reglab/statecodes huggingface dataset:
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 10 - Director, Department of Mental Health › Chapter 7 - Core Rules for Psychiatric and Substance Use Disorder Treatment Programs › Section 9 CSR 10-7.030 - Service Delivery Process and Documentation

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment changes the chapter title and
				  purpose, updates terminology, and revises the service delivery process and
				  documentation requirements for certified and deemed programs.
PURPOSE: This rule describes requirements for the
				  delivery and documentation of services in Opioid Treatment Programs, Substance
				  Use Disorder Treatment Programs, Comprehensive Substance Treatment and
				  Rehabilitation Programs (CSTAR), Gambling Disorder Treatment Programs,
				  Institutional Treatment Centers, Community Psychiatric Rehabilitation Programs
				  (CPRP), and Outpatient Mental Health Treatment Programs.
(1) Screening. The organization shall
				implement written policies and procedures to ensure individuals seeking
				assistance via telephone, face-to-face contact, or by refererral have prompt
				access to a screening to determine the need for further clinical assessment.
				The screening process is welcoming, conducted in a safe, culturally, and
				linguistically appropriate manner, and conveys a hopeful message to individuals
				and their families/natural supports.
(A) At
				the individual's first contact with the organization (whether by telephone or
				face-to-face) emergency, urgent, or routine service needs shall be identified
				and addressed as follows:
1. Emergency service
				needs are indicated when a person presents a likelihood of immediate harm to
				self or others. Qualified staff must address emergency needs
				immediately.
2. An urgent need is
				one that, if not addressed immediately, could result in the individual becoming
				a danger to self or others, or could cause a health risk. Appropriately
				qualified staff shall address urgent service needs within one (1) business day
				of the time the request was made.
3. Routine service needs are indicated when a
				person requests services or follow-up, but otherwise presents no significant
				impairment in the ability to care for self and no apparent harm to self or
				others. Routine service needs shall be addressed within ten (10)
				days.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 10 - Director, Department of Mental Health › Chapter 7 - Core Rules for Psychiatric and Substance Use Disorder Treatment Programs › Section 9 CSR 10-7.040 - Performance Improvement

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment changes the rule title and
				  updates the performance improvement requirements for certified and deemed
				  programs.
PURPOSE: This rule describes requirements for
				  performance improvement activities in Opioid Treatment Programs, Substance Use
				  Disorder Treatment Programs, Comprehensive Substance Treatment and
				  Rehabilitation Programs (CSTAR), Gambling Disorder Treatment Programs,
				  Institutional Treatment Programs, Recovery Support Programs, Substance
				  Awareness Traffic Offender Programs (SATOP), Required Education Assessment and
				  Community Treatment Programs (REACT), Community Psychiatric Rehabilitation
				  Programs (CPRP), and Outpatient Mental Health Treatment
				  Programs.
(1) Performance
				Improvement. The organization shall develop, implement, and maintain an
				effective, ongoing, agency-wide and data-driven performance measurement and
				performance improvement program/process. These activities allow the
				organization to objectively review how well it is accomplishing its mission,
				and develop and initiate performance improvement changes.
(A) The performance measurement and
				performance improvement program encompasses the organization's full array of
				clinical services and focuses on indicators related to improved behavioral
				health or other healthcare outcomes for individuals served.
(B) Direct service staff and medical staff
				shall be actively involved in performance measurement and improvement
				activities including, but not limited to, clinical care issues and practices
				related to the use of medications.
(C) Components of the organization's
				performance measurement and performance improvement program includes, but is
				not limited to:
1. A description of its
				purpose, priorities, policies, and goals;
2. A description of the measurement analysis
				and how it will help define future performance improvement
				activities;
3. A description of
				evaluation and quality assurance activities that will be utilized to determine
				the effectiveness of the performance improvement plan;
4. A description of the organizational
				systems needed to implement the plan including the functions, descriptions of
				accountability, and roles and responsibilities of staff or performance
				improvement committee; and
5. A
				plan for communicating planned activities and processes to staff and the
				governing body on a regular basis.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 10 - Director, Department of Mental Health › Chapter 7 - Core Rules for Psychiatric and Substance Use Disorder Treatment Programs › Section 9 CSR 10-7.050 - Research

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminology related
				  to research.
PURPOSE: This rule establishes standards and
				  procedures for conducting research in Opioid Treatment Programs, Substance Use
				  Disorder Treatment Programs, Comprehensive Substance Treatment and
				  Rehabilitation Programs (CSTAR), Gambling Disorder Treatment Programs, Recovery
				  Support Programs, Substance Awareness Traffic Offender Programs (SATOP),
				  Required Education Assessment and Community Treatment Programs (REACT),
				  Community Psychiatric Rehabilitation Programs (CPRP), and Outpatient Mental
				  Health Treatment Programs.
(1) General Policy. The organization shall
				have a written policy regarding research activities involving individuals
				served. The organization may prohibit research activities.
(2) Policies and Practices in Conducting
				Research. If research is conducted, the organization shall assure that-
(A) Compliance is maintained with all
				federal, state, and local laws and regulations concerning the conduct of
				research including, but not limited to, sections
				630.192,
				630.199,
				630.194,
				and 630.115 RSMo, 9 CSR 60-1.010, and
				9 CSR
				60-1.015.
(B) Participating individuals are not the
				subject of experimental research without their prior written and informed
				consent or that of their guardian.
(C) Participating individuals understand they
				may decide not to participate or may withdraw from any research at any time for
				any reason.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 10 - Director, Department of Mental Health › Chapter 7 - Core Rules for Psychiatric and Substance Use Disorder Treatment Programs › Section 9 CSR 10-7.070 - Medications

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule describes training and procedures
				  for the proper storage, use and administration of medications in Alcohol and
				  Drug Abuse Treatment Programs, Comprehensive Substance Treatment and
				  Rehabilitation Programs (CSTAR), Compulsive Gambling Treatment Programs,
				  Substance Abuse Traffic Offender Programs (SATOP), Required Education
				  Assessment and Community Treatment Programs (REACT), Community Psychiatric
				  Rehabilitation Programs (CPRP), and Psychiatric Outpatient
				  Programs.
(1) General
				Guidelines, Policies and Practices. The following requirements apply to all
				programs, where applicable.
(A) The
				organization shall assure that staff authorized by the organization and by law
				to conduct medical, nursing and pharmaceutical services do so using sound
				clinical practices and following all applicable state and federal laws and
				regulations.
(B) The organization
				shall have written policies and procedures on how medications are prescribed,
				obtained, stored, administered and disposed.
(C) The organization shall implement policies
				that prevent the use of medications as punishment, for the convenience of
				staff, as a substitute for services or other treatment, or in quantities that
				interfere with the individual's participation in treatment and rehabilitation
				services.
(D) The organization
				shall allow individuals to take prescribed medication as directed.
1. Individuals cannot be denied service due
				to taking prescribed medication as directed. If the organization believes that
				a prescribed medication is subject to abuse or could be an obstacle to other
				treatment goals, then the organization's treatment staff shall attempt to
				engage the prescribing physician in a collaborative discussion and treatment
				planning process. If the prescribing physician is nonresponsive, a second
				opinion by another physician may be used.
2. Individuals shall not be denied service
				solely due to not taking prescribed medication as directed. However, a person
				may be denied service if he or she is unable to adequately participate in and
				benefit from the service offered due to not taking medication as
				directed.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 10 - Director, Department of Mental Health › Chapter 7 - Core Rules for Psychiatric and Substance Use Disorder Treatment Programs › Section 9 CSR 10-7.090 - Governing Authority and Program Administration

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminology and
				  responsibilities of the governing body, and adds required components for the
				  organization's policy and procedure manual.
PURPOSE: This rule describes requirements for and
				  responsibilities of the governing body in Opioid Treatment Programs, Substance
				  Use Disorder Treatment Programs, Comprehensive Substance Treatment and
				  Rehabilitation Programs (CSTAR), Gambling Disorder Treatment Programs, Recovery
				  Support Programs, Substance Awareness Traffic Offender Programs (SATOP),
				  Required Education Assessment and Community Treatment Programs (REACT),
				  Community Psychiatric Rehabilitation Programs (CPRP), and Outpatient Mental
				  Health Treatment Programs.
(1) Governing Body. The organization shall
				have a designated governing body with legal authority and responsibility over
				its policies and operations. The governing authority ensures the organization
				complies with all federal, state, local, and municipal laws and regulations, as
				applicable. The chief executive officer is responsible to the governing body
				for the overall day-to-day operations of the organization, including the
				control, utilization, and conservation of its physical and financial assets and
				the recruitment and direction of the staff.
(A) The governing body has written documents
				of its source of authority that are available to the public upon request. The
				source of authority document includes, but is not limited to-
1. The eligibility criteria for governing
				body membership;
2. The number and
				types of membership;
3. The method
				of selecting members;
4. The number
				of members necessary for a quorum;
5. Attendance requirements for governing body
				membership;
6. The duration of
				appointment or election for governing body members and officers; and
7. The powers and duties of the governing
				body and its officers and committees, or the authority and responsibilities of
				any person legally designated to function as the governing body.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 10 - Director, Department of Mental Health › Chapter 7 - Core Rules for Psychiatric and Substance Use Disorder Treatment Programs › Section 9 CSR 10-7.100 - Fiscal Management

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminology and
				  requirements for fiscal management.
PURPOSE: This rule describes fiscal policies and
				  procedures for Opioid Treatment Programs, Substance Use Disorder Treatment
				  Programs, Comprehensive Substance Treatment and Rehabilitation Programs
				  (CSTAR), Gambling Disorder Treatment Programs, Recovery Support Programs,
				  Substance Awareness Traffic Offender Programs (SATOP), Required Education
				  Assessment and Community Treatment Programs (REACT), Community Psychiatric
				  Rehabilitation Programs (CPRP), and Outpatient Mental Health Treatment
				  Programs.
(1) Generally
				Accepted Accounting Principles. The organization has fiscal management
				policies, procedures and practices consistent with generally accepted
				accounting principles and, as applicable, state and federal law, regulation, or
				funding requirements.
(2)
				Monitoring and Reporting Financial Activity. The organization assigns
				responsibility for fiscal management to a designated staff member who has the
				skills, authority, and support to fulfill these responsibilities.
(A) An annual budget shall be reviewed and
				approved by the board of directors prior to the beginning of the organization's
				fiscal year. Fiscal reports shall be reviewed by the board of directors and
				administrative staff on at least a quarterly basis.
(B) Financial activity measures shall be
				utilized on a regular basis to monitor and ensure the organization's ability to
				pay current liabilities and maintain adequate cash flow.
(C) There are adequate internal controls for
				safeguarding or avoiding misuse of assets.
(D) The organization has an annual audit by
				an independent, certified public accountant if required by funding sources or
				otherwise required by federal or state law or regulation. The audit is reviewed
				and approved by the governing body and made available to staff who have
				responsibility for budget and management. Adverse audit findings are addressed
				and resolved in a timely manner.
(E) As applicable, the organization conducts
				an internal quarterly review of a representative sampling of invoices
				reimbursed by the department to determine accuracy and identify any necessary
				corrective action.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 10 - Director, Department of Mental Health › Chapter 7 - Core Rules for Psychiatric and Substance Use Disorder Treatment Programs › Section 9 CSR 10-7.110 - Personnel

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment adds core competency
				  requirements for staff, adds training requirements for volunteers, and updates
				  terminology.
PURPOSE: This rule describes personnel policies and
				  procedures for Opioid Treatment Programs, Substance Use Disorder Treatment
				  Programs, Comprehensive Substance Treatment and Rehabilitation Programs
				  (CSTAR), Gambling Disorder Treatment Programs, Institutional Treatment Centers,
				  Substance Awareness Traffic Offender Programs (SATOP), Required Education
				  Assessment and Community Treatment Programs (REACT), Community Psychiatric
				  Rehabilitation Programs (CPRP), and Outpatient Mental Health Treatment
				  Programs.
(1) Policies and
				Procedures. The organization shall maintain personnel policies, procedures, and
				practices in accordance with local, state and federal laws and regulations.
(A) The policies and procedures shall include
				written job descriptions for each position, provisions for annual written
				performance reviews with all employees, and a current table of organization
				reflecting each position and, where applicable, the relationship to the larger
				organization of which the program or service is a part.
(B) Policies and procedures shall be
				consistently and fairly applied in the recruitment, selection, development, and
				termination of staff.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 10 - Director, Department of Mental Health › Chapter 7 - Core Rules for Psychiatric and Substance Use Disorder Treatment Programs › Section 9 CSR 10-7.120 - Physical Environment and Safety

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment changes the rule title,
				  updates environmental and safety requirements, and adds criteria for an
				  emergency preparedness plan. Requirements for residential facilities are being
				  moved to 9 CSR 10-3, Substance Use Disorder Treatment Programs.
PURPOSE: This rule describes requirements for the
				  physical environment and safety in Opioid Treatment Programs, Substance Use
				  Disorder Treatment Programs, Comprehensive Substance Treatment and
				  Rehabilitation Programs (CSTAR), Gambling Disorder Treatment Programs, Recovery
				  Support Programs, Substance Awareness Traffic Offender Programs (SATOP),
				  Required Education Assessment and Community Treatment Programs (REACT),
				  Community Psychiatric Rehabilitation Programs (CPRP), and Outpatient Mental
				  Health Treatment Programs.
(1) General Requirements. The organization
				shall provide services in an environment that ensures the health, safety, and
				security of individuals served, staff, and others.
(A) All buildings used for programmatic
				activities shall meet applicable state and local fire safety, building,
				occupancy, and health requirements.
(B) The organization shall maintain
				documentation on site of all inspections and correction of any cited
				deficiencies to assure compliance with applicable state and local fire safety,
				building, and health requirements.
(C) A currently certified/deemed organization
				that relocates any program into a new physical environment or constructs an
				addition to an existing building(s) must ensure the new location and/or
				building(s) comply with this rule in order to maintain certification/deemed
				status by the department.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 10 - Director, Department of Mental Health › Chapter 7 - Core Rules for Psychiatric and Substance Use Disorder Treatment Programs › Section 9 CSR 10-7.130 - Procedures to Obtain Certification

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates requirements for
				  certification as a Community Psychiatric Rehabilitation (CPR)
				  program.
PURPOSE: This rule describes procedures to obtain
				  certification as a Substance Use Disorder Treatment Program, Comprehensive
				  Substance Treatment and Rehabilitation Program (CSTAR), Institutional Treatment
				  Center, Gambling Disorder Treatment Program, Prevention Program, Recovery
				  Support Program, Substance Awareness Traffic Offender Program (SATOP), Required
				  Education Assessment and Community Treatment Program (REACT), Community
				  Psychiatric Rehabilitation (CPR) Program, or Outpatient Mental Health Treatment
				  Program.
(1) Certification
				Standards. Under sections
				376.779.3 and 4,
				630.010,
				and 630.655, RSMo, the department is mandated to develop certification
				standards and to certify an organization's level of services as necessary and
				applicable for it to operate, receive funds from the department, and
				participate in department programs eligible for Medicaid reimbursement.
				Certification 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 services with a
				focus on the needs and outcomes of persons served.
(B) The primary function of the certification
				process is assessment of an organization's compliance with the department's
				standards of care. A further function is to identify and encourage
				developmental steps toward improved program operations, satisfaction with
				services, and successful outcomes for individuals served.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 10 - Director, Department of Mental Health › Chapter 7 - Core Rules for Psychiatric and Substance Use Disorder Treatment Programs › Section 9 CSR 10-7.140 - Definitions

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment changes the definition of a
				  qualified substance abuse professional that is used in the certification of
				  psychiatric and substance abuse programs.
(1) The definitions included in this rule
				shall apply to:
(A) 9 CSR 10-7 Core Rules for
				Psychiatric and Substance Abuse Programs;
(B) 9 CSR 30-3 Certification Standards for
				Alcohol and Drug Abuse; and
(C) 9
				CSR 30-4 Certification Standards for Mental Health Programs.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 10 - Director, Department of Mental Health › Chapter 31 - Reimbursement for Services › Section 9 CSR 10-31.010 - Determination of the Charges for Mental Health Services Based Upon Ability to Pay

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded January 1, 1982)
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 10 - Director, Department of Mental Health › Chapter 31 - Reimbursement for Services › Section 9 CSR 10-31.012 - State Income Tax Refund Intercept Hearing Procedure

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule prescribes a hearing procedure for
				  taxpayers who protest, in writing, the application of their state income tax
				  refunds to debts owed to the Department of Mental Health.
(1) If a taxpayer does not request a hearing,
				in writing, within thirty (30) days of the receipt of the Notice of Mental
				Health Debt Offset from the Department of Revenue, then
A) The taxpayer is forever barred from
				asserting a defense to the application of the tax refund to a debt owed to the
				Department of Mental Health; and
(B) The state income tax refund shall be
				applied as an offset to the debt owed to the Department of Mental
				Health.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 10 - Director, Department of Mental Health › Chapter 31 - Reimbursement for Services › Section 9 CSR 10-31.014 - Waiver of Standard Means Test for Children in Need of Mental Health Services

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule implements a revision to section
				  630.210,
				  RSMo requiring the department to promulgate a rule waiving the Standard Means
				  Test for a child in need of mental health services.
(1) Definitions.
(A) The terms defined in
				9 CSR
				10-31.011 Standard Means Test are incorporated by
				reference as though set out in this rule.
(B) A "child in need of mental health
				services," as used in this rule, is any child who qualifies to receive services
				from the Department of Mental Health under Chapters 630, 631, 632 or 633,
				RSMo.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 10 - Director, Department of Mental Health › Chapter 31 - Reimbursement for Services › Section 9 CSR 10-31.016 - Determining State of Domicile

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment clarifies provisions for
				  determining state of domicile and expands intelligence tests to include those
				  not administered by the Division of Developmental Disabilities.
(1) A person domiciled in Missouri is one who
				resided in Missouri not for a mere special or temporary purpose, but with
				intent to remain in Missouri permanently or for an indefinite time which may be
				demonstrated, but not necessarily determined by ownership of a residence in
				Missouri, filing of a Missouri state income tax return, voter registration in
				Missouri, registration of a motor vehicle in Missouri, employment in Missouri
				or the receipt of public assistance from Missouri.
(2) A person and a person's dependents are
				domiciled in Missouri when the person is a member of the armed services and
				stationed in Missouri. Domicile shall continue to be conferred upon dependents
				of a member, if they remain in Missouri, after the member of the armed services
				is transferred from Missouri.
(3)
				The domicile of a minor under the age of eighteen (18) and not emancipated
				shall be that of the parent(s) having physical custody of the minor.
(4) The domicile of a minor under the age of
				eighteen (18) whose parents are deceased or parental rights have been
				terminated shall be the state in which a guardian has been appointed for the
				minor, or the current domicile of the minor's guardian.
(5) A
				person at or over the age of eighteen (18) is considered incapable of forming
				his/her own intent to be domiciled in Missouri when-
(A) The person's
				Intelligence Quotient (IQ) is forty-nine (49) or less, or has a mental age of
				seven (7) or less based on a comprehensive test of intelligence;
(B)
				The person is declared legally incapacitated as defined in section
				475.010, RSMo;
				or
(C) Medical documentation or other documentation
				acceptable to the department supports a finding that the person is incapable of
				forming intent to be domiciled in Missouri.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 10 - Director, Department of Mental Health › Chapter 31 - Reimbursement for Services › Section 9 CSR 10-31.020 - Determination of the Charges for Outpatient Services Provided or Procured

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded January 1, 1982)
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 10 - Director, Department of Mental Health › Chapter 31 - Reimbursement for Services › Section 9 CSR 10-31.030 - Intermediate Care Facility for Individuals with Intellectual Disabilities Federal Reimbursement Allowance

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates the rule to mirror
				  the 2010 federal "Rosa's Law" (
				  Pub. L.
				  111-256 ), which removes the term "mentally
				  retarded" from federal health policy and replaces it will the term "individual
				  with intellectual disabilities." Additionally, this amendment updates the rule
				  to mirror section
				  630.006,
				  RSMo Supp. 2014, which replaced the term "mental retardation" with the more
				  current terminology of "intellectual disability."
PURPOSE: This rule establishes the formula to
				  determine the Federal Reimbursement Allowance for each Intermediate Care
				  Facility for Individuals with Intellectual Disabilities (ICF/IID) operated
				  primarily for the care and treatment of individuals with intellectual and
				  developmental disabilities. This rule applies to both private ICF/IIDs and
				  ICF/IID facilities operated by the Department of Mental Health and requires
				  these facilities to pay for the privilege of engaging in the business of
				  providing ICF/IID services to individuals in Missouri.
(1) The following words and terms, as used in
				this rule, mean:
(A) Base cost report. MO
				HealthNet cost report for the second prior fiscal year relative to the State
				Fiscal Year (SFY) for which the assessment is being calculated (For example,
				the SFY 2009 Federal Reimbursement Allowance (FRA) assessment will be
				determined using the Intermediate Care Facility for Individuals with
				Intellectual Disabilities (ICF/IID) cost report from FY 2007.);
(B) Department. Department of Mental
				Health;
(C) Director. Director of
				the Department of Mental Health;
(D) Division. Division of Developmental
				Disabilities, Department of Mental Health;
(E) Engaging in the business of providing
				residential habilitation care. Accepting payment for ICF/IID services
				rendered;
(F) Fiscal period.
				Twelve- (12-) month reporting period determined by the State Fiscal
				Year;
(G) Intermediate Care
				Facility for Individuals with Intellectual Disabilities (ICF/IID). A private or
				department facility that admits individuals with intellectual and developmental
				disabilities for residential habilitation and other services pursuant to
				Chapters 630 and 633, RSMo, and that has been certified to meet the conditions
				of participation under 42 CFR 483, Subpart I;
(H) Intermediate Care Facility for
				Individuals with Intellectual Disabilities Federal Reimbursement Allowance
				ICF/IID FRA. The assessment paid by each ICF/IID;
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 10 - Director, Department of Mental Health › Chapter 31 - Reimbursement for Services › Section 9 CSR 10-31.040 - Community Mental Health Center Clinic UPL

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes the formula to
				  determine supplemental payments under Medicaid subject to the clinic upper
				  payment limit to Community Mental Health Center Clinics (CMHC).
(1) Definitions. The terms used in this rule
				shall mean
(A) Medicare rate is the rate
				established in the 2010 Resource Based Relative Value Scale (RVRVS) table plus
				the Health Professional Shortage Area (HPSA) add on payment; and
(B) Current Medicaid rate is the rate on file
				with the MO HealthNet Division at the beginning of the state fiscal
				year.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 25 - Fiscal Management › Chapter 2 - Purchase of Service Contracting › Section 9 CSR 25-2.005 - Definitions

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment eliminates the definitions as
				  they are outdated. The department will defer to state statute for explanation
				  of terms used in this chapter.
PURPOSE: This rule defers to state statute for the
				  definition of terms used in this chapter.
(1) Definitions
				for terms for this chapter can be found in section
				630.005,
				RSMo.
*Original authority: 34.100, RSMo 1945, amended 1983, 1995;
					 630.050, RSMo 1980, amended 1993, 1995; and 630.405, RSMo 1980, amended 1993,
					 1995, 2001.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 25 - Fiscal Management › Chapter 2 - Purchase of Service Contracting › Section 9 CSR 25-2.105 - Purchasing Services for Individuals Served by the Department

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment changes the rule title,
				  updates terminology and purchasing processes, and removes unnecessary
				  language.
PURPOSE: This rule prescribes the procurement process
				  for purchasing services for individuals being served by the department. As set
				  out in sections
				  34.100
				  and
				  630.405,
				  RSMo, the commissioner of administration shall have the power to delegate
				  his/her authority to the department to purchase services for individuals it
				  serves. The delegation of authority requires the department to comply with the
				  basic intent of public procurement procedures to purchase the
				  services.
(1) As set out in
				sections
				34.100
				and
				630.405,
				RSMo, the commissioner of administration has delegated his/her authority to the
				department to purchase services from providers directly rather than through the
				Division of Purchasing of the Office of Administration. The commissioner
				delegates the authority by letter to the department director on an annual or
				triennial basis.
(2) The director
				may designate administrative entities for the purchase of services for
				individuals served by the Division of Behavioral Health and the Division of
				Developmental Disabilities as defined in section
				630.407,
				RSMo.
(3) As set out in
				section
				630.407,
				RSMo, the department may contract directly with administrative entities without
				competitive bids.
*Original authority: 34.100, RSMo 1945, amended 1983, 1995;
					 630.050, RSMo 1980, amended 1993, 1995; and 630.405, RSMo 1980, amended 1993,
					 1995, 2001.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 25 - Fiscal Management › Chapter 2 - Purchase of Service Contracting › Section 9 CSR 25-2.305 - Invitation for Bid Solicitation Procedures

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment changes the rule title and
				  removes language related to request for proposal as this process has been
				  replaced by invitation for bid.
PURPOSE: This rule prescribes department procedures
				  for soliciting bidders in response to an invitation for bid for services which
				  require a competitive bid.
(1) The department complies with Office of
				Administration, Division of Purchasing rules, regulations, and requirements
				related to the Invitation for Bid (IFB) process as set out in Chapter 34, RSMo,
				1 CSR 40, the state procurement manual, and Division of Purchasing policies and
				procedures.
*Original authority: 34.100, RSMo 1945, amended 1983, 1995;
					 630.050, RSMo 1980, amended 1993, 1995; and 630.405, RSMo 1980, amended 1993,
					 1995, 2001.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 25 - Fiscal Management › Chapter 2 - Purchase of Service Contracting › Section 9 CSR 25-2.405 - Invitation for Bid Evaluation and Award

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment changes the rule title and
				  removes language related to request for proposal as this process has been
				  replaced by invitation for bid.
PURPOSE: This rule prescribes the evaluation and
				  award procedures for an invitation for bid.
(1) The department complies with Office of
				Administration, Division of Purchasing rules and regulations and requirements
				related to the Invitation for Bid (IFB) evaluation and award process as set out
				in Chapter 34, RSMo, 1 CSR 40, the state procurement manual, and Division of
				Purchasing policies and procedures.
*Original authority: 34.100, RSMo 1945, amended 1983, 1995;
					 630.050, RSMo 1980, amended 1993, 1995; and 630.405, RSMo 1980, amended 1993,
					 1995, 2001.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 25 - Fiscal Management › Chapter 2 - Purchase of Service Contracting › Section 9 CSR 25-2.505 - Protest and Appeal Procedures

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment removes request for proposal
				  (RFP) terminology and replaces it with Invitation for Bid (IFB) and updates the
				  protest and appeal procedures.
PURPOSE: This rule prescribes procedures for bidders
				  to protest a department decision regarding the award of contract(s), as a
				  result of a competitive Invitation for Bid process.
(1) A bid
				award protest must be submitted in writing to the division director, or their
				designee, for which the services are to be purchased (directors of the Division
				of Developmental Disabilities or Division of Behavioral Health). Award protests
				must be received by the department within ten (10) business days after the date
				of award. If the tenth day falls on a Saturday, Sunday, or state holiday, the
				period shall extend to the next state business day. A protest submitted after
				the ten- (10-) business day period will not be considered.
(A) The written protest must include the
				following information:
1. Name, address, and
				phone number of the protester;
2.
				Signature of the protester or the protester's representative;
3. Solicitation number;
4. Detailed statement describing the grounds
				for the protest; and
5. Supporting
				exhibits, evidence, or documents to substantiate claim.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 25 - Fiscal Management › Chapter 3 - Miscellaneous Rules › Section 9 CSR 25-3.030 - Access for Inspection of Public Records and Fees for Copying of Public Records

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule prescribes requirements for
				  individuals and organizations to gain access to public records of the
				  department and fees for copying of those public records.
(1) Access for inspection of public records
				shall be granted and copying of those records shall be provided by the
				department based upon a review of each request. Access for inspection of public
				records shall be allowed during the normal business hours of the administrative
				offices of the department facility where the records are stored. Copies of
				public records shall be provided by the department and shall be subject to the
				collection of established search and copy fees and applicable sales tax and
				shipping charges.
(2) Requests for
				access to or copying of public records may be made in person, by telephone or
				by any other convenient means. However, should any question arise whether a
				requested record is a closed record or is confidential as provided by law, this
				request shall be made in writing and forwarded to the Custodian of Records,
				Department of Mental Health, P.O. Box 687, Jefferson City, MO 65102. The
				custodian shall notify the individual or organization within three (3) business
				days from the date the request was received by the custodian whether access is
				granted or denied.
(3) As provided
				under section
				610.026,
				RSMo, access to public records for a short duration of time during normal
				business hours will normally be provided without charge. The department may
				negotiate a space or rental fee with the requester to provide access to public
				records when the access will be for an extensive period of time or will
				otherwise be disruptive to the normal operations of the department. Copies of
				public records will be provided by the department for the following copy and
				search fees:
(A) Paper copies no larger than
				nine by fourteen inches (9" X 14")-$.10 per page;
(B) Duplicating time an hourly fee not to
				exceed the average hourly rate of pay for the department's clerical staff;
				and
(C) Research time the actual
				cost of research time.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 25 - Fiscal Management › Chapter 3 - Miscellaneous Rules › Section 9 CSR 25-3.040 - Compensation to Public Administrators

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment changes the section title to
				  more accurately reflect the contents of the rule and updates the guidelines for
				  compensating public administrators from a consumer's banking
				  account.
PURPOSE: This rule sets guidelines for compensation
				  to public administrators and applies to all department facilities and
				  department-operated programs designated as representative payee for consumer
				  entitlements when the public administrator is guardian and/or
				  conservator.
(1) A
				facility/program shall debit an individual's Consumer Banking account to
				compensate a public administrator for the amount allowed by the court in
				accordance with the following:
(A) The department
				facility/program is representative payee for Social Security Administration
				(SSA), Supplemental Security Income (SSI), veterans' benefits; railroad
				retirement benefits; civil service annuities; federal, state, or city
				retirement programs or any other retirement or benefit program;
(B) The payment for
				the compensation is not prohibited by the benefit program which will be used to
				pay the requested compensation; and
(C) If the expenditure
				would place the consumer in present or future jeopardy or adversely affect the
				services to the consumer, the facility/program with administrative control of
				the consumer's account shall consult legal counsel as to whether a modification
				of the court order shall be sought.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 25 - Fiscal Management › Chapter 3 - Miscellaneous Rules › Section 9 CSR 25-3.050 - Payment to School Districts for Special Education Services for Children Admitted to Programs or Facilities of the Department of Mental Health

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded May 30, 1999)
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 25 - Fiscal Management › Chapter 3 - Miscellaneous Rules › Section 9 CSR 25-3.060 - Payments to Counties withState Mental Health Facilities

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule prescribes requirements for
				  counties to receive payment from the department for personnel costs relating to
				  mental health facilities.
(1)
				The City of St. Louis and Buchanan, Callaway, Jackson and St. Francois counties
				may employ an assistant prosecuting attorney, county counselor or circuit
				attorney and other investigative and clerical personnel to provide services
				related to mental health and mental health facilities. The department shall pay
				these governmental units for these personnel costs from funds appropriated for
				this purpose.
(2) Each eligible
				governmental unit may employ an assistant prosecuting attorney, county
				counselor or circuit attorney who shall be compensated fifteen thousand dollars
				($15,000) annually. In addition, investigative and clerical personnel may be
				employed and the total compensation for these personnel shall not exceed
				fifteen thousand dollars ($15,000) annually.
(3) Each eligible governmental unit shall
				submit a request for payment using the form prescribed by the department (MO
				650-7975) or an invoice or other document which provides the information
				disclosed on this form. This request for payment shall be submitted after July
				1 of each fiscal year.
(4) The
				request for payment shall disclose each personnel position, the name of the
				person employed and the actual salary costs for the preceding fiscal year and
				the positions and projected salary costs for the current fiscal year.
(5) Upon receipt of the request for payment,
				the department shall issue a warrant to pay the amount of the projected salary
				costs for the current fiscal year adjusted for the amount, if any, that the
				payment for the preceding fiscal year differed from the actual expenditures for
				that year. These warrant payments shall only be made from funds appropriated
				for this purpose.
*Original authority: 56.700, RSMo 1979, amended 1989 and
					 630.050, RSMo 1980, amended 1993.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 25 - Fiscal Management › Chapter 4 - Vendor Procedures › Section 9 CSR 25-4.040 - Recovery of Overpayments to Providers

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule prescribes requirements for the
				  collection of overpayments made by the department to providers and for the
				  assessment of interest charges on overpayments.
(1) Providers that deliver care, treatment,
				habilitation or rehabilitation services to clients under contract with the
				department may receive an overpayment which must be repaid to the department.
				An overpayment is any payment by the department which is:
(A) Greater than the contracted rate for a
				service less any portion paid by or on behalf of a client;
(B) For services not provided;
(C) For services not authorized in the
				contract; or
(D) For services
				provided contrary to the provisions of the contract.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 25 - Fiscal Management › Chapter 5 - Administration of Personal Spending Funds › Section 9 CSR 25-5.010

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo 1980, amended 1993,
					 1995.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 30 - Certification Standards › Chapter 3 - Substance Use Disorder Prevention and Treatment Programs › Section 9 CSR 30-3.022

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo 1980, amended 1993,
					 1995; 630.655, RSMo 1980; and 631.010, RSMo
					 1980.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 30 - Certification Standards › Chapter 3 - Substance Use Disorder Prevention and Treatment Programs › Section 9 CSR 30-3.032 - Certification of Substance Use Disorder Prevention and Treatment Programs

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminology and types
				  of programs and services certified by the department and related application
				  requirements.
PURPOSE: This rule identifies the types of substance
				  use disorder prevention and treatment programs and services eligible for
				  certification from the department and the applicable
				  requirements.
(1) Types of
				Programs and Services. Certification from the department is available for the
				following types of programs and services:
(A)
				Comprehensive Substance Treatment and Rehabilitation (CSTAR), including
				specialized programs for adolescents, women and children, adult general
				population, and opioid use disorders;
(B) Gambling disorder treatment;
(C) Institutional treatment center;
(D) Opioid treatment;
(E) Outpatient treatment;
(F) Prevention;
(G) Recovery support;
(H) Required Educational Assessment and
				Community Treatment (REACT);
(I)
				Residential treatment;
(J)
				Substance Awareness Traffic Offender Program (SATOP); and
(K) Withdrawal management.