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 70-4.120 | This amendment makes changes based on new federal Medicaid third-party liability requirements as found in The Consolidated Appropriations Act, H.R. 2471, 2022, 117th Congress (Public Law No. 117-103) Section 202. | No | Missouri Register – April 1, 2026 Volume 51, Number 7 (442-444) Missouri Register |
4/1/2026 |
| 13 CSR 70-15.010 | This proposed amendment adds the All-Patient Refined Diagnosis Related Group (APR-DRG) payment methodology, updates the per diem payment methodology, adds and updates some definitions, and removes the supplemental payments. | Yes | Missouri Register – April 1, 2026 Volume 51, Number 7 (444-456) Missouri Register |
4/1/2026 |
| 13 CSR 70-15.030 | This proposed amendment updates all documents incorporated by reference. | No | Missouri Register – April 1, 2026 Volume 51, Number 7 (457) Missouri Register |
4/1/2026 |
| 13 CSR 70-94.030 | This amendment replaces the payment methodology of Transformation of Rural Community Health (ToRCH). | No | Missouri Register – April 1, 2026 Volume 51, Number 7 (457-458) Missouri Register |
4/1/2026 |