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 40-2.015 This amendment adds the Adult Expansion Group (AEG) to the list of groups that constitute “MO HealthNet programs” for purposes of this rule. The AEG was created by Amendment 2, which was passed by referendum on August 4, 2020, and which created Article IV, Section 36(c) of the Missouri Constitution, which requires the department to extend MO HealthNet coverage to Missourians ages 19-64 whose income is below 133% of the federal poverty level. This amendment also incorporates three (3) federal regulations and one subpart of the Code of Federal Regulations (CFR). First, the rule governing authorized representatives (42 CFR 435.923). Second, the rule governing the privacy and security of personally identifiable information (45 CFR 155.260), which authorized representatives must honor. Third, the rule governing the entities who may receive a reassigned claim from a Medicaid provider (42 CFR 447.10). Finally, the amendment incorporates the subpart in federal rules – 42 CFR 431 Subpart F - on safeguarding information on Medicaid participants. Authorized representatives must agree to adhere to these rules as a condition of their representation. NO Missouri Register – February 16, 2021
Volume 46, Number 4 (Pages 325-326)
02/16/2021
13 CSR 40-7.010 This proposed amendment adds the Adult Expansion Group to the list of populations that fall under Family MO HealthNet programs, pursuant to Amendment 2, which was ratified on August 4, 2020, and which created Article IV, Section 36(c) of the Missouri Constitution. YES Missouri Register – February 16, 2021
Volume 46, Number 4 (Pages 327-328)
02/16/2021
13 CSR 70-20.045 The purpose of this amendment is to update “recipient” and “patient” to “participant,” which is the current standard language. This amendment also adds an additional exemption to the 31-day restriction to allow for a new 90-day supply program identified in proposed rule 13 CSR 70-20.047 Ninety Day Supply Requirement for Select Medications. The amendment also makes grammatical corrections by adding hyphens to the terms “31 days” or “90 days” when those terms are used as adjectives. NO Missouri Register – February 16, 2021
Volume 46, Number 4 (Pages 329)
02/16/2021
13 CSR 70-20.047 This rule establishes a ninety- (90-) day supply requirement per dispensing on select medications reimbursed by the MO HealthNet Division on behalf of participants eligible for any of the fee-for-service programs. NO Missouri Register – February 16, 2021
Volume 46, Number 4 (Pages 329-331)
02/16/2021
13 CSR 70-20.060
13 CSR 70-20.060 (SBRFB)
The purpose of this amendment is to update the amount of the professional dispensing fee reimbursable for the dispensing of MO HealthNet covered prescriptions by a pharmacy provider in line with the most recent cost of dispensing survey. YES Missouri Register – February 16, 2021
Volume 46, Number 4 (Pages 332-333)
02/16/2021
13 CSR 40-91.020 The division is amending the purpose, sections (1) through (20), and deleting sections (21), (22), (23), (24), and the forms. NO Missouri Register – March 1, 2021
Volume 46, Number 5 (Pages 445-464)
03/01/2021
13 CSR 70-20.250 The Department of Social Services is amending sections (3), (4), (5), and (6). NO Missouri Register – March 1, 2021
Volume 46, Number 5 (Pages 464-465)
03/01/2021

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