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 35-71.045 This amendment reorganizes and simplifies the requirements that individuals must complete in order to become and remain employees of licensed residential care facilities (LRCFs), the documents that LRCFs must maintain in its personnel records, and the requirements governing the content of staff orientation and training. This amendment conforms Rule 13 CSR 35-71.045 to section 210.493, RSMo, as amended by Senate Bill 40, which took effect August 28, 2023. Section 210.493 RSMo no longer requires officers, managers, and other support staff of licensed residential care facilities (LRCFs) to undergo the background checks mandated in section 210.493. This amendment also conforms 13 CSR 35-71.045 to Rule 13 CSR 35-71.015, which permits LRCFs, with the Department’s permission, to hire personnel prior to completing all background checks. No Missouri Register – November 1, 2024 Volume 49, Number 21 (Pages 1580-1583) 11/01/2024
13 CSR 70-4.080 This amendment revised language in section (5) to update the remittance deadline. It adds language to section (7) addressing incurring a premium as the result of an annual review. It adds language to section (8) to exclude children with special health care needs from a thirty day waiting period or require them to be without healthcare to qualify for CHIP for failure to pay a premium. It adds new sections (11) and (12) that address twelve (12) months of continuous eligibility. No Missouri Register – October 15, 2024 Volume 49, Number 20 (Pages 1512-1513) 10/15/2024
13 CSR 70-20.047 This amendment removes duplicative information located on the website and simplifies language for providers. No Missouri Register – October 15, 2024 Volume 49, Number 20 (Page 1513) 10/15/2024
13 CSR 70-25.160 The purpose of this rule is to establish the Department of Social Services’ MO HealthNet Division guidelines regarding coverage and reimbursement for community doula services.  The goal of these services is to provide a stable source of psychosocial support and education throughout the perinatal period and during the birth utilizing specially trained lay providers to enhance relevant knowledge and encourage healthy behaviors that can lead to improved pregnancy-related outcomes. Yes Missouri Register – October 15, 2024 Volume 49, Number 20 (Pages 1513-1516) 10/15/2024

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