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 70-3.200 | This proposed amendment allows the MO HealthNet Division to change the ambulance service reimbursement allowance tax effective July 1, 2025. | Yes | Missouri Register – August 1, 2025 Volume 50, Number 15 (1076-1078) Missouri Register |
8/1/2025 |
| 13 CSR 70-3.250 | This amendment removes incorporation language that is no longer needed in this regulation. | No | Missouri Register – August 1, 2025 Volume 50, Number 15 (1079) Missouri Register |
8/1/2025 |
| 13 CSR 70-15.015 | This proposed amendment updates the title of the regulation and adds supplemental payments. | Yes | Missouri Register – August 1, 2025 Volume 50, Number 15 (1079-1085) Missouri Register |
8/1/2025 |
| 13 CSR 70-15.110 | This amendment provides for the trend factor to be applied to the inpatient and outpatient adjusted net revenues to determine the inpatient and outpatient net revenues subject to the FRA assessment for SFY 2026. It also establishes the percentage of FRA that is taxed to Missouri hospitals for SFY 2026. | Yes | Missouri Register – August 1, 2025 Volume 50, Number 15 (1086-1089) Missouri Register |
8/1/2025 |
| 13 CSR 70-15.160 | This proposed amendment updates all documents incorporated by reference that create the outpatient simplified fee schedule. This proposed amendment also adds a rate adjustment methodology for in-state federally deemed critical access hospitals. | Yes | Missouri Register – August 1, 2025 Volume 50, Number 15 (1090-1093) Missouri Register |
8/1/2025 |
| 13 CSR 70-15.190 | This amendment updates the inpatient reimbursement methodology for out-of-state hospitals. | No | Missouri Register – August 1, 2025 Volume 50, Number 15 (1094) Missouri Register |
8/1/2025 |
| 13 CSR 70-15.220 | This emergency amendment removes outdated language and changes the interim DSH payment calculation for DMH hospitals. | No | Missouri Register – August 1, 2025Volume 50, Number 15 (1094-1100) Missouri Register |
8/1/2025 |
| 13 CSR 70-20.320 | This amendment updates the tax rates for the Pharmacy Reimbursement Allowance (PRA). | Yes | Missouri Register – August 1, 2025Volume 50, Number 15 (1100-1102) Missouri Register |
8/1/2025 |