reglab/statecodes huggingface dataset:
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 90 - Adult Day Care Program Licensure › Section 19 CSR 30-90.050 - Program Policies and Participant Care Requirements and Rights

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes the minimum
				  requirements for operating an adult day care program and providing care to
				  participants; establishing and preserving certain rights of participants; and
				  requiring adult day care providers to have written program
				  policies.
(1) The adult day
				care provider shall neither knowingly admit, nor continue to care for,
				participants whose needs cannot be met by the program directly or in
				cooperation with outside resources.
(2) Each adult day care provider shall have a
				written emergency medical plan that assures the following:
(A) Transportation to a hospital or other
				type of facility providing emergency or urgent care;
(B) A written agreement, signed by each
				participant or legal guardian, shall be on file in the facility granting
				permission to transport the participant in need of emergency care to the
				designated hospital or other type of facility;
(C) Notes in the participant's record shall
				be made immediately of any accident, injury or illness and the emergency
				procedures taken;
(D) Emergency
				telephone numbers for each participant shall be available to staff at all
				times; and
(E) At a minimum, those
				first-aid supplies, as recommended by the American Red Cross or other
				comparable source, shall be readily available on-site.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 90 - Adult Day Care Program Licensure › Section 19 CSR 30-90.060 - Record Keeping Requirements

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule describes the minimum requirements
				  for administrative, participant and program records that the adult day care
				  provider shall maintain.
(1)
				The adult day care provider shall maintain administrative records that include
				at least:
(A) Written personnel policies
				which address, at a minimum, the staffing requirements found in
				19 CSR
				30-90.040;
(B) An organizational chart depicting lines
				of supervision and responsibility;
(C) Individual personnel records for both
				paid staff and volunteer staff who are counted in the staffing ratio that
				include the following:
1. Position title and
				written job description of the work tasks, responsibilities and qualifications
				of the job duties to be performed by each person;
2. Name, address, home telephone number, date
				of birth and Social Security number;
3. Licensure, certification or other
				documentation of professional qualification; such as copies of license,
				certification, as applicable;
4.
				Educational background;
5.
				Employment history, documentation of references checked prior to employment
				including the results of the criminal background checks and, if applicable, a
				copy of any good cause waiver granted by the department;
6. Documentation of Employee Disqualification
				List (EDL) or Family Care Safety Registry checks;
7. Annual evaluation of work
				performance;
8. Documentation of
				orientation and in-service training received;
9. Record of dates and hours worked for at
				least the previous calendar year;
10. Copies of contracts with consultants, as
				applicable;
11. Documentation of
				any communicable disease and a physician's or the physician's designated
				agent's written release stating that the employee or volunteer may return to
				work; and
12. Documentation of any
				current certification in first aid and cardiopulmonary resuscitation;
(D) Fiscal records that include
				documentation of program income and expenditures in accordance with generally
				accepted accounting procedures. However, either cash basis, accrual basis or
				modified accrual basis may be used as appropriate for the adult day care
				provider's business entity and tax status;
(E) Records of orientation and in-service
				training provided to staff and volunteers; and
(F) Inspection reports, for the past three
				(3) years from the local health authority, local fire authority, department, or
				division and any state or local inspecting authority.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 90 - Adult Day Care Program Licensure › Section 19 CSR 30-90.080 - Fire Safety Requirements

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded March 30, 2005)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 91 - Authorized Electronic Monitoring in Long-Term Care Facilities › Section 19 CSR 30-91.010 - Authorized Electronic Monitoring

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: The proposed rule sets forth requirements
				  regarding the use of an electronic monitoring device in long-term care
				  facilities.
AGENCY NOTE: All rules relating to long-term care
				  facilities licensed by the department are followed by a Roman Numeral notation
				  which refers to the class (either Class I, II, or III) of standard as
				  designated in section
				  198.085
				  RSMo.
(1) Definitions. For
				the purposes of this rule the following terms shall apply:
(A) Authorized electronic monitoring means
				the placement and use of an electronic monitoring device by a resident in his
				or her room in accordance with the provisions of sections
				198.610
				to
				198.632,
				RSMo;
(B) Electronic monitoring
				device means a surveillance instrument capable of recording or transmitting
				audio or video footage of any activity occurring in a resident's
				room;
(C) Facility or long-term
				care facility means any residential care facility, assisted living facility,
				intermediate care facility, or skilled nursing facility, as such terms are
				defined under section
				198.006,
				RSMo;
(D) Guardian means the same
				as defined under section
				475.010, RSMo;
				and
(E) Legal representative means
				a person authorized under a durable power of attorney that complies with
				sections
				404.700 to
				404.737,
				RSMo, to act on behalf of a resident of a facility.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 100 - Safe Place for Newborns › Section 19 CSR 30-100.010 - Service Retirement

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes the specifications
				  governing the installation, maintenance, and oversight of newborn safety
				  incubators.
PUBLISHER'S NOTE: The secretary of state has
				  determined that publication of the entire text of the material that is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. This material as incorporated by reference in this rule shall be
				  maintained by the agency at its headquarters and shall be made available to the
				  public for inspection and copying at no more than the actual cost of
				  reproduction. This note applies only to the reference material. The entire text
				  of the rule is printed here.
(1) As used in this rule, the following terms
				and phrases shall mean:
(A) Department shall
				mean the Department of Health and Senior Services;
(B) Facility shall mean the entity registered
				with the Department of Health and Senior Services and approved to utilize an
				installed newborn safety incubator/device;
(C) Newborn safety device shall mean a device
				which is installed in an exterior wall of a facility or structure wall in a
				lobby area registered with the department and which has an exterior point of
				access that allows a relinquishing parent to place a newborn infant inside and
				an interior point of access that allows individuals inside the building of the
				facility to safely retrieve the newborn infant. A newborn safety device used to
				maintain an optimal environment for the care of a newborn infant shall be
				designed and constructed in accordance with United States Patent Number
				10,632,035 B1;
(D) Newborn safety
				incubator shall mean a medical device used to maintain an optimal environment
				for the care of a newborn infant; and
(E) Relinquishing parent shall mean the
				biological parent or person acting on such parent's behalf who leaves a newborn
				infant in a newborn safety incubator/device.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 105 - Supplemental Health Care Services Agency › Section 19 CSR 30-105.020 - Registration Fees

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes registration fees
				  authorized by section
				  198.642, RSMo.
(1) The following fees are required by the
				Supplemental Health Care Services Agency program:
(A)
Initial annual registration fee
$830
(B)
Renewal annual registration fee
$700
(2)
				Fees must be payable to the Department of Health and Senior Services in the
				form of a cashier's check, personal or certified check, company check, money
				order, or through the online payment system by credit card or e-check. A
				registrant may mail their fee to the Department of Health and Senior Services,
				Fee Receipt Unit, PO Box 570, Jefferson City, MO 65102-0570. Payments made
				using the online payment system may include an additional processing
				fee.
(3) All fees are nonrefundable
				and are not proratable.
(4)
				Notwithstanding any other provision in this rule to the contrary, if an agency
				fails to provide sufficient registration fee(s), the department shall reject
				the application and return the fee(s). An agency may then resubmit an
				application with the correct registration fee(s).
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 105 - Supplemental Health Care Services Agency › Section 19 CSR 30-105.030 - Procedures and Requirements for Registration of a Supplemental Health Care Services Agency

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule specifies the minimum requirements
				  for registration and renewal of a supplemental health care services Agency in
				  Missouri.
(1) No person shall
				establish, conduct, or maintain a supplemental health care services agency in
				this state without a valid registration issued by the department.
(2) Each supplemental health care services
				agency providing, procuring, or engaging health care personnel or independent
				contractors for temporary employment in Missouri health care facilities must
				submit a registration application and fee. The
Application for
				Registration to Operate a Supplemental Health Care Service Agency
("Application"), included herein, shall be completed and submitted to the
				department via mail or electronically online with the fee required by
				19 CSR
				30-105.020. Information provided in the application
				shall be attested by signature to be true and correct to the best of the
				applicant's knowledge and belief.
(3) Each separate business location from
				which the agency operates in Missouri shall have a separate
				application.
(4) The application
				shall include-
(A) Agency information,
				including-
1. The agency's legal or
				registered fictitious name, addresses, telephone number, fax number, email
				address, and responsible contact person;
2. Indication of whether the application is
				the result of a new registered agency or renewal of an existing agency's
				registration; and
3. The agency's
				days and hours of operation;
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 105 - Supplemental Health Care Services Agency › Section 19 CSR 30-105.040 - Requirements for Changes to a Registered Agency

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule outlines requirements for changes
				  to an issued registration of a supplemental health care services agency in
				  Missouri.
(1) A registered
				agency shall notify the department of any change in ownership or operator
				within thirty (30) days of the change. This includes the addition or removal of
				any owners, operators, or controlling persons. The registration shall be void
				and the new owner and/or operator shall apply for a new registration and pay
				the required fee. The date issued on the new registration shall be the
				effective date when the change of ownership or operator occurred.
(A) A registered agency which is a
				partnership, limited partnership, limited liability company, or corporation
				that undergoes any of the following changes, or a new corporation, partnership,
				limited partnership, limited liability company, or other entity assumes
				operation of an agency whether by one (1) or by more than one (1) action shall
				apply for a new registration:
1. With respect
				to a partnership, a change in the majority interest of general
				partners;
2. With respect to a
				limited partnership, a change in the general partner or in the majority
				interest of limited partners;
3.
				With respect to a limited liability company, a change in any manager or in the
				majority interest of members; and
4. With respect to a corporation, a change in
				the persons who own, hold, or have the power to vote the majority of any class
				of securities issued by the corporation.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 105 - Supplemental Health Care Services Agency › Section 19 CSR 30-105.060 - Denial, Suspension, or Revocation of Registration

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule specifies the process of denial or
				  revocation of a registration of a supplemental health care services agency in
				  Missouri.
(1) Any agency
				whose registration has been denied, suspended, or revoked by the department may
				seek a review of the department's actions by the Administrative Hearing
				Commission.
(2) If an agency is
				notified of a registration denial or revocation due to noncompliance with
				sections 198.640 to
				198.648, RSMo, the owner and
				operator shall not be eligible to apply for or receive a registration for five
				(5) years following the date of denial or revocation.
(3) For contracts entered into on or after
				August 28, 2022, if the contract between an agency and health care personnel or
				a health care facility requires the payment of liquidated damages, employment
				fees, or other compensation should the health care personnel be hired as a
				permanent employee of a health care facility, the agency's registration shall
				be subject to revocation or nonrenewal of its registration.
(4) If an agency fails to provide any of the
				items required in section four (4) of
				19 CSR
				30-105.030 within ten (10) business days of the
				department's written request, the department shall immediately suspend or
				refuse to issue the agency's registration.
(5) If the department revokes, fails to
				renew, or immediately suspends an agency's registration, the agency shall-
(A) Immediately stop referring personnel to
				health care facilities; and
(B)
				Notify health care facilities where personnel are currently referred or
				contracted that the agency no longer has a valid operating
				registration.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 105 - Supplemental Health Care Services Agency › Section 19 CSR 30-105.070 - Quarterly Rate and Charge Reporting Requirements

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule specifies the quarterly rate and
				  charge reporting requirements of a supplemental health care services agency in
				  Missouri.
(1) Any registered
				supplemental health care services agency that contracts with a health care
				facility that participates in Medicare or Medicaid shall submit the following
				report every quarter to the department:
(A) A
				detailed list of each health care facility participating in Medicare or
				Medicaid with whom the agency has contracted over the prior quarter;
(B) A detailed list of the average amount
				charged by the agency to the health care facility over the prior quarter,
				broken down by health care facility and each individual health care personnel
				within each job classification (including but not limited to nursing, therapy,
				dietary/nutrition, lab, and radiology); and
(C) A detailed list of the average amount
				paid by the agency to health care personnel over the prior quarter, broken down
				by health care facility and each individual health care personnel within each
				job classification, including but not limited to nursing, therapy,
				dietary/nutrition, lab, and radiology.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 40 - Division of Maternal, Child and Family Health › Chapter 1 - Crippled Children's Service (CCS) › Section 19 CSR 40-1.020 - Program Eligibility

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes the criteria by which
				  CCS accepts clients for service.
(1) Conditions of eligibility for Crippled
				Children's Service (CCS) services include:
(A) A client must be under twenty-one (21)
				years of age. All expenditures by CCS on behalf of a child must be for services
				received prior to his/her twenty-first birthday;
(B) A client must be a resident of
				Missouri;
(C) A client must be
				financially eligible for CCS;
(D) A
				client must be medically eligible for CCS;
(E) Marital status is not a condition of
				eligibility; and
(F) Each client
				shall have a parent or an appointed guardian as a condition of eligibility,
				unless the client is legally emancipated and may sign on his/her own
				behalf.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 40 - Division of Maternal, Child and Family Health › Chapter 1 - Crippled Children's Service (CCS) › Section 19 CSR 40-1.030 - Categories of Care

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule defines the medical conditions for
				  which MCCS will provide service and funding.
(1) Category I shall include those eligible
				applicants whose medical conditions require immediate life-saving medical
				treatment. The conditions include, but are not necessarily limited to:
(A) Burn care-any burns requiring seven (7)
				days or more inpatient care and burns requiring skin grafting;
(B) Cardiac care-congenital heart disease
				requiring surgical intervention or presenting with congestive heart failure;
				and acute rheumatic fever with congestive heart failure or requiring cardiac
				surgery;
(C) Cleft lip and palate
				care-initial lip or palate closure or both;
(D) Genito-urinary (GU) care-bladder
				extrophy, vesico-ureteral reflux and uretero-pelvic junction
				obstruction;
(E) Myelomeningocele
				care (spina bifi-da)-surgical closure of myelocele;
(F) Neurology care-depressed skull fracture,
				subdural hematoma and uncontrolled seizures;
(G) Neurosurgery care-shunting
				procedures;
(H) Orthopedic
				care-acquired amputations, fractures and fracture dislocations of the vertebral
				column with or without associated spinal cord injury except for closed
				coc-cygeal fractures, open fractures, osteogenesis imperfecta, osteomyelitis or
				pyarthrosis presenting with sepsis; and
(I) Pediatric surgery care-diaphragmatic
				hernia with accompanying respiratory distress; Hirschsprung's disease; multiple
				surgically-staged imperforate anus; duodenal atre-sia; jejunal atresia;
				tracheoesophageal fistula; gastroschisis; omphalocele; intestinal obstruction
				in neonates; lacerated tendons; electrical burns to the mouth; surgical
				procedures for subglottic stenosis; laryngeal webs; choanal atresia; and
				ingestion burns; and
(J) The
				following are not covered under Category I: arthritis care; cerebral palsy
				care; ear; nose and throat (ENT)/hearing care; ENT/surgical care; and physical,
				medical and rehabilitation (PM&R) care.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 40 - Division of Maternal, Child and Family Health › Chapter 1 - Crippled Children's Service (CCS) › Section 19 CSR 40-1.040 - CCS Financial Eligibility

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes guidelines for
				  determining financial eligibility for enrollment in Crippled Children's
				  Service.
(1) Financial
				eligibility guidelines for enrollment in Crippled Children's Services (CCS)
				shall be based upon the Poverty Income Guidelines in section (2) of this rule,
				as established by the United States Department of Health and Human Services.
				The determination of individual client eligibility shall be based upon the
				following factors:
(A) Total adjusted gross
				income shall not exceed one hundred eighty-five percent (185%) of the federal
				poverty income guideline for the family size;
(B) Size of family unit shall be the number
				of persons in the household, including the responsible party(ies) and
				dependents allowable by the Internal Revenue Service as federal income tax
				exemptions. If there is more than one (1) eligible CCS client in the household,
				the total family size shall be increased by one (1) unit for each additional
				client; and
(C) Families or
				individuals whose income exceeds the one hundred eighty-five percent (185%)
				poverty level shall be given consideration if the medical cost of an eligible
				condition, regardless of third-party payment, would bring the income below the
				one hundred eighty-five percent (185%) poverty level.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 40 - Division of Maternal, Child and Family Health › Chapter 1 - Crippled Children's Service (CCS) › Section 19 CSR 40-1.050 - Client Responsibilities

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes the way in which
				  clients maintain their program eligibility.
(1) Clients and their families are
				responsible for providing Crippled Children's Service (CCS) with accurate
				information concerning their financial status.
(2) The client or the client's family shall
				use all available health insurance benefits, Medi-caid or other third-party
				payment mechanism-including recoveries specifically awarded for medical
				expenses from third-party insurance sources through settlement of personal
				injury claims attributable to the condition being treated-for payment toward
				medical expenses.
(3) The client or
				the client's family shall enroll in any state or other public programs for
				which they are eligible in order to provide maximum comprehensive
				services.
(4) The client or the
				client's family shall report any major changes in income, household
				composition, insurance, Medicaid coverage or address within ten (10) working
				days after the date the client or the client's family becomes aware of the
				change.
(5) The client or the
				client's family shall keep the CCS case manager updated on the medical progress
				of the client's individual care plan.
(6) The client or the client's family shall
				take the client's CCS service authorization to all diagnostic and therapeutic
				appointments being covered by CCS.
(7) To maintain eligibility, an applicant
				shall complete and have approved another application at the end of the
				eligibility period. An eligibility period shall be the year following the
				anniversary date of original application or the year following the date of the
				filing of a new 1040 tax form.
(8)
				Provisions of sections (1)-(7) of this rule are considered mandatory, and if
				not followed by the client or the client's family, CCS may discontinue
				services.
(9) An applicant who is
				determined ineligible for CCS may reapply when s/he feels there have been
				changes which may make the applicant eligible.
(10) When an application is denied, the
				applicant shall be informed of his/her right to appeal.
(11) Information shall be released by CCS
				only upon receipt of a release of information form signed by the client or the
				client's parent or appointed guardian indicating the client's approval of the
				release of information to the party seeking the information. Information shall
				not be released to the client unless the client requests the information from
				CCS.
*Original authority: 192.005, RSMo 1985 and 201.120, RSMo
					 1959.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 40 - Division of Maternal, Child and Family Health › Chapter 1 - Crippled Children's Service (CCS) › Section 19 CSR 40-1.060 - Organization and Management

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes the components of CCS.
				  It also delineates central office and district and subdistrict office roles in
				  the components of the program.
(1) Central Office Role.
(A) The Department of Health shall see that
				Crippled Children's Service (CCS) is administered strictly within the states'
				fiscal guidelines.
1. The line of authority
				by which the Department of Health administers CCS shall be through the Division
				of Personal Health Services.
2. The
				program administrator shall be held accountable to the division director, who
				in turn shall be held accountable to the director of the Department of
				Health.
3. The program
				administrator shall work with the CCS advisory committee, informing committee
				members of issues pertinent to the operation of the program and giving due
				consideration to the committee's collective advice.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 40 - Division of Maternal, Child and Family Health › Chapter 1 - Crippled Children's Service (CCS) › Section 19 CSR 40-1.070 - Service Providers

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes the responsibilities
				  of service providers and outlines the framework of who is eligible to provide
				  care; this includes hospitals and clinics, as well as individual providers of
				  care.
(1) Provider
				Specifications.
(A) Eligible children may be
				approved for hospitalization by contractual agreement in treatment centers.
1. Treatment centers shall have a pedi-atric
				unit which meets the requirements of
				19 CSR
				30-20.021(4)(F) 1.-7.
2. Treatment centers shall have open heart
				surgical facilities and facilities for cardiac catheterization.
3. Treatment centers shall have the capacity
				for dealing appropriately with neu-rosurgical conditions requiring emergency
				services.
4. Treatment centers
				shall have the capacity for dealing appropriately with all pediatric surgical
				procedures.
5. Treatment centers
				shall have the capacity to be designated as pediatric trauma centers.
6. Treatment centers shall have the capacity
				to provide pediatric specialty outpatient clinics.
7. Treatment centers shall be approved by the
				Joint Commission on the Accreditation of Hospitals (JCAH) or the American
				Osteo-pathic Association (AOA).
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 40 - Division of Maternal, Child and Family Health › Chapter 1 - Crippled Children's Service (CCS) › Section 19 CSR 40-1.080 - Sanctions

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes the violations for
				  which providers and clients will be penalized and those actions which will be
				  taken against them.
(1)
				Sanctions will be imposed by Crippled Children's Service (CCS) against a
				provider for any one (1) or more of the following reasons:
(A) The provider knowingly and willfully
				makes or causes to be made any false statement or misrepresentation of a
				material fact by presenting or causing to be presented for payment under CCS
				any false or fraudulent claim for services or merchandise; submitting or
				causing to be submitted false information for the purpose of obtaining greater
				compensation than that which the provider is legally entitled; submitting or
				causing to be submitted false information for the purpose of meeting prior
				approval status; or submitting a false or fraudulent application for provider
				status;
(B) The provider fails to
				provide and maintain quality services which meet professionally recognized
				standards of care;
(C) The provider
				breaks the terms of the provider agreement or fails to comply with the terms of
				the provider certification on the CCS claim form;
(D) The provider is convicted of a criminal
				offense relating to performance of a provider agreement with the state or for
				negligent or abusive practice resulting in the death or injury of a
				client;
(E) The provider fails to
				meet licensure or certification standards for participation as a given type of
				provider;
(F) The provider
				solicits, charges or receives payments from recipients for services for which
				the provider has billed CCS;
(G)
				The provider is suspended or terminated from participation in another
				governmental medical program such as, but not limited to, Workers'
				Compensation, Medicaid and Medicare;
(H) The provider is indicted for fraudulent
				billing practices or for negligent practice resulting in physical, emotional or
				psychological injury or death to the provider's client; or
(I) The provider fails to repay or to make
				arrangements for the repayment of identified overpayments or otherwise
				erroneous payments.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 40 - Division of Maternal, Child and Family Health › Chapter 2 - Chronic Diseases › Section 19 CSR 40-2.010 - Requirements for Participating in the Hemophilia Program

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes the requirements for
				  participation in the Missouri Hemophilia Program as a patient and as a provider
				  of diagnosis, treatment or blood products for patients in the
				  program.
PUBLISHER'S NOTE: The secretary of state has
				  determined that the publication of the entire text of the material which is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. Therefore, the material which is so incorporated is on file with
				  the agency who filed this rule, and with the Office of the Secretary of State.
				  Any interested person may view this material at either agency's headquarters or
				  the same will be made available at the Office of the Secretary of State at a
				  cost not to exceed actual cost of copy reproduction. The entire text of the
				  rule is printed here. This note refers only to the incorporated by reference
				  material.
(1) To be eligible
				to receive assistance from the Missouri Hemophilia Program -
(A) The individual must be diagnosed as
				having a hereditary disorder of blood coagulation;
(B) The individual shall have on file with
				the Missouri Hemophilia Program a completed application and verification of
				his/her own income or, if the individual is under twenty-one (21) years of age,
				the income of his/her parents or guardian. An Internal Revenue Service Form
				1040 or a valid substitute shall be submitted upon request of the program
				administrator;
(C) The individual
				shall show that all benefits of insurance coverage and other assistance
				programs have been exhausted, as required in section
				191.335,
				RSMo 1986; and
(D) The individual
				may be required to make payments for charges after insurance and other
				assistance. These charges are determined by a sliding percentage scale matched
				against the individual's income.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 40 - Division of Maternal, Child and Family Health › Chapter 4 - Early Periodic Screening, Diagnosis and Treatment (EPSDT) › Section 19 CSR 40-4.010

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 192.020, RSMo 1939, amended 1945,
					 1951.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 40 - Division of Maternal, Child and Family Health › Chapter 5 - Food and Nutrition Programs › Section 19 CSR 40-5.010 - Special Supplemental Food Program for Women, Infants and Children (WIC)

Current through Register Vol. 49, No. 14, July 15, 2024
(Moved to
				  19
				  CSR 45-5.010 )
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 40 - Division of Maternal, Child and Family Health › Chapter 5 - Food and Nutrition Programs › Section 19 CSR 40-5.020 - State Funding for Extended Hours of the Special Supplemental Food Program for Women, Infants and Children (WIC) Clinics

Current through Register Vol. 49, No. 14, July 15, 2024
(Moved to
				  19
				  CSR 45-5.020 )
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 40 - Division of Maternal, Child and Family Health › Chapter 5 - Food and Nutrition Programs › Section 19 CSR 40-5.050 - Child and Adult Care Food Program (CACFP)

Current through Register Vol. 49, No. 14, July 15, 2024
(Moved to
				  19 CSR
				  45-5.050 )
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 40 - Division of Maternal, Child and Family Health › Chapter 5 - Food and Nutrition Programs › Section 19 CSR 40-5.060 - Summer Food Service Program (SFSP) for Children

Current through Register Vol. 49, No. 14, July 15, 2024
(Moved to
				  19 CSR
				  45-5.060 )
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 40 - Division of Maternal, Child and Family Health › Chapter 6 - Perinatal Substance Abuse › Section 19 CSR 40-6.010 - Perinatal Substance Abuse Forms for Health Care Providers

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes the forms and protocol
				  to be used by health care providers to implement the perinatal substance abuse
				  legislation in sections
				  191.725,
				  191.741 and
				  191.743,
				  RSMo.
(1) All licensed health
				care providers who provide obstetrical and gynecological care to pregnant women
				shall use the Department of Health form MCFH-4, the protocol required by
				section
				191.741, RSMo, in
				Appendix A of this rule or any other assessment form which documents the
				substance abuse risk status of each patient. The medical record shall show
				documentation of this assessment.
(2) The health care providers designated in
				section (1) of this rule shall have all patients sign the Department of Health
				form MCFH-3 in Appendix B of this rule, or any form which is signed and dated
				by the patient and which states the substances discussed.
(3) To document the offer of service
				coordination for each pregnant woman at high risk for substance abuse, the
				health care providers designated in section (1) of this rule shall use the
				Department of Health form MCFH-2 in Appendix C of this rule and retain it in
				the medical record, or have documentation of the offer for service coordination
				and the woman's response in the medical record. The health care provider shall
				make the referral for service coordination to the Department of Health by
				telephone or in writing.
*Original authority: 191.725, RSMo 1991; 191.741, RSMo 1991
					 and 191.743, RSMo 1991.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 40 - Division of Maternal, Child and Family Health › Chapter 7 - Metabolic Formula Program › Section 19 CSR 40-7.010

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 191.300-191.310, RSMo (1985); 191.315,
					 RSMo (1985), amended 1993, 1995; 191.317-191.325, RSMo (1985); 191.331, RSMo
					 (1965), amended 1985, 1992, 1993, 1995; 191.335, RSMo (1979); 191.340, RSMo
					 (1979), amended 1985; 191.360-191.362, RSMo (1983); and 191.365-191.380, RSMo
					 (1985).
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 40 - Division of Maternal, Child and Family Health › Chapter 7 - Metabolic Formula Program › Section 19 CSR 40-7.020

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 191.300-191.310, RSMo (1985); 191.315,
					 RSMo (1985), amended 1993, 1995; 191.317-191.325, RSMo (1985); 191.331, RSMo
					 (1965), amended 1985, 1992, 1993, 1995; 191.335, RSMo (1979); 191.340, RSMo
					 (1979), amended 1985; 191.360-191.362, RSMo (1983); and 191.365-191.380, RSMo
					 (1985).
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 40 - Division of Maternal, Child and Family Health › Chapter 7 - Metabolic Formula Program › Section 19 CSR 40-7.030

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 191.300-191.310, RSMo (1985); 191.315,
					 RSMo (1985), amended 1993, 1995; 191.317-191.325, RSMo (1985); 191.331, RSMo
					 (1965), amended 1985, 1992, 1993, 1995; 191.335, RSMo (1979); 191.340, RSMo
					 (1979), amended 1985; 191.360-191.362, RSMo (1983); and 191.365-191.380, RSMo
					 (1985).
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 40 - Division of Maternal, Child and Family Health › Chapter 7 - Metabolic Formula Program › Section 19 CSR 40-7.040 - Definitions

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule defines the terms used in this
				  chapter.
(1) Client is a
				person who meets eligibility requirements as defined by
				19 CSR
				40-7.050 Program Eligibility, and is approved for
				participation in the Metabolic Formula Program (MFP).
(2) Department is the Missouri Department of
				Health and Senior Services.
(3) The
				Metabolic Formula Program is a program of the department through which
				low-protein formula, a special dietary product, is provided to individuals
				diagnosed as having phenylketonuria (PKU), maple syrup urine disease (MSUD) and
				other metabolic conditions as approved by the Newborn Screening Standing
				Committee. The Newborn Screening Standing Committee, a subcommittee of the
				Missouri Genetic Advisory Committee, makes recommendations on newborn screening
				issues.
(4) Maple syrup urine
				disease (MSUD) is a metabolic disorder due to a defect in the enzyme that is
				responsible for the metabolism of the essential branched-chain amino acids
				isoleucine, leucine and valine.
(5)
				Metabolic treatment center is a medical facility with the capacity to diagnose
				metabolic conditions and to provide comprehensive medical management.
(6) Phenylketonuria (PKU) is a hereditary
				disorder of phenylalanine metabolism characterized by brain damage and mental
				retardation due to accumulation of toxic metabolic products.
(7) Resident is an individual having a
				domicile in Missouri with the intention to live in Missouri on a permanent
				basis.
(8) Sliding fee scale is the
				tool utilized to determine the monthly premium to be paid for the MFP program
				services.
*Original authority: 191.315, RSMo 1985, amended 1993,
					 1995; 191.331, RSMo 1965, amended 1985, 1992, 1993, 1995, 1997, 2007; and
					 191.332, RSMo 2001, amended 2005.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 40 - Division of Maternal, Child and Family Health › Chapter 7 - Metabolic Formula Program › Section 19 CSR 40-7.060 - Application Process

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes how individuals apply
				  for participation in the Metabolic Formula Program.
(1) Application for participation in the
				Metabolic Formula Program (MFP) shall be made on forms designated by the
				Department of Health and Senior Services. Application forms may be requested
				from the Department of Health and Senior Services, PO Box 570, Jefferson City,
				MO 65102-0570.
(2) The applicant,
				or if the applicant is a minor or incapacitated, the applicant's parent(s) or
				legal guardian, shall:
(A) Submit a copy of
				their most current federal 1040 tax form and complete a Metabolic Formula
				Program application that includes: the applicant's last name, first, middle
				initial; date of birth; gender; race; marital status; Social Security number;
				address (street, city, state, zip); county of residence; home telephone number;
				cell telephone number; work telephone number; responsible party (last, first,
				middle initial), relationship and phone number; a copy of any applicable court
				appointed guardian/custodian document; dependents claimed on federal income tax
				filing (last, first, middle initial), relationship to the applicant and social
				security number of the dependents; alternate contact (last, first, middle
				initial), relationship to the applicant and phone number; MO HealthNet number
				(if applicable); amount of MO HealthNet spend down per month (if applicable);
				copy of the front and back on any third party payors (if applicable); other
				proof of income if the most recent federal income tax filing is not reflective
				of the current financial status; yearly amount of child support received; and
				yearly amount of child support paid.
(B) Submit a copy of the previous month's
				utility bill with the applicant's home address clearly printed as proof of
				residency.
(C) Report any major
				changes in income, household composition, insurance, MO HealthNet coverage or
				address within ten (10) working days after the date the applicant or the
				applicant's parent(s) or legal guardian becomes aware of the change.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 40 - Division of Maternal, Child and Family Health › Chapter 8 - Missouri Genetics Disease Program › Section 19 CSR 40-8.010 - Definitions

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule defines the terms used in this
				  chapter.
(1) The "Missouri
				Genetics Disease Program" is the program of the Department of Health authorized
				by the provisions of statute sections
				191.300 to
				191.331,
				191.340,
				and 191.365 to 191.380, RSMo.
(2)
				"Department" is the Missouri Department of Health.
(3) "Tertiary genetic centers" means the
				permanent genetic divisions in university medical schools that provide
				comprehensive genetic diagnostic, treatment and counseling services.
(4) "Outreach clinics" are the medical
				clinics which provide genetic diagnosis and counseling at sites away from the
				tertiary genetic centers.
(5)
				"Genetic counseling" is the provision and interpretation of medical information
				based on expanding knowledge of human genetics.
(6) "Genetic disorders" are those
				abnormalities of structure, function, or body metabolism which may be inherited
				or may result from damage to the fetus.
(7) "Genetic screening" refers to the search
				through testing for persons with genetic disorders.
*Original authority 1985, amended 1993,
					 1995.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 40 - Division of Maternal, Child and Family Health › Chapter 8 - Missouri Genetics Disease Program › Section 19 CSR 40-8.020 - Tertiary Genetic Center Responsibilities

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: The Department of Health administers the
				  Missouri Genetics Disease Program to provide genetic diagnostic and counseling
				  services. The department may contract with qualifying tertiary genetic centers
				  to provide genetic services for residents of Missouri. This rule sets forth the
				  requirements for becoming a contractor and the
reimbursement criteria to receive funding for
				  tertiary genetic centers awarded contracts pursuant to this
				  program.
(1) The requirements
				for a tertiary genetic center to participate in the Missouri Genetics Disease
				Program are that the center-
(A) Maintains
				staff, facilities, resources and equipment which have the capability to provide
				up-to-date and comprehensive genetic services;
(B) Staff must have clinical expertise in
				syndrome identification. The center must provide a minimum of two (2)
				personnel, one (1) of which shall be a medical geneticist and the other shall
				be a genetic associate. The center's staff shall additionally include a nurse,
				a social worker, a cytogeneticist, a psychologist, and clerical
				staff;
(C) Provide existing access
				to the following specialists: audiologist, ear, nose and throat specialist,
				pediatric neurologist, pediatric cardiologist, orthopedic specialist,
				neonatologist, perinatologist, and prenatal ultrasonography
				specialist;
(D) Be capable of
				providing pedigree analyses, full diagnosis, referral for patient evaluation
				and lab work, and multidisciplinary consultation; and
(E) Be equipped with a cytogenetic
				laboratory, a biochemical genetics laboratory, and a cell culture laboratory
				with full diagnostic capabilities. If the center has only one (1) laboratory,
				it must have all of the above described specific laboratory
				capabilities.