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 40-2.160 The department is amending the entire rule to conform to changes in federal and state law, particularly federal regulations and state laws that have been issued since 1990. The amendment also accounts for changes in technology, and addresses issues that commonly occur in the appeals process and that the rule, in its current form, does not address. No Missouri Register – June 1, 2020
Volume 45, Number 11 (Pages 793-796)
13 CSR 70-15.010 PURPOSE: This amendment deletes outdated terms, language, and provisions regarding the calculation of inpatient hospital services reimbursement. Paragraphs (6) and (15) are being deleted and moved to 13 CSR 70-15.015. This amendment updates the regulation citations and the incorporation language for the hospital provider manual. Lastly, this amendment moves the Enhanced GME Payment provision to paragraph (10). No Missouri Register – June 1, 2020
Volume 45, Number 11 (Pages 796-809)
13 CSR 70-15.015 This rule provides for the calculation of the Direct Medicaid payments made on or after July 1, 2019. Yes Missouri Register – June 1, 2020
Volume 45, Number 11 (Pages 809-816)
13 CSR 70-15.110 This amendment provides for the methodology used to determine the trend factor to be applied to the inpatient and outpatient adjusted net revenues determined from the Federal Reimbursement Allowance (FRA) fiscal year cost report to determine the inpatient and outpatient adjusted net revenues subject to the FRA assessment. Additionally, this amendment is removing outdated language regarding the FRA Assessment. Yes Missouri Register – June 1, 2020
Volume 45, Number 11 (Pages 817-825)
13 CSR 70-95.010 This amendment updates outdated language throughout the rule, adds practitioners who can approve a plan of care, adds graduate nurses as individuals who may provide nursing services; removes language included in the provider manual; adds language to define member and allows nursing services to be provided by a family member or legal guardian. Yes Missouri Register – June 1, 2020
Volume 45, Number 11 (Pages 826-829)