reglab/statecodes huggingface dataset:
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.190 - Area Agency on Aging Development of a Comprehensive and Coordinated Service Delivery System

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminology and legal
				  authority.
PURPOSE: This rule describes the requirements the
				  area agency on aging shall meet to develop a comprehensive and coordinated
				  service delivery system within the planning and service area.
(1) The area agency on aging continuously
				shall work toward development of a comprehensive coordinated community-based
				system that shall facilitate access to and utilization of all supportive and
				nutritional services provided by any source within the planning and service
				area (PSA). Components of this system may include:
(A) Services which facilitate access, such as
				transportation, outreach, information and assistance, and case
				management;
(B) Services provided
				in the community, such as congregate meals, continuing education, health and
				nutrition education, health screening, legal assistance, program development
				and coordination activities, advocacy, information and assistance, case
				management, casework, counseling and assistance (concerning taxes, financial
				problems, public benefits, the use of facilities and services, preretirement or
				second career), adult day health care, protective services, services designed
				for the unique needs of persons with disabilities, emergency services, disaster
				relief services, minor home repair, physical fitness and recreation, services
				to help obtain adequate housing and alteration, renovation, acquisition and
				construction of facilities to be used as multipurpose senior centers;
(C) Services provided in the home, such as
				homemaker services, personal care services, legal assistance, respite, case
				management, counseling, chore, visiting, shopping assistance,
				reading/letter-writing, telephone reassurance, home-delivered meals, and
				nutrition education; and
(D)
				Services provided to residents of care-providing facilities, such as case
				management counseling, placement and relocation assistance, group services,
				legal assistance, complaint and grievance resolution and visiting.
				Care-providing facilities include long-term facilities, emergency shelters and
				other congregate living arrangements.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.200 - Area Agency on Aging Subgrants or Contracts

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminology and legal
				  authority.
PURPOSE: This rule sets forth requirements for the
				  area agency on aging to follow in awarding subgrants and
				  contracts.
(1) The area
				agency on aging shall follow applicable procurement standards as specified in
				45 CFR Part 75 , which has been incorporated by reference in this rule, as
				published on October 1, 2021, by the Office of the Federal Register, National
				Archives and Record Administration, 7G Street NW, Suite A-734, Washington, DC
				20401- 0001 and available at
https://bookstore.gpo.gov/catalog/code-federalregulations-cfrs-print
;
				and 2 CFR Part 200 , which has been incorporated by reference in this rule, as
				published on January 1, 2021, by the Office of the Federal Register, National
				Archives and Record Administration, 7G Street NW, Suite A-734, Washington, DC
				20401- 0001 and available at
https://bookstore.gpo.gov/catalog/code-federalregulations-cfrs-print
.
				This rule does not incorporate any subsequent amendments or additions.
(A) The area agency on aging may waive the
				requirement of competitive bids for the purchase of food items when special
				temporary market conditions exist and the food items can be purchased for at
				least ten percent (10%) less than the most current bid price for the same food
				items.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.210 - Area Agency on Aging Grievance Procedures

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminology and legal
				  authority.
PURPOSE: This rule requires area agencies on aging to
				  establish written grievance procedures.
(1) Each area agency on aging shall establish
				written grievance procedures that provide the opportunity to appear before the
				governing body to the following:
(A)
				Individuals who wish to resolve areas of conflict regarding delivery of
				services;
(B) Service provider
				applicants whose application to provide services is denied; and
(C) Service providers whose subgrant or
				contract is terminated or not renewed.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.220 - Area Agency on Aging Technical Assistance, Monitoring, and Evaluation Responsibilities

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminology and
				  statutory authority.
PURPOSE: This rule requires the area agency on aging
				  to provide technical assistance to service providers and other organizations
				  and to monitor and assess service provider performance.
(1) The area agency on aging shall provide
				technical assistance to service providers, organizations where joint program
				agreements are in effect, and upon request, to groups and public and private
				organizations that are interested in developing or expanding programs for older
				adults.
(2) The area agency on
				aging shall develop and implement an ongoing process for monitoring service
				providers that includes requiring periodic written financial and program
				reports.
(3) At least annually, the
				area agency on aging shall conduct a full on-site evaluation of each service
				provider to monitor compliance with fiscal and program standards and to provide
				technical assistance, if needed. The division shall have the right to require
				an area agency on aging to conduct more frequent on-site monitoring if there is
				evidence of inadequate quality or quantity of service being delivered by a
				service provider.
(4) The area
				agency on aging shall develop and implement written policies and procedures
				that describe how it meets its technical assistance, monitoring, and evaluation
				responsibilities.
*Original authority: 660.050, RSMo 1984, amended
					 1988.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.230 - Multipurpose Senior Center

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment amends the purpose statement,
				  updates terminology, regulatory references, procedural requirements, and
				  statutory authority.
PURPOSE: This rule establishes the requirements that
				  shall be met by an area agency on aging for the acquisition, establishment,
				  maintenance, modernization, or construction of a multipurpose senior
				  center.
PUBLISHER'S NOTE: The secretary of state has
				  determined that the publication of the entire text of the material which is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. This material as incorporated by reference in this rule shall be
				  maintained by the agency at its headquarters and shall be made available to the
				  public for inspection and copying at no more than the actual cost of
				  reproduction. This note applies only to the reference material. The entire text
				  of the rule is printed here.
(1) Area agencies on aging may award funds to
				a public or private nonprofit agency for the following purposes:
(A) Acquiring, establishing, maintaining,
				modernizing, or constructing of a multipurpose senior center; or
(B) Paying the costs of professional and
				technical personnel required to operate multipurpose senior centers.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.245 - Nutrition Service Standards

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes the minimum standards
				  for providing nutrition services for older adults with federal or state
				  funds.
PUBLISHER'S NOTE: The secretary of state has
				  determined that publication of the entire text of the material that is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. This material as incorporated by reference in this rule shall be
				  maintained by the agency at its headquarters and shall be made available to the
				  public for inspection and copying at no more than the actual cost of
				  reproduction. This note applies only to the reference material. The entire text
				  of the rule is printed here.
(1) A unit of nutrition service is one (1)
				qualifying meal-
(A) Served to a service
				recipient in a center for congregate nutrition services; or
(B) Delivered to a homebound service
				recipient's home for home-delivered nutrition services.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.250 - Area Agency on Aging Nutrition Services Incentive Program

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates the nutrition program
				  name, terminology, and statutory authority.
PURPOSE: This rule requires area agency on aging
				  participation in the Nutrition Services Incentive Program and describes the
				  requirements for participating in the program.
(1) The area agency on aging shall accept and
				distribute funds received through the Nutrition Services Incentive Program
				(NSIP) to nutrition service providers based on the percentage of eligible meals
				served within the planning and service area.
(2) The area agency on aging shall develop procedures
				to assure that NSIP funds are used in compliance with requirements under
				Section 311 of the Older Americans Act. These procedures shall include, but are
				not limited to, the following:
(A) All funds
				received from NSIP shall be spent to purchase United States agricultural food
				items;
(B) All purchases made with
				NSIP funds shall be documented by one (1) of the following methods:
1. If food is purchased through bid, the
				invoice shall show the number of units and unit cost, with a copy of the bid
				specification attached that contains the following statement, "The food is to
				be United States-produced";
2. If
				food is purchased without bid, the following procedures shall apply:
A. Invoices for bread and fresh dairy
				products must show the number of units and unit cost. These products are
				assumed to be United States-produced;
B. When canned goods, meat products, and
				produce are purchased on a continuing basis from a vendor, a letter from
				him/her stating that all food supplied to the nutrition center is United
				States-produced will be adequate documentation. The letter shall be renewed
				annually; and
C. Invoices for
				occasional purchases shall show the number of units, unit cost, and a statement
				assuring that the food was United States-produced; or
3. The contract for catered meals shall
				contain a clause stating the NSIP funds shall be spent for United
				States-produced foods only and shall inure only to the benefit of the nutrition
				program; and
(C) The
				area agency on aging will monitor the nutrition service provider to assure
				adequate documentation is maintained for all these
				purchases.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.260 - Outreach Services

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminology and
				  statutory authority.
(1) Area
				agencies on aging shall provide outreach services to identify older adults and
				inform them of the availability of services. Outreach efforts should have
				special emphasis on rural older adults and on those with the greatest economic
				or social need. With respect to nutrition services, outreach efforts should
				ensure that the maximum number of eligible persons have an opportunity to
				receive services.
(2) The area
				agency on aging shall provide outreach training to outreach workers which shall
				include, but not be limited to, the following:
(A) An understanding of the limits to which
				workers can serve persons contacted;
(B) Problems of older adults;
(C) Methods of working with older
				adults;
(D) Sensitivity to needs of
				minority older adults; and
(E)
				Procedures for conducting outreach services and assessing effectiveness of
				outreach activities conducted.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.270 - Legal Assistance

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminology and
				  statutory authority.
(1) The
				area agency on aging shall award funds to the legal assistance provider(s) that
				most fully meets the following requirements. The legal assistance provider(s)
				shall-
(A) Have staff with expertise in
				specific areas of law affecting older adults with economic or social needs, for
				example, public benefits, institutionalization, and alternatives to
				institutionalization;
(B)
				Demonstrate the capacity to provide effective administrative and judicial
				representation in the areas of law affecting older adults with economic or
				social need;
(C) Demonstrate the
				capacity to provide support to other advocacy efforts, for example, the
				long-term care ombudsman program;
(D) Demonstrate the capacity to deliver legal
				assistance to institutionalized, isolated and homebound older individuals
				effectively; and
(E) Demonstrate
				the capacity to provide legal assistance in the principal language spoken by
				clients in areas where a significant number of clients do not speak English as
				their principal language.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.280 - Ombudsman Services

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminology and
				  statutory authority.
PURPOSE: This rule requires the area agency on aging
				  to support the statewide Long-Term Care Ombudsman program and establishes
				  criteria for funding local programs.
(1) The area agency on aging shall conduct
				ombudsman activities that support the division-administered Long-Term Care
				Ombudsman program. The area agency on aging may award funds for the provision
				of a Long-Term Care Ombudsman program and that award shall be based on a
				consideration of the degree to which the ombudsman service provider has-
(A) Established measurable
				objectives;
(B) Identified
				facilities in the project area;
(C)
				Developed a plan for informing and serving the older residents of the
				identified facilities; and
(D)
				Developed a plan for recordkeeping that includes such data as to the nature of
				the complaints received, efforts made to resolve complaints and procedures to
				maintain the confidentiality of service recipient records and
				files.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.290 - Information and Assistance

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: The amendment updates terminology and legal
				  authority.
PURPOSE: This rule requires the area agency on aging
				  to provide information and assistance services and describes the requirements
				  for operating the program.
(1) The area agency on aging shall provide
				information and assistance services sufficient to ensure that all older adults
				within the planning and service area have reasonably convenient access to
				information about the services available within their geographic
				region.
(2) The area agency on
				aging shall comply with divisional standards for information and assistance
				services (see 19 CSR 154.295).
*Original authority: 660.050, RSMo 1984, amended 1988,
					 1992, 1993, 1994, 1995.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.295 - Information and Assistance Service Standards

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminology and
				  statutory authority and moves the rule from Chapter 7 to Chapter
				  4.
PURPOSE: This rule sets forth minimum standards for
				  information and assistance service providers to assure that all older adults
				  within a planning and service area have reasonable access to
				  services.
(1) A unit of
				service is one contact.
(A) A contact is an
				individual encounter with a client or their advocate.
(B) A contact may be a simple, one-time
				inquiry, or one which requires follow-up. Contact may be by phone, in person or
				in writing, or by electronic means such as fax or E-mail.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.300 - Record Keeping and Confidentiality

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminology and legal
				  authority.
PURPOSE: This rule establishes the length of time
				  that the division, area agencies on aging, and service providers shall maintain
				  records and the standards by which confidentiality of records will be
				  maintained.
(1) The division,
				area agencies on aging, and service providers shall maintain all records under
				Title III for a minimum of three (3) years; Social Services Block Grant records
				shall be maintained for five (5) years.
(2) The division, area agencies on aging, and
				service providers shall maintain the confidentiality of records as follows:
(A) All records that identify individual
				recipients of alternative services shall be confidential and may be released,
				for administrative and program monitoring purposes only, to the following:
1. Designated employees of the United States
				Department of Health and Human Services, Administration for Community Living
				(ACL);
2. Designated employees of
				the Missouri Department of Health and Senior Services and the Division of
				Senior and Disability Services;
3.
				Designated employees of the area agency on aging or service provider;
				or
4. Court of competent
				jurisdiction, when subpoenaed;
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.310

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 660.050, RSMo 1984, amended 1988,
					 1992, 1993, 1994, 1995.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.410 - Transportation Service Standards

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminology and
				  statutory authority and moves the rule from Chapter 7 to Chapter
				  4.
PURPOSE: This rule sets forth the minimum standards
				  to be met by a transportation service provider receiving state or federal funds
				  for the operation of transportation services for adults sixty years of age and
				  over and adults with disabilities between ages eighteen and fifty-nine and
				  applies to all transportation service delivery systems, both direct and
				  indirect.
(1) Contracted
				transportation service providers and transportation service provided directly
				by the area agency on aging to eligible service recipients shall meet the
				following requirements:
(A) Have sufficient
				phones and personnel to handle calls regarding the service;
(B) Develop and operate an efficient system
				for scheduling trips to assure that the service is dependable and no passenger
				is left stranded;
(C) Service will
				be provided for the duration of a contract period or as agreed upon by the area
				agency on aging and service provider;
(D) Have a program manual available to all
				employees and volunteers detailing its operational policies, procedures, and
				general requirements applicable to service provision. Program manual shall
				include:
1. Safety precautions for drivers and
				passengers;
2. Information on the
				procedure for denial of service, provided in sections (4)-(7);
(E) Ensure all drivers have
				completed orientation training prior to transporting eligible service
				recipients;
(F) Ensure that all
				drivers of any vehicle used in transportation have a valid driver's license as
				required by Missouri law-
1. Class F: required
				to transport for pay for a transportation network company;
2. Class E: required to transport for pay up
				to fourteen (14) passengers unless working for a transportation network
				company; or
3. CDL: required for
				transporting for pay fifteen (15) or more passengers;
(G) Ensure that all vehicles used for
				transportation shall be in compliance with all state and federal laws, rules,
				and regulations including the Americans with Disabilities Act; and
(H) Be in compliance with all general
				requirements for service providers provided in
				19 CSR
				15-7.010.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.440 - Division Formal Hearings

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates the hearing procedure
				  and statutory authority and moves the rule from Chapter 6 to Chapter
				  4.
(1) The division shall
				provide the opportunity for a formal hearing, under the following
				circumstances:
(A) To an area agency when the
				division finds that any provision of the area plan or plan amendment is not
				approvable and the division proposes to disapprove the area plan or plan
				amendment;
(B) To an area agency on
				aging when the division proposes to withdraw its designation in accordance with
				19 CSR
				15-4.080;
(C) To any applicant for designation as a
				planning and service area whose application is denied by the
				division;
(D) To any nutrition
				project that was receiving funds under the former Title VII of the Act on
				September 30, 1978, that an area agency proposes to defund except as provided
				in 45 CFR Part 75 and has appealed the determination through the area agency on
				aging grievance procedure; and
(E)
				To any other service provider whose application to provide services is denied
				or whose subgrant or contract is terminated or not renewed except as provided
				in 45 CFR Part 75 and has appealed the determination through the area agency on
				aging grievance procedure.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 6 - Alternative Services › Section 19 CSR 15-6.020

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 251.070, RSMo 1967 and 536.023, RSMo
					 1975, amended 1976.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 6 - Alternative Services › Section 19 CSR 15-6.025 - Division Formal Hearings

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule requires the division to provide
				  the opportunity for a formal hearing, describes when a formal hearing may be
				  requested and the procedures to be followed.
PUBLISHER'S NOTE: The secretary of state has
				  determined that the publication of the entire text of the material which is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. Therefore, the material which is so incorporated is on file with
				  the agency who filed this rule, and with the Office of the Secretary of State.
				  Any interested person may view this material at either agency's headquarters or
				  the same will be made available at the Office of the Secretary of State at a
				  cost not to exceed actual cost of copy reproduction. The entire text of the
				  rule is printed here. This note refers only to the incorporated by reference
				  material.
(1) The division
				shall provide the opportunity for a formal hearing, under the following
				circumstances:
(A) To an area agency when the
				division finds that any provision of the area plan or plan amendment is not
				approvable and the division proposes to disapprove the area plan or plan
				amendment;
(B) To an area agency
				when the division proposes to withdraw its designation for the following
				reasons:
1. The area agency does not meet the
				requirements of federal and state regulations;
2. The area plan or plan amendment is not
				approved; or
3. There is
				substantial failure in the provisions or administration of an approved area
				plan to comply with federal and state regulations;
(C) To any applicant for designation as a
				planning and service area whose application is denied by the
				division;
(D) To any nutrition
				project that was receiving funds under the former Title VII of the Act on
				September 30, 1978 that an area agency proposes to defund except as provided in
				45 CFR Part 74, Subpart M and has appealed the determination through the area
				agency grievance procedure and the division mediation procedure; and
(E) To any other service provider whose
				application to provide services is denied or whose subgrant or contract is
				terminated or not renewed except as provided in 45 CFR Part 74, Subpart M and
				has appealed the determination through the area agency grievance procedure and
				the division mediation procedure.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 7 - Service Standards › Section 19 CSR 15-7.010 - General Requirements for All Service Providers

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment amends the purpose statement,
				  updates terms and statutory and regulatory references throughout the rule, and
				  updates requirements of service providers.
PURPOSE: This rule describes the general requirements
				  that all service providers shall meet to receive grants or subgrants to provide
				  services for older adults or low income adults with disabilities funded by the
				  division or area agencies on aging.
PUBLISHER'S NOTE: The secretary of state has
				  determined that publication of the entire text of the material that is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. This material as incorporated by reference in this rule shall be
				  maintained by the agency at its headquarters and shall be made available to the
				  public for inspection and copying at no more than the actual cost of
				  reproduction. This note applies only to the reference material. The entire text
				  of the rule is printed here.
(1) Service providers shall meet all
				applicable state and local licensure and safety requirements for the provision
				of those particular services.
(2)
				Service providers shall maintain any licensure, certification or registration
				mandated by any state or local government, body or board.
(3) Service providers shall allow only
				employees or volunteers holding a current license, certification or
				registration to perform those tasks, duties or functions for which licensure,
				certification or registration is required by any state or local agency, body or
				board.
(4) Service providers shall
				have an adequate number of staff (paid or volunteer) who are qualified to
				perform assigned functions in order to implement the activities and services.
(A) Multilingual staff shall be available
				when there are substantial numbers of non-English speaking
				participants.
(B) A written job
				description for each position function and responsibility and the line of
				supervisory authority for each position (paid and volunteer) shall be developed
				and maintained. Personnel qualifications shall meet job description
				requirements.
(C) A written
				performance evaluation of each paid staff member shall be done at least
				annually and shall be maintained in the employee's personnel file.
(D) A training file shall be maintained that
				documents the type of training provided, names of staff and volunteers
				participating, number of hours of training provided and date(s) training was
				provided. A report of each employee's orientation and in-service training
				provided by the service provider and from other sources shall be placed in that
				employee's personnel file.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 7 - Service Standards › Section 19 CSR 15-7.040 - Transportation Service Standards

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule sets forth the minimum standards
				  to be met by a transportation service provider receiving state or federal funds
				  for the operation of transportation services for persons aged sixty and over
				  and handicapped adults aged eighteen through fifty-nine and applies to all
				  transportation service delivery systems, both direct and
				  indirect.
(1) The
				transportation service provider shall meet the following requirements:
(A) Have sufficient phones and personnel to
				handle calls regarding the service;
(B) Develop and operate an efficient system
				for scheduling trips to assure that the service is dependable and no passenger
				is left stranded;
(C) Service will
				be provided for the duration of a contract period or as agreed upon by the AAA
				and service provider; and
(D) Have
				a program manual available to all employees and volunteers detailing its
				operational policies, procedures and general requirements applicable to service
				provision.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 7 - Service Standards › Section 19 CSR 15-7.050 - Information and Assistance Service Standards

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule sets forth minimum standards for
				  information and assistance service providers to assure that all older people
				  within a planning and service area have reasonable access to
				  services.
(1) A unit of
				service is one contact.
(A) A contact is an
				individual encounter with a client or their advocate.
(B) A contact may be a simple, one-time
				inquiry, or one which requires follow-up. Contact may be by phone, in person or
				in writing, or by electronic means such as fax or E-mail.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 7 - Service Standards › Section 19 CSR 15-7.060 - Nutrition Service Standards

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes the minimum standards
				  for providing nutrition services for the elderly with federal or state
				  funds.
(1) A unit of
				nutrition service is one (1) meal-
(A) Served
				to a service recipient in a center for congregate nutrition services;
				or
(B) Delivered to a homebound
				service recipient's home for home-delivered nutrition services.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 8 - Consumer-Directed Services › Section 19 CSR 15-8.200 - Eligibility

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment incorporates changes in the
				  consumer-directed services program required by House Bill 1682, 100th General
				  Assembly, Second Regular Session (2020), which updates the criteria and
				  procedures for eligibility determination and responsibilities of consumers for
				  consumer-directed services administered by the Department of Health and Senior
				  Services.
PURPOSE: This rule establishes the criteria and
				  procedures for determining an applicant eligible to receive consumer-directed
				  services and describes consumer's responsibilities for consumer-directed
				  services.
(1) Subject to
				legislative appropriations, the Department of Health and Senior Services (DHSS)
				shall provide financial assistance for consumer-directed services (CDS) through
				eligible vendors to each consumer determined eligible to participate in the CDS
				program.
(A) All consumers must meet the
				following general criteria for eligibility under the CDS program:
1. Be at least eighteen (18) years of
				age;
2. Able to direct their own
				care (consumer-directed);
3.
				Capable of living independently with CDS;
4. Physically disabled;
5. Require at least a nursing facility level
				of care under regulations established by DHSS;
6. Unmet needs must be safely met at a cost
				that shall not exceed the average monthly Medicaid cost of nursing facility
				care as determined by the Department of Social Services (DSS);
7. Document proof of Medicaid eligibility
				under Title XIX of the Social Security Act pursuant to federal and state laws
				and regulations; and
8. Participate
				in an assessment and/or evaluation conducted by DHSS to assign point values
				pursuant to federal and state laws and regulations.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 8 - Consumer-Directed Services › Section 19 CSR 15-8.300 - Eligibility for Non-Medicaid Eligible Program

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule incorporates changes to the
				  non-Medicaid eligible consumer-directed services program required by Senate
				  Bill 74/49, 93rd General Assembly, First Regular Session (2005), to establish
				  the criteria and procedures for determining eligibility for consumer-directed
				  services through the non-Medicaid eligible program.
(1) Subject to legislative appropriations,
				the Department of Health and Senior Services (DHSS) shall provide financial
				assistance for consumer-directed services (CDS) through eligible vendors,
				pursuant to applicable state law and regulation, to each person determined
				eligible to participate in the non-Medicaid eligible (NME) program. All
				consumers must meet the CDS requirements found in state law and regulations,
				except for proof of Medicaid eligibility under Title XIX of the Social Security
				Act. In addition, consumers must meet the following criteria for eligibility
				under the NME program:
(A) Participation in
				the NME program through the Department of Elementary and Secondary Education,
				Division of Vocational Rehabilitation, on June 30, 2005, and make application
				to DHSS;
(B) Demonstrate financial
				need and eligibility pursuant to the applicable rules and
				regulations;
(C) Provide proof of
				having been found by the Department of Social Services (DSS) ineligible to
				participate in the Medicaid state plan; and
(D) Does not have access to
				employer-sponsored or other health care coverage that includes personal care
				assistance, or the costs of such coverage exceed on a monthly basis one hundred
				thirty-three percent (133%) of the monthly average premium required in the
				state's current Missouri Consolidated Health Care Plan (MCHCP).
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 8 - Consumer-Directed Services › Section 19 CSR 15-8.400 - Vendors

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment incorporates changes in the
				  consumer-directed services program required by House Bill 1682, 100th General
				  Assembly, Second Regular Session (2020) and Senate Bill 710, 100th General
				  Assembly, Second Regular Session (2022), which updates the criteria,
				  procedures, and responsibilities for entities eligible to be vendors of
				  consumer-directed services administered by the Department of Health and Senior
				  Services.
PURPOSE: This rule establishes the criteria,
				  procedures, and responsibilities for entities eligible to be vendors of
				  consumer-director services administered by the Department of Health and Senior
				  Services.
(1) All vendors of
				the consumer-directed services (CDS) program shall-
(A) Have a philosophy that promotes the
				consumer's ability to live independently in the most integrated setting. This
				philosophy includes the following independent living services:
1. Advocacy;
2. Independent living skills
				training;
3. Peer counseling;
				and
4. Information and
				referral;
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 8 - Consumer-Directed Services › Section 19 CSR 15-8.500 - Hearing Rights

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes procedures by which an
				  applicant or consumer dissatisfied with a determination made regarding the
				  provision of services by the Department of Health and Senior Services (DHSS)
				  can request a hearing.
(1)
				When an applicant or consumer is determined ineligible for consumer-directed
				services (CDS) or when a dispute arises concerning the provision of CDS, after
				preparation of the CDS plan (plan of care), or termination of CDS, the
				applicant or consumer may request, in writing, a hearing with the Department of
				Social Services (DSS).
(2) An
				applicant or consumer may request a hearing by contacting Department of Health
				and Senior Services (DHSS) in writing within ninety (90) days of denial of
				eligibility, denial of financial assistance, the determination of financial
				assistance, discontinuation, suspension or reduction of CDS.
(3) If the consumer appeals in writing within
				ten (10) days of the mailing of the notice regarding denial, suspension,
				reduction or termination of CDS, DHSS will not suspend, reduce, or terminate
				services provided to a consumer under an existing plan of care pending a
				decision from a hearing, unless the consumer requests in writing that services
				be suspended, reduced or terminated.
(A) The
				consumer shall be responsible for repayment of any federal or state funds
				expended for services while the appeal is pending, when if DHSS' decision is
				upheld and the state requests repayment of such funds.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 1 - Food Protection › Section 19 CSR 20-1.030 - Frozen Dessert License

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment describes the application
				  process and requirements for acquiring a frozen dessert
				  license.
(1) Applicability.
				This rule applies to food establishments, food processing plants, and brokers
				manufacturing and/or distributing frozen dessert products.
(2) Definitions. The following definitions
				shall apply in the interpretation and application of this rule and shall have
				the meaning stated below:
(A) "Administrative
				authority" shall mean the department, local public health agency (LPHA), and/or
				U.S. Food and Drug Administration that has authority to govern food
				establishments and/or food processing plants;
(B) "Broker" shall mean any person operating
				a food processing plant located outside of Missouri that manufacturers and/or
				distributes frozen dessert products into Missouri;
(C) "Department" shall mean the Missouri
				Department of Health and Senior Services;
(D) "Food establishment" shall be defined as
				specified in 19 CSR 20-1.025;
(E) "Food processing plant" shall be defined
				as specified in 19 CSR 20-1.025;
(F) "Frozen dessert" shall mean ice cream,
				ice cream mix, ice milk, sherbet, frozen malt, ice milk mix, mellorine, edible
				fat frozen dessert, or ices that meet the definition of a potentially hazardous
				food as defined in 19 CSR 20-1.025; and
(G) "Person" shall mean an individual,
				partnership, corporation, organization, and association.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 1 - Food Protection › Section 19 CSR 20-1.040 - Good Manufacturing Practices

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates state food
				  manufacturing standards to be consistent with the U.S. Food and Drug
				  Administration's (FDA) current good manufacturing practices
				  regulation.
(1)
				Applicability. The requirements of this rule apply to buildings or facilities,
				or parts thereof, used for, or in connection with, the manufacturing,
				packaging, processing, or holding of human food.
(2) Standards. Manufacturers, distributors,
				and warehouses shall operate in accordance with 21 CFR Part 117 Current Good
				Manufacturing Practice, Hazard Analysis, and Risk-Based Preventive Controls for
				Human Food, revised as of September 17, 2015, hereby incorporated by reference
				and made a part of this rule as published by the U.S. Government Publishing
				Office, 732 North Capitol Street NW, Washington, DC 20401-0001, (202) 512-1800,
http://bookstore.gpo.gov
. This
				rule does not incorporate any subsequent amendments or additions.
(3) In the case of the giving of a guaranty
				or undertaking referred to in section
				196.015(7),
				RSMo (1986), each person signing a guaranty, or undertaking shall be considered
				to have given it.
(A) A guaranty or
				undertaking referred to in section
				196.015(7),
				RSMo (1986) may be-
1. Limited to a specific
				shipment or other delivery of an article which may be a part of or attached to
				the invoice or bill of sale covering the shipment or delivery; or
2. General and continuing, applying to any
				shipment or other delivery or an article and shall be considered to have been
				given at the date the article was shipped or delivered by the person who gives
				the guaranty or undertaking.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 1 - Food Protection › Section 19 CSR 20-1.042 - Acidified Foods

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes standards to assure
				  the facilities, methods, practices, and controls used to manufacture, process,
				  and package acidified foods are safe and conducted under sanitary
				  conditions.
PUBLISHER'S NOTE: The secretary of state has
				  determined that the publication of the entire text of the material which is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. This material as incorporated by reference in this rule shall be
				  maintained by the agency at its headquarters and shall be made available to the
				  public for inspection and copying at no more than the actual cost of
				  reproduction. This note applies only to the reference material. The entire text
				  of the rule is printed here.
(1) Applicability. The requirements of this
				rule apply to any person engaged in or connected with manufacturing,
				processing, and/or packaging of acidified foods.
(2) Standards. Any person engaged in the
				manufacturing, processing, and/or packaging of acidified foods shall operate in
				accordance with 21 CFR Part 114 Acidified Foods, revised as of April 1, 2012,
				hereby incorporated by reference and made a part of this rule as published by
				the U.S. Government Printing Office, 732 North Capitol Street N W, Washington,
				DC 20401-0001, (202) 512-1800,
http://bookstore.gpo.gov
. This rule does
				not incorporate any subsequent amendments or additions.
*Original authority: 192.006, RSMo 1993, amended 1995;
					 192.020, RSMo 1939, amended 1945, 1951, 2004; and 196.045, RSMo 1943, amended
					 1993, 1995.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 1 - Food Protection › Section 19 CSR 20-1.045 - Food Labeling

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes food labeling
				  standards for manufactured foods.
PUBLISHER'S NOTE: The secretary of state has
				  determined that the publication of the entire text of the material which is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. This material as incorporated by reference in this rule shall be
				  maintained by the agency at its headquarters and shall be made available to the
				  public for inspection and copying at no more than the actual cost of
				  reproduction. This note applies only to the reference material. The entire text
				  of the rule is printed here.
(1) Applicability. The requirements of this
				rule apply to buildings or facilities or parts thereof, used for or in
				connection with the labeling of human food.
(2) Standards. Manufacturers, distributors,
				and warehouses shall label human food in accordance with 21 CFR Part 101 Food
				Labeling, revised as of April 1, 2012, hereby incorporated by reference and
				made a part of this rule as published by the U.S. Government Printing Office,
				732 North Capitol Street N W, Washington, DC 20401-0001, (202) 512-1800,
http://bookstore.gpo.gov
. This
				rule does not incorporate any subsequent amendments or additions.
*Original authority: 192.006, RSMo 1993, amended 1995;
					 192.020, RSMo 1939, amended 1945, 1951, 2004; and 196.045, RSMo 1943, amended
					 1993, 1995.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 1 - Food Protection › Section 19 CSR 20-1.060 - Licensing of Beverage Manufacturers and Distributors and the Collection of Inspection Fees

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded October 30, 2005)