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 70-3.100 This amendment changes the claim form requirements for providers filing Pharmacy Claims, Professional Services Claims, and Dental Claims. No Missouri Register – March 2, 2020
Volume 45, Number 5 (Page 358)
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 sixty-one cents ($1.61) effective for dates of service August 1, 2019 through June 30, 2020.  The per diem increase shall be reduced to one dollar and forty-nine cents ($1.49) effective for dates of service beginning July 1, 2020. These per diem adjustments correspond to the state fiscal year (SFY) 2020 appropriation for nursing facilities and are contingent upon approval by the Centers for Medicare and Medicaid Services (CMS). Yes Missouri Register – March 2, 2020
Volume 45, Number 5 (Pages 358-363)
13 CSR 70-20.340 The purpose of this amendment is remove the reference to J-Code and expand the National Drug Code (NDC) requirement to all drug HCPCS procedure codes. No Missouri Register – March 2, 2020
Volume 45, Number 5 (Pages 364-365)
13 CSR 70-60.010 This amendment incorporates the requirements of federal regulation, 42 CFR 440.70. These changes include a definition of where durable medical equipment (DME) services may be provided, and adds face-to-face encounter and documentation requirements. In addition, this amendment updates terminology, the MO HealthNet Division website address, and the incorporated by reference date. Yes Missouri Register – March 2, 2020
Volume 45, Number 5 (Pages 365-371)
13 CSR 40-2.080 This amendment adds an incorporation by reference of the Code of Federal Regulations, pusuant to section 536.031, RSMo. Specifically, the amendment incorporates a Medicaid rule – 42 CFR 435.1010 – that defines the terms “public institution,” “inmate or resident of a public institution,” “patient,” and “medical institution.” No Missouri Register – March 16, 2020
Volume 45, Number 6 (Page 419)
13 CSR 40-112.010 This rule sets forth the Family Support Division’s procedures for establishing medical support obligations or modifying existing orders to include medical support obligations in accordance with sections 454.600 and 454.603, RSMo 2019. No Missouri Register – March 16, 2020
Volume 45, Number 6 (Page 420)
13 CSR 70-25.130 The purpose of this rule is to establish the Department of Social Services’ MO HealthNet Division guidelines regarding coverage and reimbursement for Diabetes Prevention Program services. The goal of this policy is to improve health outcomes for the adult population at risk for developing diabetes by managing obesity and associated co-morbidities. Yes Missouri Register – March 16, 2020
Volume 45, Number 6 (Pages 420-422)