reglab/statecodes huggingface dataset:
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 4 - Behavioral Health Community Residential Programs › Section 9 CSR 40-4.001 - Program and Staffing Requirements

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminology,
				  clarifies staff supervision requirements, and adds a provision to allow a
				  licensed practical nurse (LPN) to provide nursing oversight and coordination
				  under specific circumstances as specified in the regulation.
(1) Regulations. Licensed behavioral health
				community residential programs (hereafter referred to as residential programs)
				shall comply with 9 CSR 40-1 unless specified otherwise in this rule.
(2) Fire Safety. Psychiatric Individualized
				Supported Living (PISL) programs shall comply with 9 CSR 40-1.090 Fire Safety
				and Emergency Preparedness, with modifications as specified-
(A) Subsection (1)(A), Division of Fire
				Safety inspection is waived;
(B)
				Subsection (1)(D), evacuation routes do not need to be posted in the home.
				Documented training and education on safe exit from the home shall be provided
				for individuals served. Documentation must include dates of training/education
				and signature of staff providing the training/education; and
(C) Subsection (1)(M), notification and
				documentation from the local fire authority is waived.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 4 - Behavioral Health Community Residential Programs › Section 9 CSR 40-4.095

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 4 - Behavioral Health Community Residential Programs › Section 9 CSR 40-4.115

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 4 - Behavioral Health Community Residential Programs › Section 9 CSR 40-4.116

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 4 - Behavioral Health Community Residential Programs › Section 9 CSR 40-4.135

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 4 - Behavioral Health Community Residential Programs › Section 9 CSR 40-4.145

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 4 - Behavioral Health Community Residential Programs › Section 9 CSR 40-4.155

Current through Register Vol. 49, No. 14, July 15, 2024
The secretary of state has determined that the publication
					 of this rule in its entirety would be unduly cumbersome or expensive. The
					 entire text of the material referenced has been filed with the secretary of
					 state. This material may be found at the Office of the Secretary of State or at
					 the headquarters of the agency and is available to any interested person at a
					 cost established by state law.
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 5 - Group Homes and Residential Centers Serving Individuals with Intellectual and Developmental Disabilities › Section 9 CSR 40-5.010 - Physical Plant

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded January 15, 1984)
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 5 - Group Homes and Residential Centers Serving Individuals with Intellectual and Developmental Disabilities › Section 9 CSR 40-5.015

Current through Register Vol. 49, No. 14, July 15, 2024
The secretary of state has determined that the publication
					 of this rule in its entirety would be unduly cumbersome or expensive. The
					 entire text of the material referenced has been filed with the secretary of
					 state. This material may be found at the Office of the Secretary of State or at
					 the headquarters of the agency and is available to any interested person at a
					 cost established by state law.
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 5 - Group Homes and Residential Centers Serving Individuals with Intellectual and Developmental Disabilities › Section 9 CSR 40-5.030 - General Medical and Health Care

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded January 15, 1984)
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 5 - Group Homes and Residential Centers Serving Individuals with Intellectual and Developmental Disabilities › Section 9 CSR 40-5.035

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 5 - Group Homes and Residential Centers Serving Individuals with Intellectual and Developmental Disabilities › Section 9 CSR 40-5.050 - Food Services

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded January 15, 1984)
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 5 - Group Homes and Residential Centers Serving Individuals with Intellectual and Developmental Disabilities › Section 9 CSR 40-5.055

Current through Register Vol. 49, No. 14, July 15, 2024
The secretary of state has determined that the publication
					 of this rule in its entirety would be unduly cumbersome or expensive. The
					 entire text of the material referenced has been filed with the secretary of
					 state. This material may be found at the Office of the Secretary of State or at
					 the headquarters of the agency and is available to any interested person at a
					 cost established by state law.
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 5 - Group Homes and Residential Centers Serving Individuals with Intellectual and Developmental Disabilities › Section 9 CSR 40-5.070 - Adequate Staff

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded January 15, 1984)
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 5 - Group Homes and Residential Centers Serving Individuals with Intellectual and Developmental Disabilities › Section 9 CSR 40-5.075 - Adequate Staff

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminology and
				  staffing requirements for group homes and residential centers licensed by the
				  department.
PURPOSE: This rule prescribes the staffing
				  requirements for group homes and residential centers subject to licensure from
				  the department.
(1) Licensed
				group homes and residential centers shall comply with 9 CSR 40-1, unless
				specified otherwise in this rule.
(2) Staffing requirements shall be as
				follows, unless program needs or the needs of individuals served justify
				otherwise:
(A) Programs providing a group
				living arrangement and minimum level of habilitation and supervision for
				individuals with mild to moderate levels of adaptive functioning, are
				ambulatory or mobile non-ambulatory, have basic self-help skills but may need
				minimal assistance or prompting with daily skills, and have no severe medical
				or maladaptive behaviors-
1. Day and evening
				shifts-one (1) staff to eight (8) individuals served (1:8);
2. Night shift-one (1) staff to sixteen (16)
				individuals served (1:16);
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 6 - Family Living Arrangements › Section 9 CSR 40-6.001 - Provider Requirements and Program Structure

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: The department is adding dietary
				  requirements specific to Family Living Arrangements (FLA).
(1) Regulations. In addition to the
				requirements of this rule, providers of family living arrangements (FLA) shall
				comply with 9 CSR 40-1 unless specified otherwise in this rule.
(2) Licensure Requirements. Applicants for
				licensure to provide services and supports in a FLA must have documentation of
				ownership of their home or, if renting, documentation of a current lease
				agreement and approval from the landlord to provide family living arrangements.
(A) Each applicant must-
1. Be twenty-five (25) years of age or
				older;
2. Have at least a high
				school diploma or equivalent certificate;
3. Successfully complete all background
				screenings required by the department, including out-of-state background
				screenings and/or reference checks, if he or she has resided in Missouri for
				less than five (5) years;
4. Submit
				to a home study, an interview and selection process, and licensure by the
				department; and
5. Have safe,
				reliable transportation and appropriate insurance as required by Missouri
				laws.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 6 - Family Living Arrangements › Section 9 CSR 40-6.015

Current through Register Vol. 49, No. 14, July 15, 2024
The secretary of state has determined that the publication
					 of this rule in its entirety would be unduly cumbersome or expensive. The
					 entire text of the material referenced has been filed with the secretary of
					 state. This material may be found at the Office of the Secretary of State or at
					 the headquarters of the agency and is available to any interested person at a
					 cost established by state law.
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 6 - Family Living Arrangements › Section 9 CSR 40-6.035

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.215, RSMo (1980), amended
					 1983.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 6 - Family Living Arrangements › Section 9 CSR 40-6.055

Current through Register Vol. 49, No. 14, July 15, 2024
The secretary of state has determined that the publication
					 of this rule in its entirety would be unduly cumbersome or expensive. The
					 entire text of the material referenced has been filed with the secretary of
					 state. This material may be found at the Office of the Secretary of State or at
					 the headquarters of the agency and is available to any interested person at a
					 cost established by state law.
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 6 - Family Living Arrangements › Section 9 CSR 40-6.075

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.215, RSMo (1980), amended
					 1983.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 7 - Rules for Semi-Independent Living Arrangements › Section 9 CSR 40-7.015

Current through Register Vol. 49, No. 14, July 15, 2024
The secretary of state has determined that the publication
					 of this rule in its entirety would be unduly cumbersome or expensive. The
					 entire text of the material referenced has been filed with the secretary of
					 state. This material may be found at the Office of the Secretary of State or at
					 the headquarters of the agency and is available to any interested person at a
					 cost established by state law.
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 7 - Rules for Semi-Independent Living Arrangements › Section 9 CSR 40-7.035

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 7 - Rules for Semi-Independent Living Arrangements › Section 9 CSR 40-7.055

Current through Register Vol. 49, No. 14, July 15, 2024
The secretary of state has determined that the publication
					 of this rule in its entirety would be unduly cumbersome or expensive. The
					 entire text of the material referenced has been filed with the secretary of
					 state. This material may be found at the Office of the Secretary of State or at
					 the headquarters of the agency and is available to any interested person at a
					 cost established by state law.
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 7 - Rules for Semi-Independent Living Arrangements › Section 9 CSR 40-7.075

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 8 › Section 9 CSR 40-8.075

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 9 - Day Programs Serving Individuals with Mental Illness and Intellectual or Developmental Disabilities › Section 9 CSR 40-9.015

Current through Register Vol. 49, No. 14, July 15, 2024
The following material is incorporated into this rule by
					 reference: 1) National Fire Protection, National Electrical Code 1993
					 (Batterymarch Park, Quincy, MA: National Fire Protection Association, 1992). In
					 accordance with section
					 536.031(4),
					 RSMo, the full text of material incorporated
					 by reference will be made available to any interested person at the Office of
					 the Secretary of State and the headquarters of the adopting state
					 agency.
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 9 - Day Programs Serving Individuals with Mental Illness and Intellectual or Developmental Disabilities › Section 9 CSR 40-9.035

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985, 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 9 - Day Programs Serving Individuals with Mental Illness and Intellectual or Developmental Disabilities › Section 9 CSR 40-9.055

Current through Register Vol. 49, No. 14, July 15, 2024
The secretary of state has determined that the publication
					 of this rule in its entirety would be unduly cumbersome or expensive. The
					 entire text of the material referenced has been filed with the secretary of
					 state. This material may be found at the Office of the Secretary of State or at
					 the headquarters of the agency and is available to any interested person at a
					 cost established by state law.
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 9 - Day Programs Serving Individuals with Mental Illness and Intellectual or Developmental Disabilities › Section 9 CSR 40-9.075 - Program and Staffing Requirements

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates program and staffing
				  requirements for day programs serving individuals with mental illness,
				  intellectual disabilities, and developmental disabilities. This rule replaces 9
				  CSR 40-2 and 9 CSR 40-10 which are being rescinded. General requirements
				  applicable to all day programs are included in 9 CSR 40-1.
PURPOSE: This rule specifies the program and staffing
				  requirements for day programs serving individuals with mental illness,
				  intellectual disabilities, and developmental disabilities (IDD) that are
				  subject to licensure by the department.
(1) Licensed day programs shall comply with 9
				CSR 40-1 unless specified otherwise in this rule.
(2) Day programs shall provide structured
				activities, services, and supports to assist individuals in developing personal
				support systems, social skills, community living skills, basic self-care
				skills, and pre-vocational skills that promote community inclusion,
				integration, and independence.
(A) Activities
				and services/supports shall be based on the individual support plan (ISP),
				individual treatment plan (ITP), or care plan of each individual being served
				as specified in 9 CSR 40-1.075(1).
(B) Activities and services/supports may take
				place during the day, evening, weekend, or a combination of these, to
				effectively address the needs of individuals served. Activities and
				services/supports are not limited to the program site to provide individuals
				with opportunities for off-site training and rehabilitation in realistic
				community settings.
(C)
				Transportation to/from the program site to various locations in the community
				shall be provided for individuals served to promote participation and
				involvement in outside activities and services/supports. Permission forms for
				off-site activities, signed by the individual served or their parent/guardian,
				as applicable, shall be maintained on site.
1.
				Program staff are responsible for the care, safety, and supervision of
				individuals served when they are transported from the operating site to other
				locations in the community, and staff ratios shall be maintained at the
				operating site.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 9 - Day Programs Serving Individuals with Mental Illness and Intellectual or Developmental Disabilities › Section 9 CSR 40-9.095

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 9 - Day Programs Serving Individuals with Mental Illness and Intellectual or Developmental Disabilities › Section 9 CSR 40-9.115

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 9 - Day Programs Serving Individuals with Mental Illness and Intellectual or Developmental Disabilities › Section 9 CSR 40-9.135

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 9 - Day Programs Serving Individuals with Mental Illness and Intellectual or Developmental Disabilities › Section 9 CSR 40-9.145

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 9 - Day Programs Serving Individuals with Mental Illness and Intellectual or Developmental Disabilities › Section 9 CSR 40-9.155

Current through Register Vol. 49, No. 14, July 15, 2024
The secretary of state has determined that the publication
					 of this rule in its entirety would be unduly cumbersome or expensive. The
					 entire text of the material referenced has been filed with the secretary of
					 state. This material may be found at the Office of the Secretary of State or at
					 the headquarters of the agency and is available to any interested person at a
					 cost established by state law.
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985, 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 10 › Section 9 CSR 40-10.015

Current through Register Vol. 49, No. 14, July 15, 2024
The following material is incorporated into this rule by
					 reference:
1) National Fire Protection, National Electrical Code 1993
					 (Batterymarch Park, Quincy, MA: National Fire Protection Association,
					 1992).
In accordance with section
					 536.031(4),
					 RSMo, the full text of material incorporated
					 by reference will be made available to any interested person at the Office of
					 the Secretary of State and the headquarters of the adopting state
					 agency.
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 10 › Section 9 CSR 40-10.035

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 10 › Section 9 CSR 40-10.055

Current through Register Vol. 49, No. 14, July 15, 2024
The secretary of state has determined that the publication
					 of this rule in its entirety would be unduly cumbersome or expensive. The
					 entire text of the material referenced has been filed with the secretary of
					 state. This material may be found at the Office of the Secretary of State or at
					 the headquarters of the agency and is available to any interested person at a
					 cost established by state law.
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 10 › Section 9 CSR 40-10.075

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 10 › Section 9 CSR 40-10.095

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 10 › Section 9 CSR 40-10.115

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 10 › Section 9 CSR 40-10.135

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 10 › Section 9 CSR 40-10.145

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 10 › Section 9 CSR 40-10.155

Current through Register Vol. 49, No. 14, July 15, 2024
The secretary of state lias determined that the publication
					 of this rule in its entirety would be unduly cumbersome or expensive. The
					 entire text of the material referenced has been filed with the secretary of
					 state. This material may be found at the Office of the Secretary of State or at
					 the headquarters of the agency and is available to any interested person at a
					 cost established by state law.
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985, 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 11 - Rules for Psychiatric Group Home IIs › Section 9 CSR 40-11.135 - Care, Treatment, Habilitation and Rehabilitation

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded March 1, 1996)
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 11 - Rules for Psychiatric Group Home IIs › Section 9 CSR 40-11.145 - Maintenance, Housekeeping and Laundry

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded March 1, 1996)
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 12 - Rules for Psychiatric Group Home IIIs › Section 9 CSR 40-12.135 - Care, Treatment, Habilitation and Rehabilitation

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded March 1, 1996)
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 12 - Rules for Psychiatric Group Home IIIs › Section 9 CSR 40-12.145 - Maintenance, Housekeeping and Laundry

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded March 1, 1996)
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 45 - Division of Developmental Disabilities › Chapter 2 - Eligibility for Services › Section 9 CSR 45-2.020 - Appeals Procedures for Service Eligibility Through the Division of Developmental Disabilities

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates
				  terminology.
(1) As used in
				this rule, the following terms mean:
(A)
				Appeals referee-shall be an impartial, neutral, trained decision maker not
				employed with the Division of Developmental Disabilities;
(B) Applicant-a person suspected to have an
				intellectual developmental disorder or developmental disability and for whom
				application has been made for regional office services or the person's
				representative;
(C) Client-a person
				who receives services of the Division of Developmental Disabilities or their
				representative. Clients will be referred to as individuals hereafter in this
				rule;
(D) Representative-shall
				include but not necessarily be limited to the applicant's/individual's legal
				guardian, parent of a minor applicant, or individual and protector (as defined
				by 9 CSR
				45-3.040) ; and
(E) Supervisor-a supervisor of service
				coordinators in a regional office or a unit director in a developmental
				disability facility.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 45 - Division of Developmental Disabilities › Chapter 3 - Services and Supports › Section 9 CSR 45-3.020

Current through Register Vol. 49, No. 14, July 15, 2024
*Originalauthority: 630.050, RSMo 1980, amended
					 1993.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 45 - Division of Developmental Disabilities › Chapter 3 - Services and Supports › Section 9 CSR 45-3.030 - Individual Rights

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule defines the rights of persons
				  eligible for services from the Division of Developmental Disabilities (Division
				  of DD).
(1)
				All individuals served by the Division of DD shall be entitled to the following
				rights and privileges without limitation, unless otherwise provided by law:
(A) To be treated with respect and dignity as
				a human being;
(B) To have the same
				legal rights and responsibilities as any other citizen;
(C) To receive services regardless of race,
				creed, marital status, national origin, disability, religion, sexual
				orientation, gender, or age;
(D) To
				be free from physical, emotional, sexual, and verbal abuse, and financial
				exploitation;
(E) To receive
				services and supports to achieve the maximum level of independence;
(F) To have access to all rules, policies,
				and procedures governing the operations of the Division of DD in an accessible
				format, and to have those rules, policies, and procedures explained in a manner
				that is easily understood;
(G)
				Within one's financial means, to have a choice where to live and whether or not
				to share a home with other people;
(H) To direct one's own person-centered
				planning process and to choose others to be included in that process;
(I) To participate fully in the
				community;
(J) To communicate in
				any form and to have privacy of communications;
(K) To accept or decline supports and
				services;
(L) To have freedom of
				choice among Division of DD approved providers;
(M) To seek employment and work in
				competitive integrated settings;
(N) To participate or decline participation
				in any study or experiment;
(O) To
				choose where to go to church or place of worship, or to refuse to go to a
				church or place of worship;
(P) To have rights,
				services, supports, and clinical records regarding services explained in a
				manner that is easily understood and in an accessible format;
(Q)
				To have all of an individual's records maintained in a confidential
				manner;
(R) To report any violation
				of one's rights free from retaliation and without fear of retaliation;
				and
(S) To be informed on how to
				make an inquiry, file a complaint or report a violation of one's rights, and to
				be assisted in these processes, if requested.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 45 - Division of Developmental Disabilities › Chapter 3 - Services and Supports › Section 9 CSR 45-3.040 - Rights of Designated Representatives, Parents, and Guardians

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule prescribes policies for
				  designation of representatives and recognition of certain rights of designated
				  representatives, parents and guardians of individuals receiving services from
				  the Division of Developmental Disabilities (Division of DD).
(1) Definitions.
(A) Designated representative- a parent,
				relative, or other person designated by an adult who does not have a guardian.
				The designated representative may participate in the person-centered planning
				process and development of the individual support plan, at the request of, and
				as directed by, the individual.
(B)
				Circle of support-team supporting the individual and participating in the
				person centered planning process.
(C) Person centered planning process-a
				process directed by the individual, with the inclusion of a circle of support
				created by or with the individual, which may include a guardian, public
				administrator, the individual, and/or persons freely chosen by the individual
				who are able to serve as important contributors to the process. The
				person-centered planning process enables and assists the individual to access a
				personalized mix of paid and non-paid services and supports that will assist
				him/her to achieve personally defined outcomes. These trainings, supports,
				therapies, treatments, and/or other services will become part of the
				individualized support plan.
(D)
				Individual Support Plan (ISP)-A document that results from the person centered
				planning process, which identifies the strengths, capacities, preferences,
				needs, and personal outcomes of the individual. The ISP includes a personalized
				mix of paid and non-paid services and supports that will assist the person to
				achieve personally defined outcomes.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 45 - Division of Developmental Disabilities › Chapter 3 - Services and Supports › Section 9 CSR 45-3.050 - Admission and Treatment of Clients with Aggressive Behaviors

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded September 30, 2002)
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 45 - Division of Developmental Disabilities › Chapter 3 - Services and Supports › Section 9 CSR 45-3.060 - Services for Individuals with Autism Spectrum Disorder

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment modifies the rule to comply
				  with section
				  633.220,
				  RSMo and updates the rule with more current terminology in the field of
				  developmental disabilities.
(1) Terms defined in sections
				630.005,
				633.005, and
				633.220,
				RSMo are incorporated by reference for use in this rule. Also, the following
				terms mean:
(A) Autism spectrum disorder
				(ASD)- a group of neurodevelopmental disorders characterized by persistent
				deficits in social communication and social interaction across multiple
				contexts as well as by restricted, repetitive patterns of behaviors, interests,
				or activities. Symptoms of ASD must be present in the early developmental
				period and cause significant impairment in social, occupational, or other
				important areas of functioning;
(B)
				Family support-services and helping relationships for the purpose of
				maintaining and enhancing family caregiving. Family support may be any
				combination of services that enable individuals with autism to reside within
				their family homes and remain integrated within their communities. Family
				support services are-
1. Based on individual
				and family needs;
2. Easily
				accessible for the family;
3.
				Family-centered and culturally sensitive;
4. Flexible and varied to meet the changing
				needs of the family members;
5.
				Identified by the family; and
6.
				Provided in a timely manner contingent upon availability of resources;
				and
(C) Service
				provider-a person or an entity which provides and receives reimbursement for
				autism programs and services as specified in section (3) of this
				rule.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 45 - Division of Developmental Disabilities › Chapter 4 - Financial Procedures › Section 9 CSR 45-4.020 - Development of Intermediate Care Facilities for Individuals with Intellectual Disabilities

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates the rule to mirror
				  language used in 42 C.F.R. sections 442.100-442.11 9 , 483.400-483.480, and
				  440.150, for the certification of Intermediate Care Facilities for Individuals
				  with Intellectual Disabilities (ICF/IID). Additionally, this amendment updates
				  the rule to mirror section
				  633.220,
				  RSMo Supp. 2013, which replaced the term "mental retardation" with the more
				  current terminology of "developmental disability."
(1) As used in this rule, a provider that
				owns, operates or has interest in only one (1) intermediate care facility for
				individuals with intellectual disabilities (ICF/IID) is-
(A) A sole proprietor that owns no interest
				in another ICF/IID
;
(B) A partnership or a majority of the
				partnership that owns no interest in another ICF/IID
;
or
(C) A corporation that has
				neither any officers nor a majority of board members in common with another
				corporation which has any interest in an ICF/IID
.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 45 - Division of Developmental Disabilities › Chapter 5 - Standards for Community-Based Services › Section 9 CSR 45-5.020 - Individualized Supported Living Services-Quality Outcome Standards

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded March 30, 2005)
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 45 - Division of Developmental Disabilities › Chapter 5 - Standards for Community-Based Services › Section 9 CSR 45-5.030 - Individualized Supported Living Services-Provider Certification

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded March 30, 2005)
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 45 - Division of Developmental Disabilities › Chapter 5 - Standards for Community-Based Services › Section 9 CSR 45-5.060 - Procedures to Obtain Certification

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule describes procedures to obtain
				  certification as a provider of individualized supported living (ISL), group
				  home, shared living, employment services, day habilitation, individualized
				  skills development, community networking, out of home respite, and intensive
				  therapeutic residential habilitation services through the home and
				  community-based waivers for individuals with intellectual and developmental
				  disabilities.
(1) Under
				section 630.655, RSMo, the department is
				mandated to develop certification standards and to certify providers to
				operate, receive funds from the department, and be eligible for Medicaid
				reimbursement. However, certification in itself does not constitute an
				assurance or guarantee the department will fund designated services or
				programs.
(A) A key goal of certification is
				to enhance the quality of care and life for individuals with a focus on their
				needs, preferences, and desired outcomes.
(B) The primary function of the certification
				process is assessment of a provider's compliance with current standards of care
				and state and federal requirements. A further function is to identify and
				ensure corrective action is taken for deficiencies identified during the survey
				process to ensure health and welfare of persons served by the
				provider.
(C) This rule replaces
				sections 9
				CSR 45- 5.010(4) and (5) of the
				Certification of Medicaid Agencies Serving Persons with Developmental
				Disabilities.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 50 - Admission Criteria › Chapter 1 - Definitions and Procedures › Section 9 CSR 50-1.045 - Eligibility for Services From the Division of Mental Retardation and Developmental Disabilities

Current through Register Vol. 49, No. 14, July 15, 2024
(Moved to
				  9
				  CSR 45-2.010 )
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 50 - Admission Criteria › Chapter 1 - Definitions and Procedures › Section 9 CSR 50-1.055 - Rights of Protectors, Parents and Guardians

Current through Register Vol. 49, No. 14, July 15, 2024
(Moved to
				  9
				  CSR 45-3.040 )
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 50 - Admission Criteria › Chapter 1 - Definitions and Procedures › Section 9 CSR 50-1.060 - Admission and Treatment of Clients with Aggressive Behaviors

Current through Register Vol. 49, No. 14, July 15, 2024
(Moved to
				  9
				  CSR 45-3.050 )
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 50 - Admission Criteria › Chapter 2 - Mental Health Services › Section 9 CSR 50-2.010 - Admissions to Children's Supported Community Living

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates the admission process
				  for children's supported community living.
PURPOSE: This rule prescribes admissions criteria,
				  the application process, and placement procedures for Children's Supported
				  Community Living (SCL) funded by the Division of Behavioral Health. This rule
				  applies to administrative agents.
(1) Definitions. Terms defined in sections
				630.005 and
				632.005, RSMo, shall
				be used in the interpretation and enforcement of this rule. Unless the Division
				of Behavioral Health's (DBH) supported community living (SCL) contract clearly
				requires otherwise, the following other terms used in this rule shall mean:
(A) Administrative agent, an organization and
				its approved designee(s) authorized by the department as an entry and exit
				point into the state mental health service delivery system for a geographic
				service area defined by the department;
(B) Applicant, a minor for whom placement services in
				SCL has been requested;
(C) Chief
				of Children's Community Operations (CCCO), DBH staff who oversee services and
				supports for children and youth in assigned regions of the state;
(D) Community psychiatric rehabilitation
				(CPR), an array of community-based, outpatient mental health services for
				children, youth, and adults who have been diagnosed with a severe, disabling
				mental illness or serious emotional disturbance. Administrative agents or
				affiliates are responsible for providing these services to eligible individuals
				in their designated service area(s);
(E) Domicile administrative agent, the
				service area in which a child's legal guardian resides or, if the child is
				under the jurisdiction of a juvenile court, the service area of the juvenile
				court that has assumed jurisdiction of the child;
(F) Regional community operations, the DBH
				office responsible for processing SCL placement funds for the administrative
				agent(s) in that region; and
(G)
				SCL placement, placement of a child/youth who has a diagnosed serious emotional
				disturbance (SED) into an out-ofhome setting when determined clinically
				necessary by staff of the referring administrative agent. These settings
				include Professional Parent Homes (PPH), Treatment Family Homes (TFH), and
				residential treatment facilities where services are provided to address the
				psychosocial and medical needs of youth with the goal of moving them into a
				less restrictive level of care.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 50 - Admission Criteria › Chapter 2 - Mental Health Services › Section 9 CSR 50-2.020 - Guidelines for Conditional Release

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule sets guidelines for implementation
				  of section
				  632.385,
				  RSMo and applies to all department facilities and private mental health
				  facilities certified by the Division of Comprehensive Psychiatric Services to
				  provide outpatient treatment.
(1) The head of a mental health facility or
				designee may conditionally release a client who is involuntarily detained
				pursuant to Chapter 632, RSMo for twenty-one (21) days, ninety (90) days or one
				(1) year, for a period not to exceed one (1) year, under written conditions
				provided by the facility. The facility shall have a continuing responsibility
				to assist the client in following the written conditions and, as provided in
				section (6) of this rule, may revoke the client's conditional release and
				return the client to the facility for further inpatient treatment.
(2) The head of the facility or designee
				shall develop written conditions for the client's release. These conditions may
				include, but are not limited to, the following:
(A) Where the client will reside;
(B) What medications the client must take to
				treat the mental illness;
(C) When
				and where the client will receive required psychotherapy, day treatment,
				supported community living services or other required care and treatment
				necessary to continue the client on conditional release;
(D) Which behaviors the client is expected to
				exhibit or avoid; and
(E) Any other
				conditions necessary for the client to comply with to reasonably assure
				success.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 50 - Admission Criteria › Chapter 3 - Eligibility Appeals Procedures › Section 9 CSR 50-3.705 - Appeals Procedures for Service Eligibility Through the Division of Mental Retardation and Developmental Disabilities

Current through Register Vol. 49, No. 14, July 15, 2024
(Moved to 9 CSR 45-2.020 )
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 50 - Admission Criteria › Chapter 4 - Services for Persons with Developmental Disabilities › Section 9 CSR 50-4.010 - Client Absences from Community Residential Facilities

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded December 30, 1995)