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 70-10.120 This amendment updates the maximum allowable reimbursement for nurse assistant training to one thousand five hundred dollars ($1,500) per person and updates other outdated terms and references. No Missouri Register – April 1, 2024 Volume 49, Number 7 (Page 492-494) 04/01/24
13 CSR 70-10.020 This amendment provides for an increase to nursing facility and HIV nursing facility per diem reimbursement rates of ten dollars and zero cents ($10.00) and an increase to the Value Based Purchasing per diem adjustments of eighty-seven ($0.87) for qualifying facilities, effective for dates of service beginning July 1, 2023. These per diem adjustments correspond to the state fiscal year (SFY) 2024 appropriation for nursing facilities and was contingent upon approval by the Centers for Medicare and Medicaid Services (CMS). No Missouri Register – April 1, 2024 Volume 49, Number 7 (Page 486-491) 04/01/24
13 CSR 70-20.320 This amendment updates the tax rates for the Pharmacy Reimbursement Allowance (PRA). No Missouri Register – April 1, 2024 Volume 49, Number 7 (Page 495-496) 04/01/24

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