Proposed Rules
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 |
Link to Missouri Register | Date Posted |
|---|---|---|---|---|
| 13 CSR 70-15.230 | This proposed amendment adds language to make a payment once the final upper payment limit gap is calculated at the end of the state fiscal year. | Yes | Missouri Register – – October 1, 2025 Volume 50, Number 19 (1344-1346)
Missouri Register |
10/1/2025 |
| 13 CSR 70-3.230 | This amendment updates the list of Medicare Hospital Acquired Conditions, which are incorporated by reference, and removes ambulatory surgical centers from sections (2) and (3) as the rules that apply to them are addressed in section (4). | No | Missouri Register – September 1, 2025 Volume 50, Number 17 (1252-1253) Missouri Register |
9/2/2025 |
| 13 CSR 35-71.050 | This amendment reorganizes and simplifies the requirements for staff and volunteer personnel in licensed residential care facilities and tailors the age, education, and experience qualifications more closely to each position. It also clarifies the required staff-to-child ratios across different circumstances. | No | Missouri Register – September 15, 2025 Volume 50, Number 18 (1286-1289) Missouri Register |
9/15/2025 |
| 13 CSR 70-10.110 | This amendment clarifies that the NFRA will comply with federal regulation 42 CFR 433.68 and produce revenues less than or equal to six percent (6%) of the revenues received by the health care provider, which is required for a health care related tax to be permissible, amends the fiscal period, updates the Quarterly Survey submission reference, provides for the days to be used if a Quarterly Survey is not submitted, and removes outdated language that is no longer needed. | No | Missouri Register – September 15, 2025 Volume 50, Number 18 (1289-1291) Missouri Register |
9/15/2025 |