipients” to “participants.” NO Missouri Register – September 15, 2021
Volume 46, Number 18 (Pages 1676-1677)
09/15/2021
13 CSR 70-4.110 Placement of Liens on Property of Certain Institutionalized MO HealthNet Participants. This amendment clarifies the definition of “proof of residency” and replaces outdated language throughout the regulation. NO Missouri Register – September 15, 2021
Volume 46, Number 18 (Pages 1677-1678)
09/15/2021
13 CSR 70-4.120 Department is the Payer of Last Resort, Department’s Claim for Recovery, Participant’s Duty of Cooperation. This amendment updates the email address for cost recovery, requires proof of verifiable authority to receive records, requires an itemized listing with detailed description of expenses, and replaces outdated language throughout the regulation. NO Missouri Register – September 15, 2021
Volume 46, Number 18 (Pages 1678-1679)
09/15/2021
13 CSR 70-15.020 Procedures for Admission Certification, Continued Stay Review, and Validation Review of Hospital Admissions. This amendment adds the definition of “written request” which allows the ability to email or fax the record request letters to providers. NO Missouri Register – September 15, 2021
Volume 46, Number 18 (Pages 1679-1680)
09/15/2021
13 CSR 70-15.070 Inpatient Psychiatric Services for Individuals Under Age Twenty-One. This amendment adds private psychiatric residential treatment facilities (PRTF), includes psychiatric units in general hospitals in order to be consistent with federal rules, updates the audit process, adds separate reimbursement methodologies for public and private PRTF, and updates terminology. YES Missouri Register – September 15, 2021
Volume 46, Number 18 (Pages 1680-1684)
09/15/2021
13 CSR 70-3.050 This rule is being rescinded because it is obsolete. The MO HealthNet Division (MHD) has the authority to request records under 13 CSR 70-3.030, and no other divisions in the department are using this rule. NO Missouri Register – September 1, 2021
Volume 46, Number 17 (Page 1621)
09/01/2021
13 CSR 70-70.010 This amendment changes the record retention time from five (5) years to six (6) years, and updates publication information for the Therapy Provider Manual. NO Missouri Register – September 1, 2021
Volume 46, Number 17 (Pages 1621-1622)
09/01/2021

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