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 208.163 - Direct payment on request by authorized providers of services.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
Effective - 28 Aug 1980
208.163. Direct payment on request by authorized providers of services. —
The state treasurer, in making benefit payments for medical assistance on behalf of eligible needy persons as authorized in section 208.151, may, at the request of the hospital, nursing home, or other provider of services authorized to receive such payments, disregard the provisions in section 30.180 and section 208.160 requiring the treasurer to convert the warrant requesting payment into a check or draft, and may wire transfer the amount directly to the hospital, nursing home, or other provider of services authorized to receive such payment.
­­--------
(L. 1980 H.B. 1840)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.165 - Medical assistance, payments withheld for services, when — payment ordered, interest allowed.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
Effective - 28 Aug 1982
208.165. Medical assistance, payments withheld for services, when — payment ordered, interest allowed. —
The department or its designated division shall have authority after forty-five days written notice to the affected provider to withhold from any payments that may be or become due to a provider of service under the medical assistance program such amounts as the department or its designated division may determine are due to the state as a result of overpayments, cost settlements, disallowances, duplicate payments, fraud or abuse; provided that should a judicial tribunal, including the administrative hearing commission, finally determine that all or part of such withholding is due to the provider of services, the judicial tribunal may, in its discretion, allow a reasonable rate of interest on such amount from the time of the withholding.
­­--------
(L. 1982 H.B. 1086 § 2)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.167 - Nursing home services, amount paid, computation — restrictions waived when, procedure.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
Effective - 28 Aug 1982
208.167. Nursing home services, amount paid, computation — restrictions waived when, procedure. —
Payment for nursing home services made pursuant to section 208.152 to a provider of services shall not exceed the provider's per diem, as set by the department of social services, times eighty-five percent of the provider's licensed bed capacity; or the provider's actual count of certified bed capacity, whichever is less, except that payments shall continue to be made on behalf of any qualified recipient occupying a bed, on August 13, 1982. The department or its designated division shall waive this restriction for providers in areas where the department determines that there is an inadequate number of Medicaid-certified beds available and shall waive the restriction in geographic areas where eligible medical assistance benefits recipients are disproportionately higher than those not eligible for medical assistance benefits; may waive the restriction for public institutions; and may waive the restriction in other special circumstances approved by the director, upon review of an appeal from an individual provider.
­­--------
(L. 1982 H.B. 1086 § 4)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.168 - Benefit payments for adult day care, intermediate care facilities, and skilled nursing homes — amount paid, how determined — effective when.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
Effective - 28 Aug 2014
208.168. Benefit payments for adult day care, intermediate care facilities, and skilled nursing homes — amount paid, how determined — effective when. —
1. Beginning July 1, 1983, in addition to those benefit payments for medical assistance for eligible needy persons authorized under the provisions of section 208.152, benefit payments for medical assistance may be made on behalf of those eligible needy persons who are unable to provide for it in whole or in part for adult day care and treatment to those persons who would require placement in an intermediate care facility or skilled nursing home as the latter two terms are defined by section 198.006.
2. Payments under this section shall be made on the basis of the reasonable cost of the care as reasonable cost of the services is defined and determined by the MO HealthNet division.
­­--------
(L. 1982 H.B. 1086 § 5, 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 208.171 - Effective date of certain sections.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
Effective - 01 Jan 1974, see footnote
208.171. Effective date of certain sections. —
Sections 1, 207.010, 207.060, 208.010, 208.015, 208.030, 208.042, 208.060, 208.120, 208.150, 208.160, 208.170, and 209.040 of this act shall become effective January 1, 1974, or upon the operational date of Title XVI of Public Law 92-603, establishing the federal program of supplemental security income for the aged, blind and disabled, whichever occurs later.
­­--------
(L. 1973 S.B. 325 § A)
Effective 1-1-74
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.172 - Reduction or denial of benefits, basis for, restrictions on.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
Effective - 31 Dec 1985, see footnote
208.172. Reduction or denial of benefits, basis for, restrictions on. —
Increases in assessed valuations of property pursuant to sections 137.010 to 137.960 shall not be the sole basis for a reduction in or denial of benefits under this chapter.
­­--------
(L. 1985 S.B. 152)
Effective 12-31-85
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.173 - Committee established.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
Effective - 28 Aug 1992
208.173. Committee established. —
The department of social services shall establish a "Medicaid Drug Prior Authorization Committee".
­­--------
(L. 1992 H.B. 899)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.174 - Director shall apply for amendment of waiver of comparability of services — promulgation of rules — procedure.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
Effective - 28 Aug 1995
208.174. Director shall apply for amendment of waiver of comparability of services — promulgation of rules — procedure. —
1. Within thirty days of August 28, 1992, the director of the department of social services shall apply to the United States Secretary of Health and Human Services for an amendment of the waiver of comparability of services for persons under section 42 U.S.C. 1396a (a)(10)(A)(ii)(VI) to include medical assistance benefits for persons who are defined in 42 U.S.C. 1396 r-5.
2. Upon receipt of an amended waiver received pursuant to subsection 1 of this section, the director of the department of social services shall, subject to appropriations made for such purpose, promulgate rules and regulations to extend eligibility for medical assistance benefits by applying institutional status to individuals who are at risk of placement in an intermediate care facility or skilled nursing facility licensed pursuant to chapter 198 but who, with the provision of home and community based services, may be cared for at home.
3. 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.
­­--------
(L. 1992 H.B. 899 § 17, A.L. 1993 S.B. 52, A.L. 1995 S.B. 3)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.176 - Division to provide for prospective review of drug therapy.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 28 Aug 2014
208.176. Division to provide for prospective review of drug therapy. —
By December 1, 1992, the MO HealthNet division shall, either directly or through contract with a private organization, provide for a prospective review of drug therapy. The review shall include screening for potential drug therapy problems, duplication, contraindications, interactions, incorrect drug dosage, drug allergy, duration of therapy and clinical abuse or misuse.
­­--------
(L. 1992 S.B. 721 § 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 208.181 - Expedited eligibility process, pregnant women.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 28 Aug 1993
208.181. Expedited eligibility process, pregnant women. —
The department of social services shall develop an expedited eligibility process for pregnant women for medical assistance benefits. The expedited process shall be in place no later than January 1, 1994.
­­--------
(L. 1993 H.B. 564 § 26)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.182 - Division to establish electronic transfer of benefits system — disclosure of information prohibited, penalty — benefits and verification to reside in one card.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
Effective - 28 Aug 2014
208.182. Division to establish electronic transfer of benefits system — disclosure of information prohibited, penalty — benefits and verification to reside in one card. —
1. The family support division shall establish pilot projects in St. Louis City and in any county with a population of six hundred thousand or more, which shall provide for a system of electronic transfer of benefits to public assistance recipients. Such system shall allow recipients to obtain cash from automated teller machines or point of sale terminals. If less than the total amount of benefits is withdrawn, the recipient shall be given a receipt showing the current status of his or her account.
2. The disclosure of any information provided to a financial institution, business or vendor by the family support division under this section is prohibited. Such financial institution, business or vendor may not use or sell such information and may not divulge the information without a court order. Violation of this subsection is a class A misdemeanor.
3. Subject to appropriations and subject to receipt of waivers from the federal government to prevent the loss of any federal funds, the department of social services shall require the use of photographic identification on electronic benefit transfer cards issued to recipients in this system. Such photographic identification electronic benefit transfer card shall be in a form approved by the department of social services.
4. The family support division shall promulgate rules and regulations necessary to implement the provisions of this section pursuant to section 660.017 and chapter 536.
5. The delivery of electronic benefits and the electronic eligibility verification, including, but not limited to, aid to families with dependent children (AFDC), women, infants and children (WIC), early periodic screening diagnosis and treatment (EPSDT), food stamps, supplemental security income (SSI), including Medicaid, child support, and other programs, shall reside in one card that may be enabled by function from time to time in a convenient manner.
­­--------
(L. 1992 H.B. 899, A.L. 1993 S.B. 52, A.L. 1994 H.B. 1547 & 961, 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 208.184 - Rare diseases, advisory council — sickle cell disease and MO HealthNet beneficiaries, annual evaluation and review — report.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
Effective - 28 Aug 2022
208.184. Rare diseases, advisory council — sickle cell disease and MO HealthNet beneficiaries, annual evaluation and review — report. —
1. During at least one regularly scheduled meeting each calendar year, the advisory council on rare diseases and personalized medicine established in section 208.183 shall dedicate time to:
(1) Discuss and evaluate whether the available covered medications, treatments, and services are adequate to meet the needs of MO HealthNet beneficiaries with a diagnosis of sickle cell disease;
(2) Review information on treatments for sickle cell disease in late-stage studies that show promise in peer-reviewed medical literature; and
(3) Review the importance of provider education on the disproportionate impact of sickle cell disease on specific minority populations.
2. After each annual review of the issues described under subsection 1 of this section, staff members of the MO HealthNet division, under the guidance of the advisory council on rare diseases and personalized medicine, may develop their own report on the issues described under subsection 1 of this section to be made available to the public or may solicit expert testimony or input on such issues, which may be compiled and posted on the website of the MO HealthNet division.
­­--------
(L. 2022 S.B. 710)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.186 - Nonresidents, no payments, add-ons, or reimbursements to health care providers, when.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
Effective - 06 Jul 2023, see footnote
208.186. Nonresidents, no payments, add-ons, or reimbursements to health care providers, when. —
The state shall not provide payments, add-ons, or reimbursements to health care providers through MO HealthNet for medical assistance services provided to persons who do not reside in this state, as determined under 42 CFR 435.403, or any amendments or successor regulations thereto.
­­--------
(L. 2023 S.B. 45 & 90 merged with S.B. 106)
Effective 7-06-23 (S.B. 45 & 90); 8-28-23 (S.B. 106)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.190 - Division to comply with acts of congress relating to Social Security benefits.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
Effective - 28 Aug 2014
208.190. Division to comply with acts of congress relating to Social Security benefits. —
The family support division is hereby directed to comply with the provisions of any act of Congress providing for the distribution and expenditure of funds of the United States appropriated by Congress for Social Security benefits, and to comply with any and all rules and regulations attached to or made a part of such appropriation act and not inconsistent with the constitution and laws of Missouri.
­­--------
(RSMo 1939 § 9416, 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 208.198 - Same or similar services, equal reimbursement rate required.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
Effective - 28 Aug 2010
208.198. Same or similar services, equal reimbursement rate required. —
Subject to appropriations, the department of social services shall establish a rate for the reimbursement of physicians and optometrists for services rendered to patients under the MO HealthNet program which provides equal reimbursement for the same or similar services rendered.
­­--------
(L. 2010 S.B. 754 merged with S.B. 842, et al.)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.204 - Medical care for children in custody of department, payment — division may administer funds — individualized service plans developed for children in state custody exclusively based on need for mental health services.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 28 Aug 2014, 2 histories
208.204. Medical care for children in custody of department, payment — division may administer funds — individualized service plans developed for children in state custody exclusively based on need for mental health services. —
1. The MO HealthNet division may administer the funds appropriated to the department of social services or any division of the department for payment of medical care provided to children in the legal custody of the department of social services or any division of the department.
2. Through judicial review or family support team meetings, the children's division shall determine which cases involve children in the system due exclusively to a need for mental health services, and identify the cases where no instance of abuse, neglect, or abandonment exists.
3. Within sixty days of a child being identified pursuant to subsection 2 of this section, an individualized service plan shall be developed by the applicable state agencies responsible for providing or paying for any and all appropriate and necessary services. The individualized service plan shall specifically identify which agencies are going to pay for, subject to appropriations, and provide such services, and such plan shall be submitted to the court for approval. Services shall be provided in the least restrictive, most appropriate environment that meets the needs of the child including home, community-based treatment, and supports. The child's family shall actively participate in designing the individualized service plan for the child. The department of social services shall notify the appropriate judge of the child and shall submit the individualized service plan developed for approval by the judge. The child may be returned by the judge to the custody of the child's family.
4. When the children are returned to their family's custody and become the service responsibility of the department of mental health, the appropriate moneys to provide for the care of each child in each particular situation shall be billed to the department of social services by the department of mental health pursuant to a comprehensive financing plan jointly developed by the two departments.
­­--------
(L. 1988 H.B. 1139, A.L. 2004 S.B. 1003, 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 208.210 - Undeclared income or property — benefits may be recovered by division, when.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 28 Aug 2014
208.210. Undeclared income or property — benefits may be recovered by division, when. —
1. If at any time during the continuance of public assistance to any person, the recipient thereof, or the husband or wife of the recipient with whom he or she is living, is possessed or becomes possessed of any property or income in excess of the amount declared at the time of application or reinvestigation of his or her case and in such amount as would affect his or her needs or right to receive benefits, it shall be the duty of the recipient, or the husband or the wife of the recipient, to notify the family support division of the receipt or possession of such property or income, and the family support division may, after investigation, either cancel the benefits or alter the amount thereof in accordance with the circumstances.
2. Any benefits paid when the recipient or the recipient's spouse is in possession of such undeclared property or income shall be recoverable by the department of social services as a debt due to the state. If during the life, or upon the death, of any person who is receiving or has received benefits, it is found that the recipient or the recipient's spouse was possessed of any property or income in excess of the amount reported that would affect his or her needs or right to receive benefits, or if it be shown such benefits were obtained through misrepresentation, nondisclosure of material facts, or through mistake of fact, the amount of benefits, without interest, may be recovered from him or her or his or her estate by the department of social services as a debt due the state.
3. The possession of undeclared property by a recipient or a recipient's spouse with whom the recipient is living shall be prima facie evidence of its ownership during the time benefits were granted, and the burden to prove otherwise shall be upon the recipient or the recipient's legal representative.
4. The federal government shall be entitled to share in any amount collected under the provisions of this section, however, not to exceed the amount contributed by the federal government in each case. The amount due the United States shall be promptly paid or credited upon collection to the designated agency of the federal government by the department of social services.
­­--------
(L. 1951 p. 771 § 208.201, 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 208.212 - Annuities, affect on Medicaid eligibility — rulemaking authority.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 28 Aug 2007, 2 histories
208.212. Annuities, affect on Medicaid eligibility — rulemaking authority. —
1. For purposes of MO HealthNet eligibility, the stream of income from investment in annuities shall be excluded as an available resource for those annuities that:
(1) Are actuarially sound as measured against the Social Security Administration Life Expectancy Tables, as amended;
(2) Provide equal or nearly equal payments for the duration of the device and which exclude balloon-style final payments;
(3) Provide the state of Missouri secondary or contingent beneficiary status ensuring payment if the individual predeceases the duration of the annuity, in an amount equal to the MO HealthNet expenditure made by the state on the individual's behalf; and
(4) Name and pay the MO HealthNet claimant as the primary beneficiary.
2. The department shall establish a sixty month look-back period to review any investment in an annuity by an applicant for MO HealthNet benefits. If an investment in an annuity is determined by the department to have been made in anticipation of obtaining or with an intent to obtain eligibility for MO HealthNet benefits, the department shall have available all remedies and sanctions permitted under federal and state law regarding such investment. The fact that an investment in an annuity which occurred prior to August 28, 2005, does not meet the criteria established in subsection 1 of this section shall not automatically result in a disallowance of such investment.
3. The department of social services shall promulgate rules to administer the provisions of this section. Any rule or portion of a rule, as that term is defined in section 536.010, that is created under the authority delegated in this section 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. This section 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 August 28, 2005, shall be invalid and void.
­­--------
(L. 2005 S.B. 539, A.L. 2007 S.B. 577)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.213 - Personal care contracts, effect on eligibility.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 28 Aug 2007
208.213. Personal care contracts, effect on eligibility. —
1. In determining if an institutionalized individual is ineligible for the periods and reasons specified in 42 U.S.C. Section 1396p, a personal care contract received in exchange for personal property, real property, or cash and securities is fair and valuable consideration only if:
(1) There is a written agreement between the individual or individuals providing services and the individual receiving care which specifies the type, frequency, and duration of the services to be provided that was signed and dated on or before the date the services began;
(2) The services do not duplicate those which another party is being paid to provide;
(3) The individual receiving the services has a documented need for the personal care services provided;
(4) The services are essential to avoid institutionalization of the individual receiving benefit of the services;
(5) Compensation for the services shall be made at the time services are performed or within two months of the provision of the services; and
(6) The fair market value of the services provided prior to the month of institutionalization is equal to the fair market value of the assets exchanged for the services.
2. The fair market value for services provided shall be based on the current rate paid to providers of such services in the county of residence.
­­--------
(L. 2007 S.B. 577)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.216 - Attorney's fees to be paid by department for recipient appeals for federal supplemental security income benefits, when — rules, procedure.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
Effective - 28 Aug 1993
208.216. Attorney's fees to be paid by department for recipient appeals for federal supplemental security income benefits, when — rules, procedure. —
1. The department of social services shall make disbursements to any attorney who represented a recipient of general relief under this chapter in an appeal of any claim for federal supplemental security income benefits before an administrative law judge which is decided in favor of such recipient. The amount of such disbursement shall not exceed twenty-five percent of the maximum federal supplemental security income grant payable to an individual for a period of one year. No such disbursement shall be made unless a petition and a copy of the favorable decision is submitted by such attorney to the department of social services within sixty days of the date of such decision. The disbursement shall be made within thirty days after the petition is received.
2. The department of social services shall promulgate rules and regulations necessary to implement the provisions of this section, pursuant to the provisions of section 208.151 and chapter 536.
­­--------
(L. 1990 S.B. 765 § 11, A.L. 1993 S.B. 52)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.220 - Commissioner of administration may deduct certain amounts from state employee's compensation, when.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
Effective - 28 Aug 1996
208.220. Commissioner of administration may deduct certain amounts from state employee's compensation, when. —
The commissioner of administration may deduct from any state employee's compensation amounts determined to be owed by such employee pursuant to the procedures contained in section 208.080 for any debt related to the overpayment of public assistance benefits, including food stamps, aid to families with dependent children, medical assistance, general relief, and similar assistance administered by the department of social services or other state department; provided that involuntary deductions based on such a debt determination may be made only if the determination is final.
­­--------
(L. 1996 S.B. 869)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.221 - Jurisdiction, administrative hearing commission, procedure.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
Effective - 28 Aug 1999
208.221. Jurisdiction, administrative hearing commission, procedure. —
For reimbursement or recoupment cases filed pursuant to subsection 3 of section 208.156, jurisdiction is as outlined therein. The administrative hearing commission shall render a decision within three hundred days of filing the appeal. For each day the proceeding is continued or delayed by appellant, the time frame for rendering a decision is extended by one day. If the commission does not render a decision within three hundred days of filing, or as extended, the appellant may seek the same appeal in the circuit court of Cole County or in the circuit court where the facility is located. The circuit court performing review in lieu of the administrative hearing commission herein shall perform its review under the same guidelines and restrictions as the administrative hearing commission, except that the circuit court shall retain authority to render final decisions of law.
­­--------
(L. 1999 S.B. 326 § 14)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.223 - Reimbursement for ambulance service to be based on mileage.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
Effective - 28 Aug 2009
208.223. Reimbursement for ambulance service to be based on mileage. —
Reimbursement for ambulance services provided under this chapter shall be made based on mileage calculations from the point of pick up to the destination.
­­--------
(L. 2009 S.B. 307 § 1)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.225 - Medicaid per diem rate recalculation for nursing homes, amount.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
Effective - 28 Aug 2019, 4 histories
208.225. Medicaid per diem rate recalculation for nursing homes, amount. —
1. To implement fully the provisions of section 208.152, the MO HealthNet division shall calculate the Medicaid per diem reimbursement rates of each nursing home participating in the Medicaid program as a provider of nursing home services based on its costs reported in the Title XIX cost report filed with the MO HealthNet division for its fiscal year as provided in subsection 2 of this section.
2. The recalculation of Medicaid rates to all Missouri facilities will be performed as follows: effective July 1, 2004, the department of social services shall use the Medicaid cost report containing adjusted costs for the facility fiscal year ending in 2001 and redetermine the allowable per-patient day costs for each facility. The department shall recalculate the class ceilings in the patient care, one hundred twenty percent of the median; ancillary, one hundred twenty percent of the median; and administration, one hundred ten percent of the median cost centers. Each facility shall receive as a rate increase one-third of the amount that is unpaid based on the recalculated cost determination.
3. Any intermediate care facility or skilled nursing facility, as such terms are defined in section 198.006, participating in MO HealthNet that incurs total capital expenditures, as such term is defined in section 197.305, in excess of two thousand dollars per bed shall be entitled to obtain from the MO HealthNet division a recalculation of its Medicaid per diem reimbursement rate based on its additional capital costs or all costs incurred during the facility fiscal year during which such capital expenditures were made. Such recalculated reimbursement rate shall become effective and payable when granted by the MO HealthNet division as of the date of application for a rate adjustment.
­­--------
(L. 2004 S.B. 1123, A.L. 2005 S.B. 539, A.L. 2014 H.B. 1299 Revision, A.L. 2019 S.B. 514)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.226 - Antipsychotic medication, no restrictions on availability in MO HealthNet program — provider updates, content.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
Effective - 28 Aug 2021
208.226. Antipsychotic medication, no restrictions on availability in MO HealthNet program — provider updates, content. —
1. No restrictions to access shall be imposed that preclude availability of any individual antipsychotic medication.
2. The provisions of this section shall not prohibit the division from utilizing clinical edits to ensure clinical best practices, including, but not limited to:
(1) Drug safety and avoidance of harmful drug interactions;
(2) Compliance with nationally recognized and juried clinical guidelines from national medical associations using medical evidence and emphasizing best practice principles;
(3) Detection of patients receiving prescription drugs from multiple prescribers; and
(4) Detection, prevention, and treatment of substance use disorders.
3. The division shall issue a provider update no less than twice annually to enumerate treatment and utilization principles for MO HealthNet providers, including, but not limited to:
(1) Treatment with antipsychotic drugs, as with any other form of treatment, should be individualized in order to optimize the patient's recovery and stability;
(2) Treatment with antipsychotic drugs should be as effective, safe, and well-tolerated as supported by best medical evidence;
(3) Treatment with antipsychotic drugs should consider the individual patient's needs, preferences, and vulnerabilities;
(4) Treatment with antipsychotic drugs should support an improved quality of life for the patient; and
(5) Treatment choices should be informed by the best current medical evidence and should be updated consistent with evolving nationally recognized best practice guidelines.
4. If the division implements any new policy or clinical edit for an antipsychotic drug, the division shall continue to allow MO HealthNet participants access to any antipsychotic drug that they utilize and on which they are stable or that they have successfully utilized previously. The division may recommend a resource list with no restrictions to access.
­­--------
(L. 2021 H.B. 432)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.227 - Multiple prescriptions, case management and surveillance programs to be established — rulemaking authority — state plan amendments and waivers.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
Effective - 28 Aug 2021, 3 histories
208.227. Multiple prescriptions, case management and surveillance programs to be established — rulemaking authority — state plan amendments and waivers. —
1. The division shall establish a pharmaceutical case management or polypharmacy program for high risk MO HealthNet participants with numerous or multiple prescribed drugs. The division shall also establish a behavioral health pharmacy and opioid surveillance program to encourage the use of best medical evidence-supported prescription practices. The division shall communicate with providers, as such term is defined in section 208.164, whose prescribing practices deviate from or do not otherwise utilize best medical evidence-supported prescription practices. The communication may be telemetric, written, oral, or some combination thereof. These programs shall be established and administered through processes established and supported under a memorandum of understanding between the department of mental health and the department of social services, or their successor entities.
2. The provisions of this section shall not prohibit the division from utilizing clinical edits to ensure clinical best practices, including, but not limited to:
(1) Drug safety and avoidance of harmful drug interactions;
(2) Compliance with nationally recognized and juried clinical guidelines from national medical associations using medical evidence and emphasizing best practice principles;
(3) Detection of patients receiving prescription drugs from multiple prescribers; and
(4) Detection, prevention, and treatment of substance use disorders.
3. The department of social services may promulgate rules and regulations to implement the provisions of this section. Any rule or portion of a rule, as that term is defined in section 536.010, that is created under the authority delegated in this section 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. This section 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 August 28, 2017, shall be invalid and void.
4. The department shall submit such state plan amendments and waivers to the Centers for Medicare and Medicaid Services of the federal Department of Health and Human Services as the department determines are necessary to implement the provisions of this section.
­­--------
(L. 2007 S.B. 577 § 2, A.L. 2017 S.B. 139, A.L. 2021 H.B. 432)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.229 - Rebates on outpatient drugs — definitions.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
Effective - 28 Aug 2017
208.229. Rebates on outpatient drugs — definitions. —
1. Pharmaceutical manufacturers shall pay to the state, in accordance with 42 U.S.C. Section 1396r-8, rebates on eligible utilization of covered outpatient drugs dispensed to MO HealthNet participants under the MO HealthNet pharmacy program as follows:
(1) For single source drugs and innovator multiple source drugs, rebates shall reflect the manufacturer's best price, as defined by 42 CFR 447.505, as updated and amended, and set forth in 42 CFR 447.509, as updated and amended; and
(2) For single source drugs and innovator and noninnovator multiple source drugs, any additional rebates necessary to account for certain price increases in excess of inflation, as set forth in 42 CFR 447.509, as updated and amended.
2. For purposes of this section, the terms "innovator multiple source drug", "noninnovator multiple source drug", and "single source drug" shall have the same meanings as defined in 42 CFR 447.502, as updated and amended.
­­--------
(L. 2017 S.B. 139)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.238 - Eligibility, automated process to check applicants and recipients.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 28 Aug 2014
208.238. Eligibility, automated process to check applicants and recipients. —
The department of social services shall implement an automated process to ensure applicants applying for benefit programs are eligible for such programs. The automated process shall be designed to periodically review current beneficiaries to ensure that they remain eligible for benefits they are receiving. The system shall check applicant and recipient information against multiple sources of information through an automated process. If the automated process shows the recipient is no longer eligible for one benefit program, the department shall determine what other benefit programs shall be closed to the recipient.
­­--------
(L. 2014 S.B. 680)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.239 - Eligibility redeterminations, renewals, and postenrollment verifications, resumed, when.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 06 Jul 2023, see footnote
208.239. Eligibility redeterminations, renewals, and postenrollment verifications, resumed, when. —
The department of social services shall resume annual MO HealthNet eligibility redeterminations, renewals, and postenrollment verifications no later than thirty days after July 6, 2023.
­­--------
(L. 2023 S.B. 45 & 90 merged with S.B. 106)
Effective 7-06-23 (S.B. 45 & 90); 8-28-23 (S.B. 106)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.240 - Statewide dental delivery system authorized.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
Effective - 28 Aug 2013
208.240. Statewide dental delivery system authorized. —
The MO HealthNet division within the department of social services may implement a statewide dental delivery system to ensure participation of and access to providers in all areas of the state. The MO HealthNet division may administer the system or may seek a third party experienced in the administration of dental benefits to administer the program under the supervision of the division.
­­--------
(L. 2013 S.B. 127)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.244 - Waiver of SNAP work requirements, inapplicable, when — savings used for child care assistance — annual report.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 28 Aug 2015
*208.244. Waiver of SNAP work requirements, inapplicable, when — savings used for child care assistance — annual report. —
**
1. Beginning January 1, 2016, the waiver of the work requirement for the supplemental nutrition assistance program under 7 U.S.C. Section 2015(o) shall no longer apply to individuals seeking benefits in this state. The provisions of this subsection shall terminate on January 1, 2019.
2. Any ongoing savings resulting from a reduction in state expenditures due to modification of the supplemental nutrition assistance program under this section or the temporary assistance for needy families program under sections 208.026 and 208.040 effective on August 28, 2015, subject to appropriations, shall be used to provide child care assistance for single parent households, education assistance, transportation assistance, and job training for individuals receiving benefits under such programs as allowable under applicable state and federal law.
3. The department shall make an annual report to the joint committee on government accountability on the progress of implementation of sections 208.026 and 208.040, including information on enrollment, demographics, work participation, and changes to specific policies. The joint committee shall meet at least once a year to review the department's report and shall make recommendations to the president pro tempore of the senate and the speaker of the house of representatives.
­­--------
(L. 2015 S.B. 24)
*S.B. 24 was vetoed 4-30-15. The veto was overridden on 5-05-15.
**Subsection 1 terminates 1-01-19.
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.250 - Definitions.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 28 Aug 1981
208.250. Definitions. —
The following words shall have the following meanings unless a different meaning clearly appears from the context:
(1)
"Corporation"
means a domestic not-for-profit corporation organized under the provisions of chapter 355;
(2)
"Department"
means the Missouri department of transportation;
(3)
"Director"
means the director of the Missouri department of transportation.
­­--------
(L. 1976 S.B. 875 § 1, A.L. 1981 S.B. 410)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.255 - Missouri elderly and handicapped transportation assistance program created, purpose.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 28 Aug 1981
208.255. Missouri elderly and handicapped transportation assistance program created, purpose. —
There is hereby created the "Missouri Elderly and Handicapped Transportation Assistance Program". The purpose of this program is to provide state financial assistance to defray operating costs incurred by corporations providing transportation services to the elderly and handicapped at below cost rates as long as matching federal funds or local or private funds, or both, are available and received.
­­--------
(L. 1976 S.B. 875 § 2, A.L. 1981 S.B. 410)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.260 - Funds appropriated to transportation department, duty to administer — distribution of funds, how determined.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 28 Aug 1981
208.260. Funds appropriated to transportation department, duty to administer — distribution of funds, how determined. —
Funds appropriated for this program shall be appropriated to and administered by the department of transportation. The distribution of funds to corporations shall be determined on the basis of ridership, cost and alternative transportation means available.
­­--------
(L. 1976 S.B. 875 § 3, A.L. 1981 S.B. 410)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.265 - Rules and procedures, developed by whom, published, where.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 28 Aug 1976
208.265. Rules and procedures, developed by whom, published, where. —
The director shall develop specific procedures and rules for the program for inclusion in the Missouri Register. These rules shall be subject to all state laws regarding the development of such rules.
­­--------
(L. 1976 S.B. 875 § 4)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 208 - Old Age Assistance, Aid to Dependent Children and General Relief › Section 208.300 - Volunteer program for in-home respite care of the elderly — credit for service, limitation.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 208
• Effective - 28 Aug 2014
208.300. Volunteer program for in-home respite care of the elderly — credit for service, limitation. —
The department of health and senior services may establish a program under which elderly persons who are sixty years of age or older and others who have designated an elderly person as a beneficiary may volunteer their time and services to an in-home service or voluntary agency serving the elderly or to a not-for-profit organization or agency which provides services that benefit the elderly which is approved by the division and receive credit for providing volunteer respite service, which credit may then be drawn upon by such elderly persons or designated elderly beneficiaries when they themselves or their families need such respite services. The division shall establish a registry of names of such volunteers and shall, monthly or as often as it deems necessary for efficient management of the program, credit each of such volunteers with the number of hours of service each has performed for organizations and agencies approved by the division. No person serving as a volunteer pursuant to any program established by the division under the provisions of this section shall be credited for more than ten hours of volunteer service under this program per week.
­­--------
(L. 1984 H.B. 959 § 1, A.L. 1987 S.B. 277, A.L. 1992 H.B. 1687, A.L. 2014 H.B. 1299 Revision)