Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 45 - Division of Developmental Disabilities › Chapter 5 - Standards for Community-Based Services › Section 9 CSR 45-5.010 - Certification of Home and Community-Based Providers Serving Persons with Intellectual and Developmental Disabilities

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule defines terms, establishes
				  principles, and sets out the process by which agencies providing individualized
				  supported living (ISL), group home, shared living, day habilitation,
				  individualized skills development, community networking, out-of-home respite,
				  intensive therapeutic residential habilitation, and employment services to
				  individuals with intellectual and developmental disabilities through the
				  Medicaid Home and Community-Based Waiver (HCBS) attain
				  certification.
PUBLISHER'S NOTE: The secretary of state has
				  determined that the publication of the entire text of the material which is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. This material as incorporated by reference in this rule shall be
				  maintained by the agency at its headquarters and shall be made available to the
				  public for inspection and copying at no more than the actual cost of
				  reproduction. This note applies only to the reference material. The entire text
				  of the rule is printed here.
(1) The Division of Developmental
				Disabilities (division) establishes procedures under which a provider of
				Medicaid home and community-based waiver services to individuals with
				intellectual or developmental disabilities attains certification. In
				establishing those procedures, the division makes the following assumptions:
(A) An individual with an intellectual or
				developmental disability and the individual's family can best determine the
				services the individual wants and needs;
(B) The division and the provider collaborate
				to provide quality services and supports that effectively and efficiently meet
				needs of individuals with intellectual or developmental disabilities within the
				contexts of the individual's expressed needs;
(C) Through ongoing monitoring, individuals
				with intellectual or developmental disabilities and their families are best
				positioned to determine the quality of the individual's services and supports
				and the effectiveness of the services and supports in meeting their
				needs;
(D) The certification
				process is flexible and person-centered and serves three (3) critical purposes-
1. To determine how well providers fulfill
				their responsibilities to individuals with intellectual or developmental
				disabilities;
2. To determine
				systems changes and practices needed so that the provider will be more
				responsive to the individual's needs; and
3. To enhance inclusion and
				self-determination of individuals with intellectual or developmental
				disabilities as valued members of their communities;
(E) Providers shall subscribe to and meet all
				principles in this rule. The division shall enforce those principles;
				and
(F) A residential or day
				program that attains certification from the division to deliver Medicaid Home
				and Community-Based Waiver services is not subject to the requirements of 9 CSR
				40-1 Licensing Rules.