reglab/statecodes huggingface dataset:
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.305 - Volunteers or designated elderly beneficiaries needing respite assistance to receive, when, qualifications — paid assistance, when, rate.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
Effective - 28 Aug 1987
208.305. Volunteers or designated elderly beneficiaries needing respite assistance to receive, when, qualifications — paid assistance, when, rate. —
At such time as an elderly person who has done volunteer work under the program established under section 208.300, or the designated beneficiary, shall need assistance himself, he shall so notify the division and, if the division shall determine that such person is in fact in need of such assistance, which need shall not be based on financial need but on the social and medical condition of the person in question, such person shall receive the assistance of a volunteer. If no volunteer is available to assist a person entitled to assistance under this section because of his participation as a volunteer in the program established under section 208.300, and such unavailability has been verified by the division, the division, or an agency approved by the division, may obtain paid assistance for such person. Such paid assistance shall be at a rate which is no higher than the prevailing reimbursable rate established by the state for a unit of in-home services. The cost of such paid assistance shall be paid by the state if the person in question is not eligible for Medicaid from in-home service funds appropriated to the division.
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(L. 1984 H.B. 959 § 2, A.L. 1987 S.B. 277)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.337 - Accounts for children with custodial parents in JOBS (or FUTURES), conditions, limitations — waivers required.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
Effective - 28 Aug 2014
208.337. Accounts for children with custodial parents in JOBS (or FUTURES), conditions, limitations — waivers required. —
1. The division may deposit funds into an account on behalf of children whose custodial parent is a participant in the program authorized pursuant to the provisions of sections 208.400 to 208.425, and whose noncustodial parent is participating in a state job training and adult educational program approved by the family support division. If agreed upon by the parties, funds may also be deposited for this purpose when the noncustodial parent terminates participation in the job training or educational program, until the custodial parent completes participation in the program authorized pursuant to the provisions of sections 208.400 to 208.425. The amount deposited for each child shall not exceed the portion of current child support paid by the noncustodial parent, to which the state of Missouri is entitled according to applicable state and federal laws. Money so received shall be governed by this section notwithstanding other state laws and regulations to the contrary.
2. Any money deposited by the division on behalf of a child, as provided in subsection 3 of this section, shall be accounted for in the name of the child. Any money in the account of a child may be expended only for care or services for the child as agreed upon by both parents. The division shall, by rule adopted pursuant to section 454.400 and chapter 536, establish procedures for the establishment of the accounts, use, expenditure, and accounting of the money, and the protection of the money against theft, loss or misappropriation.
3. The division shall deposit money appropriated for the purposes of this section with the state treasurer. Any earnings attributable to the money in the account of a child shall be credited to that child's account.
4. Each child for whose benefit funds have been received by the division, and the parents of such child, shall be furnished annually by the division of finance and administrative services of the department of social services with a statement listing all transactions involving the funds which have been deposited on the child's behalf, to include each receipt and disbursement, if any.
5. (1) The director of the department of social services shall apply for all waivers of requirements under federal law to implement the provisions of this section.
(2) This program shall not be implemented until the waiver has been obtained from the Secretary of the Department of Health and Human Services by the director of the department of social services.
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(L. 1994 H.B. 1547 & 961 § 4, A.L. 2014 H.B. 1299 Revision)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.339 - Telecommuting employment options, office of administration, division of personnel, duties.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
Effective - 28 Aug 1994
208.339. Telecommuting employment options, office of administration, division of personnel, duties. —
The office of administration, division of personnel, shall explore telecommuting employment options for aid to families with dependent children recipients.
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(L. 1994 H.B. 1547 & 961 § 5)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.341 - School programs — postponing sexual involvement — QUEST — rites of passage.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
Effective - 28 Aug 1994
208.341. School programs — postponing sexual involvement — QUEST — rites of passage. —
1. The department of elementary and secondary education shall offer, upon request, to all schools the "Postponing Sexual Involvement Program".
2. The department of social services shall establish one additional location for the program known as "QUEST". The department of social services shall offer to schools, upon request, the "Rites of Passage Program".
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(L. 1994 H.B. 1547 & 961 § 6)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.342 - Earned income tax credit program, AFDC recipients.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
Effective - 28 Aug 1994
208.342. Earned income tax credit program, AFDC recipients. —
The director of the department of social services shall, in conjunction with the state treasurer's office, coordinate an earned income tax credit program for qualifying AFDC recipients.
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(L. 1994 H.B. 1547 & 961 § 7)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.345 - Protocols for referral of public assistance recipients to federal programs.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
Effective - 28 Aug 2014
208.345. Protocols for referral of public assistance recipients to federal programs. —
The family support division, with the cooperation of the division of vocational rehabilitation, shall establish a protocol where persons who qualify for public assistance, including aid to families with dependent children, general relief and medical assistance, because of a disability may be directed to an appropriate federal agency to apply for other benefits. The family support division shall also establish a procedure to identify applicants and recipients who may be entitled to supplement or supplant state benefits with other benefits through the Social Security Disability, Railroad Retirement, Supplemental Security Income, Veterans, Qualified Medicare Beneficiary and Specified Low Income Medicare Beneficiary and other programs.
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(L. 1994 H.B. 1547 & 961 § 12, A.L. 2014 H.B. 1299 Revision)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.405 - JOBS program established, duties of department.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 28 Aug 2014
208.405. JOBS program established, duties of department. —
1. No later than October 1, 1990, the family support division shall establish and operate a job opportunities and basic skills training (JOBS) program for AFDC recipients.
2. The family support division, subject to appropriation, shall administer the job opportunities and basic skills training (JOBS) program as provided in Part F of Title IV of the Social Security Act.
3. Pursuant to Public Law 100-485, state funds expended for education, training and employment activities, including supportive services, to assist aid to families with dependent children recipients in becoming self-sufficient shall be no less than the level expended for such purposes in fiscal year 1986.
4. The department shall plan and coordinate all the JOBS program with the Missouri Job Training Coordinating Council, educational training and basic skills training and opportunities afforded under the provisions of this act with the department of elementary and secondary education, the department of labor and industrial relations and the department of economic development so as not to duplicate any existing program and services now offered. The existing personnel in those departments together with such added personnel as may be authorized by appropriations shall be utilized in carrying out the provisions of this act.
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(L. 1989 1st Ex. Sess. H.B. 2 § 2, A.L. 2014 H.B. 1299 Revision)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.410 - Volunteers to be given priority — publicity or recruitment program — persons excused from participation — pretermination hearing required before loss of benefits or services as sanction for nonparticipation — rules and regulations, sanctions.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 28 Aug 1994
208.410. Volunteers to be given priority — publicity or recruitment program — persons excused from participation — pretermination hearing required before loss of benefits or services as sanction for nonparticipation — rules and regulations, sanctions. —
1. The division, in determining the priority of participation by individuals, shall give priority to volunteers as described in section 201 of P.L. 100-485.
2. The state plan for the job opportunities and basic skills training program shall include a publicity or recruitment program the goal of which shall be to ensure that volunteers for participation in the job opportunities and basic skills training program are served first and are given preference for available education, training and support services.
3. Any recipient who has a child under three years of age living in the home and is personally providing care for the child shall be exempt from required participation in the JOBS program.
4. Prior to the termination of any benefits or supportive services of a participant by the division as a sanction authorized pursuant to the provisions of this section, the participant shall be afforded a pretermination hearing, on the record, with an opportunity for the participant to be heard.
5. No person shall without good cause, as such term is defined in Public Law 100-485 and regulations defined thereunder, refuse services offered by the division pursuant to this section. The division may, by rule and regulation, provide sanctions against any person who violates the provisions of this subsection. Sanctions shall be consistent with the provisions of Title II, Section 201 of the Family Support Act of 1988.
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(L. 1989 1st Ex. Sess. H.B. 2 § 3, A.L. 1994 H.B. 1547 & 961)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.415 - Rulemaking authority — assessment and service plan — community work experience program authorized, participation voluntary, when, required when.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 27 Jul 1989, see footnote
208.415. Rulemaking authority — assessment and service plan — community work experience program authorized, participation voluntary, when, required when. —
1. The division shall adopt rules and regulations pursuant to chapter 536 to administer such program. Such rules shall include procedures for referral of individuals for education, employment, job search, training including on-the-job training, and special work projects. Such rules may implement any optional provision of the Family Support Act of 1988.
2. An initial assessment of the educational, child care, and other supportive services needs as well as the skills, prior work experience, and employability of each participant in the program including a review of the family circumstances shall be completed for all participants. This assessment shall be completed in consultation with the participant.
3. On the basis of the assessment, the division, in consultation with the participant, shall develop a service plan for the participant. The service plan shall explain the services that will be provided by the state agency and the activities in which the participant will take part under the program, including child care and other supportive services, shall set forth a service goal for the participant, and shall, to the maximum extent possible and consistent with sections 208.400 to 208.425, and section 452.311, reflect the respective preferences of such participant. The plan shall take into account the participant's supportive services needs, available program resources, and local employment opportunities. The plan shall include a description of the rights, duties, and responsibilities of the participant and the division.
4. The division may operate a community work experience program in accordance with section 201 of P.L. 100-485. The program shall be voluntary for thirty-six months after July 27, 1989, after which time those individuals who have received AFDC benefits for thirty-six of the preceding sixty months may be required to participate in the community work experience program.
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(L. 1989 1st Ex. Sess. H.B. 2 § 4)
Effective 7-27-89
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.420 - Department to apply for and accept federal funds.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 27 Jul 1989, see footnote
208.420. Department to apply for and accept federal funds. —
The department of social services shall make application for and accept such federal moneys as shall be awarded for the purpose of carrying out demonstration projects authorized under Title V of the Family Support Act of 1988.
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(L. 1989 1st Ex. Sess. H.B. 2 § 5)
Effective 7-27-89
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.425 - Welfare reform coordinating committee established.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 27 Jul 1989, see footnote
208.425. Welfare reform coordinating committee established. —
There is hereby established in the department of social services a "Welfare Reform Coordinating Committee" to assist in the development of regional and state implementation plans for welfare reform.
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(L. 1989 1st Ex. Sess. H.B. 2 § 6)
Effective 7-27-89
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.431 - Medicaid managed care organization reimbursement allowance, amount.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 13 May 2005, see footnote
208.431. Medicaid managed care organization reimbursement allowance, amount. —
1. For purposes of sections 208.431 to 208.437, the following terms mean:
(1)
"Engaging in the business of providing health benefit services"
, accepting payment for health benefit services;
(2)
"Medicaid managed care organization"
, a health benefit plan, as defined in section 376.1350, with a contract under 42 U.S.C. Section 1396b(m) to provide benefits to Missouri MC+ managed care program eligibility groups.
2. Beginning July 1, 2005, each Medicaid managed care organization in this state shall, in addition to all other fees and taxes now required or paid, pay a Medicaid managed care organization reimbursement allowance for the privilege of engaging in the business of providing health benefit services in this state.
3. Each Medicaid managed care organization's reimbursement allowance shall be based on a formula set forth in rules, including emergency rules if necessary, promulgated by the department of social services. No Medicaid managed care organization reimbursement allowance shall be collected by the department of social services if the federal Center for Medicare and Medicaid Services determines that such reimbursement allowance is not authorized under Title XIX of the Social Security Act. If such determination is made by the federal Center for Medicare and Medicaid Services, any Medicaid managed care organization reimbursement allowance collected prior to such determination shall be immediately returned to the Medicaid managed care organizations which have paid such allowance.
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(L. 2005 S.B. 189)
Effective 5-13-05
Expires 9-30-24
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.432 - Record keeping required, submission to department.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 13 May 2005, see footnote
208.432. Record keeping required, submission to department. —
Each Medicaid managed care organization shall keep such records as may be necessary to determine the amount of its reimbursement allowance. Every Medicaid managed care organization shall submit to the department of social services a statement that accurately reflects such information as is necessary to determine that Medicaid managed care organization's reimbursement allowance.
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(L. 2005 S.B. 189)
Effective 5-13-05
Expires 9-30-24
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.433 - Calculation of reimbursement allowance amount — notification of Medicaid managed care organizations — offset permitted, when.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 13 May 2005, see footnote
208.433. Calculation of reimbursement allowance amount — notification of Medicaid managed care organizations — offset permitted, when. —
1. The director of the department of social services shall make a determination as to the amount of Medicaid managed care organization's reimbursement allowance due from each Medicaid managed care organization.
2. The director of the department of social services shall notify each Medicaid managed care organization of the annual amount of its reimbursement allowance. Such amount may be paid in monthly increments over the balance of the reimbursement allowance period.
3. The department of social services may offset the managed care organization reimbursement allowance owed by the Medicaid managed care organization against any payment due that managed care organization only if the managed care organization requests such an offset. The amounts to be offset shall result, so far as practicable, in withholding from the managed care organization an amount substantially equivalent to the reimbursement allowance owed by the managed care organization. The office of administration and state treasurer may make any fund transfers necessary to execute the offset.
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(L. 2005 S.B. 189)
Effective 5-13-05
Expires 9-30-24
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.434 - Amount final, when — protest, procedure.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 13 May 2005, see footnote
208.434. Amount final, when — protest, procedure. —
1. Each Medicaid managed care organization reimbursement allowance determination shall be final after receipt of written notice from the department of social services, unless the Medicaid managed care organization files a protest with the director of the department of social services setting forth the grounds on which the protest is based, within thirty days from the date of receipt of written notice from the department of social services to the managed care organization.
2. If a timely protest is filed, the director of the department of social services shall reconsider the determination and, if the Medicaid managed care organization has so requested, the director or the director's designee shall grant the managed care organization a hearing to be held within forty-five days after the protest is filed, unless extended by agreement between the managed care organization and the director. The director shall issue a final decision within forty-five days of the completion of the hearing. After reconsideration of the reimbursement allowance determination and a final decision by the director of the department of social services, a managed care organization's appeal of the director's final decision shall be to the administrative hearing commission in accordance with sections 208.156 and 621.055.
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(L. 2005 S.B. 189)
Effective 5-13-05
Expires 9-30-24
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.435 - Rulemaking authority.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 13 May 2005, see footnote
208.435. Rulemaking authority. —
1. The department of social services shall promulgate rules, including emergency rules if necessary, to implement the provisions of sections 208.431 to 208.437, including but not limited to:
(1) The form and content of any documents required to be filed under sections 208.431 to 208.437;
(2) The dates for the filing of documents by Medicaid managed care organizations and for notification by the department to each Medicaid managed care organization of the annual amount of its reimbursement allowance; and
(3) The formula for determining the amount of each managed care organization's reimbursement allowance.
2. Any rule or portion of a rule, as that term is defined in section 536.010, that is created under the authority delegated in sections 208.431 to 208.437 shall become effective only if it complies with and is subject to all of the provisions of chapter 536 and, if applicable, section 536.028. Sections 208.431 to 208.437 and chapter 536 are nonseverable and if any of the powers vested with the general assembly pursuant to chapter 536 to review, to delay the effective date, or to disapprove and annul a rule are subsequently held unconstitutional, then the grant of rulemaking authority and any rule proposed or adopted after May 13, 2005, shall be invalid and void.
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(L. 2005 S.B. 189)
Effective 5-13-05
Expires 9-30-24
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.436 - Remittance to the department — deposit in dedicated fund.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 13 May 2005, see footnote
208.436. Remittance to the department — deposit in dedicated fund. —
1. (1) The Medicaid managed care organization reimbursement allowance owed or, if an offset has been requested, the balance, if any, after such offset, shall be remitted by the managed care organization to the department of social services. The remittance shall be made payable to the director of the department of revenue.
(2) The amount remitted shall be deposited in the state treasury to the credit of the "Medicaid Managed Care Organization Reimbursement Allowance Fund", which is hereby created for the sole purposes of providing payment to Medicaid managed care organizations. All investment earnings of the managed care organization reimbursement allowance fund shall be credited to the Medicaid managed care organization reimbursement allowance fund.
(3) The unexpended balance in the Medicaid managed care organization reimbursement allowance fund at the end of the biennium is exempt from the provisions of section 33.080. The unexpended balance shall not revert to the general revenue fund, but shall accumulate in the Medicaid managed care organization reimbursement allowance fund from year to year.
(4) The state treasurer shall maintain records that show the amount of money in the Medicaid managed care organization reimbursement allowance fund at any time and the amount of any investment earnings on that amount. The department of social services shall disclose such information to any interested party upon written request.
2. An offset as authorized by this section or a payment to the Medicaid managed care organization reimbursement allowance fund shall be accepted as payment of the Medicaid managed care organization's obligation imposed by section 208.431.
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(L. 2005 S.B. 189)
Effective 5-13-05
Expires 9-30-24
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.437 - Reimbursement allowance period — notification of balance due, when — delinquent payments, procedure, basis for denial of licensure — expiration date.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 28 Sep 2021, 11 histories, see footnote
208.437. Reimbursement allowance period — notification of balance due, when — delinquent payments, procedure, basis for denial of licensure — expiration date. —
1. A Medicaid managed care organization reimbursement allowance period as provided in sections 208.431 to 208.437 shall be from the first day of July to the thirtieth day of June. The department shall notify each Medicaid managed care organization with a balance due on the thirtieth day of June of each year the amount of such balance due. If any managed care organization fails to pay its managed care organization reimbursement allowance within thirty days of such notice, the reimbursement allowance shall be delinquent. The reimbursement allowance may remain unpaid during an appeal.
2. Except as otherwise provided in this section, if any reimbursement allowance imposed under the provisions of sections 208.431 to 208.437 is unpaid and delinquent, the department of social services may compel the payment of such reimbursement allowance in the circuit court having jurisdiction in the county where the main offices of the Medicaid managed care organization are located. In addition, the director of the department of social services or the director's designee may cancel or refuse to issue, extend or reinstate a Medicaid contract agreement to any Medicaid managed care organization which fails to pay such delinquent reimbursement allowance required by sections 208.431 to 208.437 unless under appeal.
3. Except as otherwise provided in this section, failure to pay a delinquent reimbursement allowance imposed under sections 208.431 to 208.437 shall be grounds for denial, suspension or revocation of a license granted by the department of commerce and insurance. The director of the department of commerce and insurance may deny, suspend or revoke the license of a Medicaid managed care organization with a contract under 42 U.S.C. Section 1396b(m) which fails to pay a managed care organization's delinquent reimbursement allowance unless under appeal.
4. Nothing in sections 208.431 to 208.437 shall be deemed to effect or in any way limit the tax-exempt or nonprofit status of any Medicaid managed care organization with a contract under 42 U.S.C. Section 1396b(m) granted by state law.
5. Sections 208.431 to 208.437 shall expire on September 30, 2024.
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(L. 2005 S.B. 189, A.L. 2006 S.B. 822, A.L. 2007 S.B. 4, A.L. 2009 H.B. 395 merged with H.B. 740, A.L. 2011 S.B. 62, A.L. 2015 S.B. 210, A.L. 2016 H.B. 1534, A.L. 2018 S.B. 775, A.L. 2019 S.B. 29, A.L. 2020 H.B. 2456, A.L. 2021 1st Ex. Sess. S.B. 1)
Effective 9-28-21
Expires 9-30-24
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.453 - Hospitals to pay a federal reimbursement allowance for privilege of providing inpatient care, defined — elimination of allowance for certain hospitals.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 28 Aug 2010
208.453. Hospitals to pay a federal reimbursement allowance for privilege of providing inpatient care, defined — elimination of allowance for certain hospitals. —
Every hospital as defined by section 197.020, except any hospital operated by the department of health and senior services, shall, in addition to all other fees and taxes now required or paid, pay a federal reimbursement allowance for the privilege of engaging in the business of providing inpatient health care in this state. For the purpose of this section, the phrase
"engaging in the business of providing inpatient health care in this state"
shall mean accepting payment for inpatient services rendered. The federal reimbursement allowance to be paid by a hospital which has an unsponsored care ratio that exceeds sixty-five percent or hospitals owned or operated by the board of curators, as defined in chapter 172, may be eliminated by the director of the department of social services. The unsponsored care ratio shall be calculated by the department of social services.
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(L. 1992 H.B. 1744 § 208.405, A.L. 1994 H.B. 1362, A.L. 2010 H.B. 1894 merged with S.B. 842, et al. merged with S.B. 1007)
Expires 9-30-24
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.455 - Formula for federal reimbursement allowance established by rule — procedure.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 28 Aug 1995
208.455. Formula for federal reimbursement allowance established by rule — procedure. —
1. Each hospital's federal reimbursement allowance shall be based on a formula set forth in rules and regulations promulgated by the department of social services. No rule or portion of a rule promulgated under the authority of this chapter shall become effective unless it has been promulgated pursuant to the provisions of section 536.024.
2. Notwithstanding any other provision of law to the contrary, appeals regarding this section shall be to the circuit court of Cole County or the circuit court in the county in which the hospital is located. The circuit court shall hear the matter as the court of original jurisdiction.
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(L. 1992 H.B. 1744 § 208.410, A.L. 1993 S.B. 52, A.L. 1994 H.B. 1362, A.L. 1995 S.B. 3)
Expires 9-30-24
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.457 - Report annually by hospitals required, content — filed with department of social services.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 28 Aug 1992
208.457. Report annually by hospitals required, content — filed with department of social services. —
Each hospital shall keep such records as may be necessary to determine the amount of its federal reimbursement allowance. On or before September 1, 1992 and the first day of January of each year thereafter every hospital as defined by section 197.020 shall submit to the department of social services a statement that accurately reflects if the hospital is publicly or privately owned, if the hospital is operated primarily for the care and treatment of mental disorders, if the hospital is operated by the department of health and senior services, or if the hospital accepts payment for services rendered. Every hospital required to pay the federal reimbursement allowance shall also submit a statement that accurately reflects total Missouri Medicaid hospital days, total unreimbursed care as determined from the hospital's third prior year desk-reviewed cost report and all other information as may be necessary to implement sections 208.450
*
to 208.480. If the hospital does not have a third prior year desk-reviewed cost report, unreimbursed care shall be based on estimates determined by the department of social services as established by rule and regulation.
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(L. 1992 H.B. 1744 § 208.415)
Expires 9-30-24
*Section 208.450 was repealed by L. 1994 H.B. 1362.
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.459 - Director of department of social services to determine amount of allowance — notification of amount due when — payment may be made in increments — offset by Medicaid payments due hospital on request.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 28 Aug 1994
208.459. Director of department of social services to determine amount of allowance — notification of amount due when — payment may be made in increments — offset by Medicaid payments due hospital on request. —
1. The director of the department of social services shall make a determination as to the amount of federal reimbursement allowance due from the various hospitals.
2. The director of the department of social services shall notify each hospital of the annual amount of its federal reimbursement allowance. Such amount may be paid in increments over the balance of the assessment period.
3. The department of social services is authorized to offset the federal reimbursement allowance owed by a hospital against any Missouri Medicaid payment due that hospital, if the hospital requests such an offset. The amounts to be offset shall result, so far as practicable, in withholding from the hospital an amount substantially equivalent to the assessment to be due from the hospital. The office of administration and state treasurer are authorized to make any fund transfers necessary to execute the offset.
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(L. 1992 H.B. 1744 § 208.420, A.L. 1994 H.B. 1362)
Expires 9-30-24
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.461 - Protest by hospital, procedure — filed when — hearing — final decision due when — appeal to administrative hearing commission.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 28 Aug 1992
208.461. Protest by hospital, procedure — filed when — hearing — final decision due when — appeal to administrative hearing commission. —
1. Each federal reimbursement allowance assessment shall be final, unless the hospital files a protest with the director of the department of social services setting forth the grounds on which the protest is based, within thirty days from the date of notice by the department of social services to the hospital.
2. If a timely protest is filed, the director of the department of social services shall reconsider the assessment and, if the hospital has so requested, the director shall grant the hospital a hearing within ninety days after the protest is filed, unless extended by agreement between the hospital and the director. The director shall issue a final decision within sixty days of completion of the hearing. After reconsideration of the assessment and a final decision by the director of the department of social services, a hospital's appeal of the director's final decision shall be to the administrative hearing commission in accordance with sections 208.156 and 621.055.
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(L. 1992 H.B. 1744 § 208.425)
Expires 9-30-24
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.463 - Documents content and form prescribed by rule.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 28 Aug 1992
208.463. Documents content and form prescribed by rule. —
The director of the department of social services shall prescribe by rule the form and content of any document required to be filed pursuant to the provisions of sections 208.450
*
to 208.480.
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(L. 1992 H.B. 1744 § 208.430)
Expires 9-30-24
*Section 208.450 was repealed by L. 1994 H.B. 1362.
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.465 - Balance of reimbursement to be remitted to department of social services payable to department of revenue — federal reimbursement allowance fund created, exempt from lapse provisions — investment earnings credited to fund.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 28 Aug 1992
208.465. Balance of reimbursement to be remitted to department of social services payable to department of revenue — federal reimbursement allowance fund created, exempt from lapse provisions — investment earnings credited to fund. —
1. The federal reimbursement allowance owed or, if an offset has been requested, the balance, if any, after such offset, shall be remitted by the hospital to the department of social services. The remittance shall be made payable to the director of the department of revenue. The amount remitted shall be deposited in the state treasury to the credit of the "Federal Reimbursement Allowance Fund", which is hereby created for the purpose of providing payments to hospitals. All investment earnings of the fund shall be credited to the fund.
2. An offset as authorized by section 208.459 or a payment to the federal reimbursement allowance fund shall be accepted as payment of the obligation of section 208.453.
3. The state treasurer shall maintain records that show the amount of money in the fund at any time and the amount of any investment earnings on that amount.
4. The unexpended balance in the federal reimbursement allowance fund at the end of the biennium is exempt from the provisions of section 33.080. The unexpended balance shall not revert to the general revenue fund, but shall accumulate from year to year.
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(L. 1992 H.B. 1744 § 208.435)
Expires 9-30-24
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.467 - Reimbursement allowance period, notification of balance due — delinquent when, state's lien against hospital property may be enforced — penalties.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 28 Aug 1994
208.467. Reimbursement allowance period, notification of balance due — delinquent when, state's lien against hospital property may be enforced — penalties. —
1. A federal reimbursement allowance period shall be from the first day of October until the thirtieth day of September of the following year. The department shall notify each hospital with a balance due on September thirtieth of each year the amount of such balance due. If any hospital fails to pay its federal reimbursement allowance within thirty days of such notice, the assessment shall be delinquent.
2. If any assessment imposed under the provisions of sections 208.453 to 208.480 for a previous assessment period is unpaid and delinquent, the department of social services may proceed to enforce the state's lien against the property of the hospital and to compel the payment of such assessment in the circuit court having jurisdiction in the county where the hospital is located. In addition, the director of the department of social services or the director's designee may cancel or refuse to issue, extend or reinstate a Medicaid provider agreement to any hospital which fails to pay the allowance required by section 208.453.
3. Failure to pay an assessment imposed under sections 208.450
*
to 208.480 shall be grounds for denial, suspension or revocation of a license granted under chapter 197. The director of the department of social services may request that the director of the department of health and senior services deny, suspend or revoke the license of any hospital which fails to pay its assessment.
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(L. 1992 H.B. 1744 § 208.440, A.L. 1994 H.B. 1362)
Expires 9-30-24
*Section 208.450 was repealed by L. 1994 H.B. 1362.
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.469 - Tax exempt or nonprofit status granted by state not to be affected.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 28 Aug 1992
208.469. Tax exempt or nonprofit status granted by state not to be affected. —
Nothing in sections 208.450
*
to 208.480 shall be deemed to affect or in any way limit the tax exempt or nonprofit status of any hospital granted by state law.
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(L. 1992 H.B. 1744 § 208.445)
Expires 9-30-24
*Section 208.450 was repealed by L. 1994 H.B. 1362.
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.471 - Medicaid reimbursement payments to hospitals, amount, how calculated.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 28 Aug 2018, 3 histories
208.471. Medicaid reimbursement payments to hospitals, amount, how calculated. —
1. The department of social services shall make payments to those hospitals which have a Medicaid provider agreement with the department.
2. In each state fiscal year, the amount of federal reimbursement allowance levied under sections 208.450
*
to 208.482 shall not exceed forty-five percent of the total payments to hospitals from the federal reimbursement allowance fund and associated federal match, including payments made to hospitals from state-contracted managed care organizations that are attributed to the federal reimbursement allowance fund and associated federal match. By October first of each subsequent state fiscal year, the department shall report this calculation and the underlying data supporting the calculation to the budget committee of the house of representatives and the appropriations committee of the senate. The underlying data shall include the amount of federal reimbursement allowance assessment levied on the hospitals and the total amount of Medicaid payments to hospitals funded by the federal reimbursement allowance, including payments made to hospitals from all state-contracted managed care organizations in aggregate. Payments made by the department to hospitals and payments made, in aggregate, by all state-contracted managed care organizations to hospitals shall be reported separately. Expenditures reported by the department and all state-contracted managed care organizations in aggregate shall be broken down by fund source, inpatient or outpatient category of service, and individual hospital. In addition, the department shall separately and concurrently disclose the amount of hospital payments made by the department and the amount of hospital payments made by each of the managed care plans, with the payment data broken down by plan, fund source, inpatient or outpatient category of service, and individual hospital, to the hospitals receiving such payments specific to that hospital or to an organization designated by such hospitals to receive such data and as otherwise authorized or required by law. Such payment data shall otherwise be regarded as proprietary and confidential under subdivision (15) of section 610.021.
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(L. 1992 H.B. 1744 § 208.450, A.L. 2001 H.B. 955, A.L. 2014 H.B. 1299 Revision, A.L. 2018 S.B. 775)
Expires 9-30-24
*Section 208.450 was repealed by H.B. 1362, 1994.
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.473 - Federal reimbursement allowance requirements to apply only as long as federal participation in state's Medicaid program.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 28 Aug 1992
208.473. Federal reimbursement allowance requirements to apply only as long as federal participation in state's Medicaid program. —
The requirements of sections 208.450
*
to 208.480 shall apply only as long as the revenues generated under section 208.453 are eligible for federal financial participation and payments are made pursuant to the provisions of section 208.471. For the purposes of this section, "federal financial participation" is the federal government's share of Missouri's expenditures under the Medicaid program.
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(L. 1992 H.B. 1744 § 208.455)
Expires 9-30-24
*Section 208.450 was repealed by L. 1994 H.B. 1362.
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.475 - Effective date of allowance.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 28 Aug 1992
208.475. Effective date of allowance. —
The allowance imposed by sections 208.453 to 208.480 shall be effective upon promulgation of rules and regulations issued by the department of social services, but not later than October 1, 1992.
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(L. 1992 H.B. 1744 § 208.460)
Expires 9-30-24
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.477 - Medicaid eligibility, criteria used, effect when more restrictive than FY2003.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 28 Aug 2014, 2 histories
208.477. Medicaid eligibility, criteria used, effect when more restrictive than FY2003. —
For each state fiscal year, if the criteria used to determine eligibility for Medicaid coverage under a Section 1115 waiver are more restrictive than those in place in state fiscal year 2003, the MO HealthNet division shall:
(1) Reduce the federal reimbursement allowance assessment for that fiscal year. The reduction shall equal the amount of federal reimbursement allowance appropriated to fund the Section 1115 waiver in state fiscal year 2002 multiplied by the percentage decrease in Medicaid waiver enrollment as a result of using the more restrictive waiver eligibility standards; and
(2) Increase cost of the uninsured payments for that fiscal year. The increased payments shall offset the higher uninsured costs resulting from the use of more restrictive Medicaid waiver eligibility criteria, as determined by the department of social services.
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(L. 2003 H.B. 286, A.L. 2014 H.B. 1299 Revision)
Expires 9-30-24
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.478 - Graduate medical education and enhanced graduate medical education, amount of Medicaid payments — contingent expiration for federal reimbursement allowance.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 28 Aug 2003
208.478. Graduate medical education and enhanced graduate medical education, amount of Medicaid payments — contingent expiration for federal reimbursement allowance. —
1. For each state fiscal year beginning on or after July 1, 2003, the amount of appropriations made to fund Medicaid graduate medical education and enhanced graduate medical education payments pursuant to subsections (19) and (21) of 13 CSR 70- 15.010 shall not be less than the amount paid for such purposes for state fiscal year 2002.
2. Sections 208.453 to 208.480 shall expire one hundred eighty days after the end of any state fiscal year in which the requirements of subsection 1 of this section were not met, unless during such one hundred eighty day period, payments are adjusted prospectively by the director of the department of social services to comply with the requirements of subsection 1 of this section.
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(L. 2003 H.B. 286)
Expires 9-30-24, see 208.480