reglab/statecodes huggingface dataset:
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2095 - Committee for Professional Counselors › Chapter 2 - Licensure Requirements › Section 20 CSR 2095-2.010 - Educational Requirements

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule is being amended to clarify the
				  educational requirements for licensure as a professional counselor, to include
				  distance-based graduate programs and courses and rescind unnecessary regulatory
				  language.
PURPOSE: This rule defines the educational
				  requirements for an applicant seeking licensure as a professional
				  counselor.
(1) In order to
				qualify for supervision, provisional licensure, or licensure as a professional
				counselor, an applicant shall have received a graduate degree at the master's,
				specialist, or doctoral level that consisted of a course of study with a major
				in counseling from an acceptable educational institution. The educational
				program must enhance and continuously reinforce the development of a counselor
				identity through its course work, philosophies, counseling, education, faculty,
				and field experiences.
(A) An acceptable
				educational institution shall mean a regionally accredited institution approved
				by the United States Department of Elementary and Secondary
				Education.
(B) An applicant who
				obtained a master's degree or was enrolled in an acceptable educational
				institution prior to August 28, 2023, a master's degree with a major in
				counseling shall consist of at least forty-eight (48) semester hours or
				seventy-two (72) quarter hours.
(C)
				An applicant who enrolled in an acceptable institution on or after August 28,
				2023, a master's degree with a major in counseling as defined in this rule
				shall consist of at least sixty (60) semester hours or ninety (90) quarter
				hours.
(D) Asynchronous learning
				not to exceed fifty percent (50%) total course work. For the purpose of this
				rule, asynchronous learning, non-interactive communication shall be defined as
				those courses in which the student has no means of simultaneously interacting
				with the course instructor visually and verbally during the transmission of
				course information.
(E) Continuing
				education or work experience shall not be considered as a form of graduate
				course work, even if credit is awarded by the educational institution and the
				offering appears on the transcript.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2095 - Committee for Professional Counselors › Chapter 2 - Licensure Requirements › Section 20 CSR 2095-2.020 - Supervised Counseling Experience

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule defines the requirements for
				  supervised counseling experience.
(1) As applied to periods of supervision
				beginning on or after January 1, 1989, the phrase "acceptable supervised
				counseling experience," as used in section
				337.510(1),
				RSMo, shall mean training in counseling as
				defined in section
				337.500(6) and (7),
				RSMo, registered with and approved by the
				committee and beginning after the graduate degree consisting of a course of
				study with a major in counseling has been conferred. All educational
				requirements as defined in sections (1) and (3) shall have been met before any
				supervised counseling experience commences.
(A) For the purpose of provisional licensure
				or licensure as a professional counselor, supervision shall be obtained from a
				licensed professional counselor, licensed psychologist, or psychiatrist. For
				the purpose of this regulation an inactive, provisional, expired, temporary,
				retired, probated, or suspended license shall not meet this requirement. The
				registered supervisor shall not be a relative of the applicant or have engaged
				in the activities described in
				20 CSR
				2095-3.010(12)(A)-(F) during the
				supervised counseling experience.
(B) For the purpose of this rule, a relative
				of the applicant for supervision shall include but not be limited to a spouse,
				parent, child, sibling, of the whole or half-blood, adopted sibling,
				grandparent, aunt, uncle, or cousin, or one who is or has been related in the
				first degree by marriage.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2095 - Committee for Professional Counselors › Chapter 2 - Licensure Requirements › Section 20 CSR 2095-2.021 - Supervisors and Supervisory Responsibilities

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule provides guidelines to licensed
				  practitioners concerning supervising a counselor-in-training or a provisional
				  licensed professional counselor.
(1) For the purpose of these rules, a
				registered supervisor for a counselor-in-training or provisional licensed
				professional counselor in Missouri shall be currently licensed either as a
				professional counselor, psychologist, or psychiatrist. An inactive,
				provisional, expired, temporary, retired, probated, or suspended license shall
				not meet this requirement.
(A) An applicant
				for licensure or supervision may submit postgraduate supervised experience from
				another state for consideration by the committee. The supervisor must have been
				licensed during the time of supervision in the state where supervised
				experience occurred as a professional counselor, psychologist, or psychiatrist.
				An inactive, provisional, expired, temporary, retired, probated, or suspended
				license shall not meet this requirement. Credit will not be given if
				postgraduate supervised experience fails to comply with
				20 CSR
				2095-2.020.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2095 - Committee for Professional Counselors › Chapter 2 - Licensure Requirements › Section 20 CSR 2095-2.030 - Examinations

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule outlines the requirements and
				  procedures for obtaining a professional counselor license by
				  examination.
(1) An applicant
				for provisional licensure or licensure as a professional counselor shall pass
				the National Counselor Examination (NCE) or its successor examination as
				administered by the National Board for Certified Counselors (NBCC) or its
				successor organization. The committee adopts the minimum criterion score
				established by the NBCC as the passing score. The candidate shall submit the
				examination fee and required documentation to the NBCC.
(2) An applicant for provisional licensure or
				licensure as a professional counselor shall comply with NBCC test
				administration rules and requirements related to applicant conduct during the
				administration of the NCE.
(3) The
				committee shall maintain the applicant's examination answer sheet for one (1)
				year from the date the examination results were reported to the committee.
				After one (1) year, the answer sheet will be destroyed.
*Original authority: 337.507, RSMo 1985, amended 1989, 2004
					 and 337.520, RSMo 1985, amended 1989, 1993,
					 1995.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2095 - Committee for Professional Counselors › Chapter 2 - Licensure Requirements › Section 20 CSR 2095-2.065 - Application for Licensure

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule outlines the procedure for
				  application for licensure as a professional counselor.
(1) An application for licensure shall be
				made on a form(s) provided by the Committee for Professional Counselors, PO Box
				1335, Jefferson City, MO 65102-1335, and may be obtained by calling (573)
				751-0018, sending a fax to (573) 751-0735, or sending an email to
				profcounselors@pr.mo.gov. The TDD number is (800) 735-2996.
(2) An application shall not be considered as
				officially filed with the committee unless it is typewritten or printed in
				black ink, signed, notarized, accompanied by all documents required by the
				committee to include a background check, and all applicable fees pursuant to 20
				CSR 2095-1.040(1)(A) and (F). The fee shall be in the form of a cashier's
				check, personal check, or money order.
(A)
				For the purpose of conducting a background check, the applicant shall provide
				proof of submission of fingerprints to the Missouri State Highway Patrol's
				approved vendor(s) for both a Missouri State Highway Patrol and Federal Bureau
				of Investigation background check. Proof shall consist of any documentation
				acceptable to the committee. Any fees due for the background check shall be
				paid by the applicant directly to the Missouri State Highway Patrol or its
				approved vendor(s).
(B) A
				counselor-in-training or provisional licensed professional counselor may submit
				an application for licensure up to thirty (30) days in advance of completing
				the required hours and months of supervision. Applications received more than
				sixty (60) days in advance of completion of the required hours and months of
				supervision shall be rejected by the committee as untimely.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2095 - Committee for Professional Counselors › Chapter 3 - Professional Responsibility › Section 20 CSR 2095-3.015 - Client Welfare

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule is being amended to address the
				  need for a client or patient to understand the parameters of distance based
				  counseling.
(1) Before
				beginning a therapeutic relationship, a counselor shall explain and document
				the following elements of informed consent:
(A) Goals of the therapeutic
				relationship;
(B) Services the
				counselor will provide;
(C)
				Behavior expected of the client;
(D) Risks and benefits of therapeutic
				procedures;
(E) Qualifications and
				credentials;
(F) Financial
				considerations and arrangements;
(G) Limits to confidentiality regarding
				individual, couple, family, and group therapy;
(H) If utilized, taping or recording of
				sessions, and how the tapes will be used and stored; and
(I) When using technology in the course of
				providing professional counseling, how such technology is in compliance with
				federal and state legal and ethical requirements.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2110 - Missouri Dental Board › Chapter 1 - Organization and Description of Board › Section 20 CSR 2110-1.010 - General Organization

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: The amendment removes an outdated membership
				  requirement.
(1) The Missouri
				Dental Board is a unit of the Division of Professional Registration of the
				Department of Commerce and Insurance.
(2) The board was established under section
				332.021,
				RSMo for the purpose of executing and enforcing Chapter 332, RSMo.
(3) The board consists of five (5) licensed
				dentists, one (1) public member and one (1) dental hygienist appointed by the
				governor for terms of five (5) years each. The board elects from its membership
				a president, vice president, and secretary, each of whom serves for one (1)
				year.
(4) It is the function of the
				board to-
(A) Determine the qualifications of
				applicants for licensure to practice the profession of dentistry and dental
				hygiene in this state; and
(B)
				Issue licenses to those persons who meet the standards of professional
				competence set forth in the statutes and as determined at the discretion of the
				board.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2110 - Missouri Dental Board › Chapter 1 - Organization and Description of Board › Section 20 CSR 2110-1.020 - Board Compensation

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule fixes the compensation for the
				  members of the Missouri Dental Board in compliance with the mandates of section
				  332.041.3., RSMo.
(1) Each
				member of the Missouri Dental Board whose term of office begins on or after
				September 28, 1981 may receive the sum of fifty dollars ($50) as compensation
				for each day that member devotes to the affairs of the board.
(2) In addition to the compensation fixed,
				each member is entitled to reimbursement of his/her expenses necessarily
				incurred in the discharge of his/her official duties.
(3) Upon the effective date of this rule,
				each deputy examiner or specialty examiner who assists the Missouri Dental
				Board in conducting examinations for clinical competency may receive the sum of
				fifty dollars ($50) for each day that examiner devotes to the affairs of the
				board, as well as reimbursement of his/her expenses necessarily incurred in the
				discharge of his/her official duties.
(4) No request for the compensation provided
				may be processed for payment unless sufficient funds are available for that
				purpose within the appropriations for this board.
*Original authority: 332.031, RSMo 1969, amended 1981,
					 1993, 1995 and 332.041, RSMo 1969, amended 1981, 2008,
					 2018.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2110 - Missouri Dental Board › Chapter 2 - General Rules › Section 20 CSR 2110-2.001 - Definitions

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule is being amended to lessen
				  restrictions on the delivery of care by dental hygienists working under the
				  general supervision of a supervising dentist.
(1) "Dentist"-one who is currently licensed
				to practice as a dentist in Missouri.
(2) "Hygienist"-one who is currently licensed
				to practice as a dental hygienist in Missouri.
(3) "Direct supervision"-a level of
				supervision in which the dentist has authorized the procedure for a patient of
				record, remains in the treatment facility while the procedure is performed and
				evaluates the procedure prior to patient dismissal.
(4) "Indirect supervision"-a level of
				supervision in which the dentist has authorized the procedure for a patient of
				record and remains in the treatment facility while the procedure is
				performed.
(5) "General
				supervision"-a level of supervision in which the dentist has authorized the
				procedure for a patient of record and which does not require the physical
				presence of the dentist in the treatment facility during the performance of the
				procedure. The patient must be informed that the dentist is not in the
				treatment facility. The authorization may be verbal or written in the patient's
				record and is valid from the date of the most recent examination for a maximum
				of twelve (12) months. If the dentist gives verbal authorization for dental
				hygiene care, that authorization shall be documented in the patient's record
				following the delivery of that care. The authorization is not renewable without
				an examination of the patient by the dentist.
(6) "Patient of record"-one for whom the
				dentist has obtained a relevant history, performed an examination, and
				evaluated the condition to be treated. A supervising dentist may delegate to a
				licensed dental hygienist the collection of relevant and necessary systemic and
				oral health data prior to the supervising dentist's examination and evaluation.
				The patient shall be made aware, prior to the collection of any data, that the
				supervising dentist may not be physically present when that data is
				collected.
*Original authority: 332.031, RSMo 1969, amended 1981,
					 1993, 1995; 332.091, RSMo 1969, amended 1995; and 332.311 , RSMo 1969, amended
					 1997.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2110 - Missouri Dental Board › Chapter 2 - General Rules › Section 20 CSR 2110-2.010 - Licensure by Examination-Dentists

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment specifies the skills that a
				  dentist shall be tested on to qualify for licensure.
(1) To qualify for licensure as set out in
				sections
				332.131
				and
				332.151,
				RSMo, each applicant shall-
(A) Be a graduate
				of and hold a Doctor of Dental Surgery (DDS) degree or a Doctor of Dental
				Medicine (DMD) degree from an accredited dental school as defined in section
				332.011, RSMo, and
				meet the other requirements of sections
				332.131
				and
				332.151,
				RSMo; and
(B) Have passed the
				National Board Examination in accordance with the criteria established by the
				sponsoring body; and
(C) Have
				passed a state or regional entry-level competency examination (hereinafter
				referred to as a competency examination) within the previous five (5) years,
				subject to sections (3) and (5) below of this rule; and
(D) Have passed a written examination given
				by the board on the Missouri dental laws and rules (hereinafter referred to as
				the jurisprudence examination) with a grade of at least eighty percent (80%).
				In order to sit for the jurisprudence examination, the applicant must-
1. Have passed the National Board
				Examination, prepare to take a competency examination, and submit an
				application form for licensure to the board thirty (30) days prior to the
				jurisprudence examination; or
2.
				Have passed a competency examination within the previous five (5) years and
				have passed the National Board Examination, and submit an application form for
				licensure to the board. Applicants will be scheduled to take the jurisprudence
				examination at the board office, at the office of one (1) of the members of the
				board, or at such times deemed necessary by the board; and
(E) Hold current certification in the
				American Heart Association's Basic Life Support for the Healthcare Provider
				(BLS) or an equivalent certification approved by the Missouri Dental Board.
				Board-approved courses shall meet the American Heart Association guidelines for
				cardiopulmonary resuscitation (CPR) and Emergency Cardiovascular Care (ECC) and
				provide written and manikin testing on the course material by an instructor who
				is physically present with the students. Online-only courses will not be
				accepted to satisfy the BLS requirement.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2110 - Missouri Dental Board › Chapter 2 - General Rules › Section 20 CSR 2110-2.030

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 332.031, RSMo 1969, amended 1981,
					 1993, 1995 and 332.211, RSMo 1969, amended
					 1981.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2110 - Missouri Dental Board › Chapter 2 - General Rules › Section 20 CSR 2110-2.050 - Licensure by Examination-Dental Hygienists

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This proposed change clarifies the clinical
				  examinations accepted and allows for manikin-based clinical exams to be
				  accepted for dental hygiene licensure.
(1) To qualify for licensure as set out in
				sections
				332.231
				and
				332.251,
				RSMo, each applicant shall-
(A) Have
				satisfactorily completed a course in dental hygiene in an accredited dental
				hygiene school and meet the other requirements of sections
				332.231
				and
				332.251,
				RSMo; and
(B) Have passed the
				National Board Examination in accordance with the criteria established by the
				sponsoring body; and
(C) Have
				passed a state or regional entry-level competency examination (hereinafter
				referred to as a competency examination) within the previous five (5) years,
				subject to section (3) below of this rule; and
(D) Have passed a written examination given
				by the board on the Missouri dental laws and rules (hereinafter referred to as
				the jurisprudence examination) with a grade of at least eighty percent (80%).
				In order to sit for the jurisprudence examination, the applicant must-
1. Have passed the National Board
				Examination, prepare to take the competency examination, and submit an
				application form for licensure to the board thirty (30) days prior to the
				jurisprudence examination; or
2.
				Have passed the competency examination within the previous five (5) years and
				have passed the National Board Examination, and submit an application form for
				licensure to the board. Applicants will be scheduled to take the jurisprudence
				examination at the board office, at the office of one (1) of the members of the
				board or at such times deemed necessary by the board; and
(E) Hold current certification in the
				American Heart Association's Basic Life Support for the Healthcare Provider
				(BLS) or an equivalent certification approved by the Missouri Dental Board.
				Board-approved courses shall meet the American Heart Association guidelines for
				cardiopulmonary resuscitation (CPR) and Emergency Cardiovascular Care (ECC) and
				provide written and manikin testing on the course material by an instructor who
				is physically present with the students. Online-only courses will not be
				accepted to satisfy the BLS requirement.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2110 - Missouri Dental Board › Chapter 2 - General Rules › Section 20 CSR 2110-2.070

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 332.031, RSMo 1969, amended 1981,
					 1993, 1995; 332.261, RSMo 1969, amended 1981, 1983, 1993, 2001, 2004; and
					 332.281, RSMo 1969, amended 1981.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2110 - Missouri Dental Board › Chapter 2 - General Rules › Section 20 CSR 2110-2.085

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 332.031, RSMo 1969, amended 1981,
					 1993, 1995 and 332.171.2, RSMo 1969, amended 1981,
					 1983
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2110 - Missouri Dental Board › Chapter 2 - General Rules › Section 20 CSR 2110-2.090 - Certification of Dental Specialists

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule identifies specialities recognized
				  by the Missouri Dental Board and the requirements and procedures applicants
				  must fulfill prior to being certified as a dental specialist.
(1) In order to qualify for certification as
				a specialist in endodontics, oral pathology, oral and maxillofacial radiology,
				oral and maxillofacial surgery, orthodontics and dentofacial orthopedics,
				pediatric dentistry, periodontics, prosthodontics, public health, or any other
				area of specialty recognized by the Americandental Association, the applicant
				shall submit to the board the appropriate application fee, submit a completed
				application form as defined in section (2) of this rule, and fulfill the
				following requirements:
(A) Is a currently
				licensed dentist in Missouri; and
(B) Is a current diplomate of an American
				specialty board recognized by the Americandental Association; or
(C) Is a graduate of an accredited specialty
				training program accredited by the Council on Dental Accreditation.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2110 - Missouri Dental Board › Chapter 2 - General Rules › Section 20 CSR 2110-2.110

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 332.031, RSMo 1969, amended 1981,
					 1993, 1995 and 332.321, RSMo 1969, amended 1978, 1981, 1983, 1999, 2001,
					 2004.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2110 - Missouri Dental Board › Chapter 2 - General Rules › Section 20 CSR 2110-2.111

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 332.311 , RSMo 1969, amended 1997,
					 2001 and 332.321, RSMo 1969, amended 1978, 1981, 1983, 1999, 2001,
					 2004.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2110 - Missouri Dental Board › Chapter 2 - General Rules › Section 20 CSR 2110-2.114 - Patient Abandonment

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule defines the duty of a dentist to
				  active patients when s/he moves his/her practice to a location inconvenient to
				  his/her active patients.
(1)
				Any duly registered and currently licensed dentist in Missouri who moves
				his/her practice to a location which is inconvenient to his/her active patients
				or who ceases to practice dentistry or who shares a fee in any patient whose
				treating dentist moves to an inconvenient location or ceases to practice
				dentistry, upon request of that patient, or the person responsible for payment
				for that patient, shall refund an appropriate portion of the fee received for
				an unfinished treatment or make arrangements for the treatment to be completed
				by a dentist acceptable to the patient for no additional fee. Active patients
				are those who have received care and/or treatment within the previous twelve
				(12) months.
(2) Upon the
				relocation or cessation of practice described in section (1) of this rule, the
				treating dentist, within thirty (30) days, shall notify in writing all his/her
				active patients with unfinished services or treatments of their rights under
				section (1) of this rule. Dentists who share in the fee of any patient affected
				by this rule also shall notify the patient of his/her rights. This notification
				may be made together with the treating dentist in one (1) notice.
(3) Failure to comply with the provisions of
				this rule will subject the holder of a certificate of registration and license
				to practice dentistry in this state to disciplinary action in accordance with
				section 332.321.2(5), (6 and (13)), RSMo.
(4) The provisions of this rule are declared
				severable. If any provision of this rule is held invalid by a court of
				competent jurisdiction, the remaining provisions of this rule shall remain in
				full force and effect, unless otherwise determined by a court of competent
				jurisdiction to be invalid.
*Original authority: 332.031, RSMo 1969, amended 1981,
					 1993, 1995.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2110 - Missouri Dental Board › Chapter 2 - General Rules › Section 20 CSR 2110-2.120 - Dental Assistants

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminology and
				  clarifies and increases the duties that can be delegated to an Expanded
				  Function Dental Assistant (EFDA).
(1) Definitions.
(A) Accredited dental assisting program- A
				dental assisting educational program accredited by the Commission on Dental
				Accreditation of the American Dental Association.
(B) Certified dental assistant-A dental
				assistant who is currently certified by the Dental Assisting National Board,
				Inc.
(C) Dental assistant-An
				employee of a duly registered and currently licensed dentist in Missouri, other
				than either a dental hygienist or a certified dental assistant.
(D) Dental auxiliary-Either a dental
				assistant or certified dental assistant as defined in subsections (1)(B) and
				(C).
(E) Direct supervision-The
				following conditions must be satisfied for direct supervision to apply:
1. The dentist is in the dental office or
				treatment facility;
2. The dentist
				has personally diagnosed the condition to be treated;
3. The dentist has personally authorized the
				procedures;
4. The dentist remains
				in the dental office or treatment facility while the procedures are being
				performed by the dental auxiliary; and
5. The dentist evaluates the performance of
				the dental auxiliary before the dismissal of the patient.
(F) Expanded functions approved course
				provider-A provider of expanded functions curriculum and competency testing
				approved by the Missouri Dental Board.
(G) Expanded functions permit-A permit issued
				by the Missouri Dental Board authorizing a dental assistant, certified dental
				assistant, or Missouri licensed dental hygienist to perform expanded functions
				duties upon delegation from a Missouri licensed dentist. Expanded functions
				permits will be issued in the following categories: restorative I, restorative
				II, removable prosthodontics, fixed prosthodontics, and orthodontics.
(H) Missouri Test of Basic Dental Assisting
				Skills-A test of basic knowledge of dental assisting approved by the board
				including terminology, principles of asepsis, disinfection and sterilization,
				and other concepts of dental assisting deemed necessary to master courses in
				more advanced assisting functions.
(I) Proof of competence-Documentation, such
				as a diploma, a certificate of mastery, or a letter from an approved course
				provider or competency testing agent stating that the dental auxiliary has
				successfully completed a board-approved course of training and competency
				testing of that training.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2110 - Missouri Dental Board › Chapter 2 - General Rules › Section 20 CSR 2110-2.130 - Dental Hygienists

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule specifies the level of supervision
				  for and the procedures that a dentist may and may not delegate to a
				  hygienist.
(1) A hygienist
				may be employed by any person or entity so long as the hygienist is working
				under the supervision of a dentist as set forth in section
				332.311,
				RSMo, and does not engage in the practice of dentistry as set forth in section
				332.071,
				RSMo.
(2) The dentist is
				responsible for patient care. Nothing contained in the authority given the
				dentist by this rule to delegate the performance of certain procedures shall
				relieve the dentist from responsibility to the patient.
(3) A hygienist may perform the following
				procedures under general supervision:
(A)
				Scaling and polishing teeth (prophylaxis);
(B) Applying dental sealants;
(C) Periodontal root planing, debridement,
				and curettage;
(D) Nonsurgical
				periodontal procedures;
(E) All
				procedures delegable to a dental assistant or certified dental assistant,
				except the expanded functions in section (5) of this rule.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2110 - Missouri Dental Board › Chapter 2 - General Rules › Section 20 CSR 2110-2.131 - Definition of a Public Health Setting

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule is being amended to reduce
				  unnecessary regulatory restrictions.
PURPOSE: The purpose of this rule is to implement
				  section 332.311, RSMo, and defines the
				  public health settings in which a dental hygienist may practice without the
				  supervision of a dentist.
(1)
				For the purposes of section
				332.311, RSMo only the term
				"public health setting" is defined as a location where dental services
				authorized by section
				332.311, RSMo are performed so
				long as the delivery of services are sponsored by a governmental health entity
				which includes:
(A) Department of Health and
				Senior Services;
(B) A county
				health department;
(C) A city
				health department operating under a city charter;
(D) A combined city/county health department;
				or
(E) A nonprofit community health
				center qualified as exempt from federal taxation under section 501(c)(3) of the
Internal Revenue Code
including a community health center that
				receives funding authorized by sections 329, 330, and 340 of the United States
				Public Health Services Act.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2110 - Missouri Dental Board › Chapter 2 - General Rules › Section 20 CSR 2110-2.133 - Telehealth Dental Pilot Project in Medically Underserved Populations

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: To implement the provisions of section
				  332.325, RSMo.
(1) Pursuant to the provisions of section
				332.325, RSMo, the board is
				collaborating with the Office of Dental Health (ODH) within the Missouri
				Department of Health and Senior Services (DHSS) to create a pilot project
				designed to examine new methods of extending dental care to residents in
				assisted living facilities, intermediate care facilities, residential care
				facilities, skilled nursing facilities, and homebound special needs
				patients.
(2) This pilot project,
				as set forth in section (1) above, will necessitate a waiver of the following
				provisions of Chapter 332, RSMo, and previously promulgated regulations
				pursuant to section 332.325, RSMo.
(A) Specific provisions of sections
				332.093 and
				332.098, RSMo, and
				20 CSR
				2110-2.120 in order to allow a dentist to supervise a
				dental assistant, certified dental assistant, or expanded functions dental
				assistant using telehealth technology. A supervising dentist may delegate to an
				expanded functions dental assistant any expanded function duties that the
				dental assistant has a board issued permit for.
(B) Specific provisions of
				20 CSR
				2110-2.130 to allow a licensed dental hygienist to
				administer local anesthetic under the supervision of a dentist using telehealth
				technology.
(C) Specific provisions
				of sections 332.071 and
				332.093, RSMo, and
				20 CSR
				2110-2.120 to allow temporary restorations or
				caries-arresting fluoride under the supervision of a dentist using telehealth
				technology subsequent to an examination and diagnosis by the supervising
				dentist.
(D) Specific provisions of
				20 CSR
				2110-2.001 and 20 CSR 21102.130 to allow a licensed
				dental hygienist to provide scaling and polishing, root planing, and
				nonsurgical periodontal procedures prior to the supervising dentist performing
				an examination pursuant to standing orders written by the supervising
				dentist.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2110 - Missouri Dental Board › Chapter 2 - General Rules › Section 20 CSR 2110-2.132

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 332.311 , RSMo 1969, amended 1997,
					 2001, 2006.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2110 - Missouri Dental Board › Chapter 2 - General Rules › Section 20 CSR 2110-2.160 - Post-Board Order Activity

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule outlines activity subsequent to
				  disciplinary actions issued against license holders by the Missouri Dental
				  Board.
(1) The Missouri
				Dental Board shall publish or cause to be published all suspensions,
				revocations, certificates of registration, licenses, or both, including the
				name of the licensee, the certificate number, the terms of suspension and a
				summary of the Findings of Fact and Conclusions of Law of the Administrative
				Hearing Commission, in any professional journal read by licensed dentists
				practicing in Missouri, in any newspaper of general circulation, or
				both.
(2) The Missouri Dental Board
				shall publicize the terms of probationary agreements, including the name of the
				licensee, the certificate number and a summary of the complaint, in any
				professional journal read by licensed dentists practicing in Missouri or in any
				newspaper of general circulation.
(3) Any licensee whose certificate of
				registration, license to practice dentistry, or both, has been revoked or
				suspended shall-
(A) Surrender his/her
				certificate of registration, license, or both, to the Missouri Dental Board.
				When a suspension is ordered, the certificate, license, or both, shall be held
				by the Missouri Dental Board for the duration of the suspension
				period;
(B) Refrain from
				misrepresenting the status of his/her license to practice dentistry to any
				patient or to the general public;
(C) Refrain from maintaining a physical
				presence in any office organized to practice dentistry in Missouri during the
				period of the suspension;
(D) Be
				prohibited from receiving any compensation from any person, group practice,
				partnership or corporate practice or any dental office in this state during the
				period of suspension or revocation. This subsection shall not be intended to
				include any fees received by a licensee to which s/he is entitled which are for
				services performed prior to the effective date of his/her suspension or
				revocation but which are received during this period; and
(E) Not accept fees, during a period of
				licensees' period of suspension, from any capitation or third-party payment
				program to which s/he might otherwise be entitled. This subsection shall not
				include these fees received by the licensee for a period of time prior to the
				effective date of his/her suspension.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2110 - Missouri Dental Board › Chapter 2 - General Rules › Section 20 CSR 2110-2.175 - Name and Address Change

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule requires licensees to inform the
				  Missouri Dental Board of any name or address changes.
Licensees shall keep the board informed of their legal name,
				  mailing address and telephone number. Any change shall be reported to the board
				  in writing within thirty (30) days.
*Original authority: 332.031. RSMo 1969, amended 1981,
					 1993, 1995.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2110 - Missouri Dental Board › Chapter 2 - General Rules › Section 20 CSR 2110-2.190 - Shade Verification

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule outlines the procedures to be
				  followed for shade verification of dental prosthesis.
(1) A duly registered and currently licensed
				dentist in Missouri may prescribe that a dental laboratory technologist may
				verify the shade of any dental prosthesis, provided that the technologist
				receives a uniform laboratory work order completed by the dentist. The use of
				this rule by the dentist, or a dental technologist, shall be limited to those
				circumstances where other verification has been shown to be impracticable or
				unsuccessful.
(2) The executed work
				order shall be retained by the nondentist for seven (7) years from the date
				appearing on the order. A copy of the work order shall be retained by the
				dentist for seven (7) years from the date appearing on the order or the date of
				prescription.
(3) The Missouri
				Dental Board shall prescribe or approve of the form to be used.
*Original authority: 332.031, RSMo 1969, amended 1981,
					 1993, 1995.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2110 - Missouri Dental Board › Chapter 2 - General Rules › Section 20 CSR 2110-2.210 - Notice of Injury or Death

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment clarifies the requirements
				  for a dentist to report an injury to a patient to the board.
(1) A dentist who practices in this state
				shall submit a report to the board within thirty (30) days of any mortality or
				any injury requiring medical attention and/or treatment from a licensed
				healthcare provider which occurs to a patient during treatment or within
				twenty-four (24) hours of receiving treatment from the dentist that resulted in
				mortality or injury.
(2) The report
				shall include detailed responses to the following:
(A) Description of dental
				procedure;
(B) Description of
				pre-operative physical condition of patient;
(C) List of drugs, dosage, and route of
				administration;
(D) Description of
				adverse occurrence which shall include:
1.
				Onset and type of signs and symptoms;
2. Treatment instituted;
3. Response to treatment; and
(E) Description of the patient's
				present condition following medical intervention.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2110 - Missouri Dental Board › Chapter 2 - General Rules › Section 20 CSR 2110-2.250 - Prescribing Opioids

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule provides for regulation of
				  prescriptions for opi-oid pain medication.
(1) Dentists shall consider non-opioid
				medications and therapies for treatment of mild to moderate acute dental pain
				prior to prescribing an opioid controlled substance. Options for non-opioid
				treatments shall be discussed with the patient and the patient advised of the
				risks associated with opioid related treatments and the discussion documented
				in the patient's dental record.
(2)
				Before prescribing an opioid controlled substance to a patient experiencing
				dental pain, a dentist shall assess the patient for potential opioid use
				disorder. At a minimum, this should include collecting and maintaining a
				thorough medical history of the patient from the patient or their guardian
				including any history of substance abuse disorders, mental health conditions,
				or sleep-disordered breathing. Dentists shall thoroughly discuss with the
				patient or their guardian and document in the patient's record any medications
				the patient or their guardian discloses to the dentist they have received from
				any other healthcare providers.
(3)
				A dentist shall not issue an initial prescription for more than a seven- (7-)
				day supply of an initial prescription of an opioid con- trolled substance for
				treatment of a patient's acute pain. A dentist may not issue any renewal,
				refill, or new prescription for an opioid controlled substance for treatment of
				the same acute pain without first conducting a consultation with the patient to
				determine the need and appropriateness of the renewal, refill, or new
				prescription. For the purposes of this rule, a consultation shall include all
				of the requirements outlined in section (2) of this rule. Any appropriate
				renewals, refills, or new prescriptions of opioids for treatment of the same
				acute pain shall also be limited to a seven- (7-) day supply and shall be in
				compliance with the general provisions of Chapters 195 and 579, RSMo. If, in
				the professional judgment of the dentist, more than a seven- (7-) day supply is
				appropriate for the initial prescription or any renewals, refills, or new
				prescriptions of opioids to treat the patient's acute pain, the dentist may
				issue a prescription for the quan- tity needed to treat the patient, provided
				that the dentist shall document in the patient's dental record the reason for
				the necessity for more than a seven- (7-) day supply and that a nonopioid
				alternative was not appropriate to address the patient's condition.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2110 - Missouri Dental Board › Chapter 2 - General Rules › Section 20 CSR 2110-2.260

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 332.031, RSMo 1969, amended 1981,
					 1993, 1995; 332.081, RSMo 1969, amended 1981, 1995, 2004; and 332.321, RSMo
					 1969, amended 1978, 1981, 1983, 1999, 2001,
					 2004.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2110 - Missouri Dental Board › Chapter 3 - Well-Being Rules › Section 20 CSR 2110-3.010 - Definitions

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule provides definitions for specific
				  terms used throughout the rules.
(1) Board-Missouri Dental Board.
(2) Committee board of directors-Composed of
				one (1) member designated by the Missouri Dental Association, one (1) member
				designated by the Missouri Dental Hygienists' Association, one (1) member
				designated by the Missouri Dental Board, and the committee administrator to
				promote the early identification, intervention, treatment and rehabilitation of
				dentists or dental hygienists who may be impaired by reasons of illness,
				substance abuse, or as a result of any physical or mental condition.
(3) Committee administrator-The person(s) who
				is hired, appointed or contracted with by the committee with the approval of
				the board to coordinate the activities of the committee.
(4) Contractor-A nonprofit corporation or
				dental association with whom the board contracts for the purpose of creating,
				supporting and maintaining the committee.
(5) Dental professional-Dentist or dental
				hygienist licensed in the state of Missouri and a dentist or dental hygienist
				who has applied for licensure in the state of Missouri.
(6) Impairment-An illness, substance abuse or
				physical or mental condition suffered by a dentist or dental hygienist that is
				reasonably related to the practice of dentistry or dental hygiene.
*Original authority: 332.031, RSMo 1969, amended 1981,
					 1993, 1995 and 332.327, RSMo 1999 amended 2002,
					 2003.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2110 - Missouri Dental Board › Chapter 3 - Well-Being Rules › Section 20 CSR 2110-3.020 - Membership and Organization

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes the membership and
				  organization of the Well-Being Committee.
(1) The Well-Being Committee (hereinafter
				committee) shall be composed of:
(A) One (1)
				member designated by the Missouri Dental Association;
(B) One (1) member designated by the Missouri
				Dental Hygienists' Association;
(C)
				One (1) member designated by the Missouri Dental Board; and
(D) The committee administrator.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2110 - Missouri Dental Board › Chapter 3 - Well-Being Rules › Section 20 CSR 2110-3.040 - Confidentiality

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes the guidelines
				  regarding the confidentiality of the records and information of the impaired
				  professional.
(1) The
				committee shall provide the board access to all information pertaining to each
				impaired dental professional referred to the committee by the Missouri Dental
				Board.
(2) The committee shall
				obtain a written release from each impaired dental professional in the
				Well-Being Program authorizing the release of all information and documents
				pertaining to the impaired dental professional to the Missouri Dental Board
				authorizing the committee to communicate all information pertaining to the
				impaired dental professional to the Missouri Dental Board. The information and
				documentation as described herein shall only be released to the board pursuant
				to Chapter 332, RSMo and the rules promulgated thereto.
(3) The board and committee may exchange
				privileged and confidential information, interviews, reports, statements,
				memoranda and other documents including information on investigations,
				findings, conclusions, interventions, treatment, rehabilitation and other
				proceedings of the board and committee and other information closed to the
				public to promote the identification, interventions, treatment, rehabilitation
				and discipline (accountability) of dentists or dental hygienists who may be
				impaired.
(4) All privileged and
				confidential information and other information not considered to be public
				records or information pursuant to Chapter 610, RSMo shall remain privileged
				and confidential and closed to the public after such information is
				exchanged.
*Original authority: 332.031, RSMo 1969, amended 1981,
					 1993, 1995 and 332.327, RSMo 1999 amended 2002,
					 2003.