reglab/statecodes huggingface dataset:
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 10 - Office of the Director › Chapter 15 - Abortions › Section 19 CSR 10-15.050 - Complication Plans for Certain Drug- and Chemically-Induced Abortions by Physicians via Hospitals

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes the standards
				  governing complication plans required by section
				  188.021,
				  RSMo, for abortions induced by physicians via hospitals. This rule also
				  explains the process for submitting such complication plans to the Department
				  of Health and Senior Services for approval.
(1) For purposes of this rule, the following
				terms mean:
(A) Abortion-The act of using or
				prescribing any instrument, device, drug, or any other means or substance
				resulting in the intentional destruction of an embryo or fetus in a woman's
				uterus or the intentional termination of a pregnancy of a woman with intent
				other than to increase the probability of a live birth or to remove a dead or
				dying embryo or fetus;
(B)
				Hospital-As such term is defined in section
				197.020,
				RSMo;
(C) Complication-Includes,
				but is not limited to, incomplete abortion, excessive hemorrhage, endometritis,
				parametritis, pyrexia, pelvic abscess, uterine perforation, failed abortion,
				retained products, cervical lacerations, or psychiatric issues;
(D) Department-The Missouri Department of
				Health and Senior Services;
(E)
				Drug-A drug or chemical used to induce an abortion for which the federal Food
				and Drug Administration (FDA) label includes any clinical study in which more
				than one percent (1%) of those administered the drug required surgical
				intervention after its administration;
(F) OB/GYN-
1. A physician who is board-certified or
				board-eligible by the American Osteopathic Board of Obstetrics and Gynecology,
				or who is in a residency approved by that board; or
2. A physician who is board-certified by the
				American Board of Obstetrics and Gynecology (ABOG); or who is an ABOG
				Registered Residency Graduate or an ABOG Active Candidate; or who is in an
				ABOG-approved residency;
(G) Physician-A person licensed to practice
				medicine pursuant to Chapter 334, RSMo.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 10 - Office of the Director › Chapter 15 - Abortions › Section 19 CSR 10-15.060 - Prohibition on Expenditure of Funds

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: The department is updating specific language
				  in the rule purpose and rule body to align with HB2010, which is the Fiscal
				  Year 2021 budget bill.
PURPOSE: This rule outlines how the Department of
				  Health and Senior Services ensures that expenditures are compliant with annual
				  General Assembly budget bills.
(1) After July 1 of each calendar year, no
				claims for payment shall be submitted by any provider until that provider
				submits the requisite form issued by the department to be used for the upcoming
				fiscal year. Such form shall contain the applicable provisions related to
				legislative authority regarding expenditure of funds, including but not limited
				to, definitions, restrictions, and prohibitions. Such form shall also contain a
				declaration to be executed by the provider, which shall state that said
				provider will not submit claims for payment that violate the applicable
				provisions related to the legislative authority regarding expenditure of funds.
				This form shall be effective from the date that the department receives a
				provider's executed copy until a new form is issued by the department. A copy
				of this form can be requested by contacting the department.
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Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 10 - Office of the Director › Chapter 33 - Hospital and Ambulatory Surgical Center Data Disclosure › Section 19 CSR 10-33.050 - Reporting of Healthcare-Associated Infection Rates by Hospitals, Ambulatory Surgical Centers, and Abortion Facilities

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment adds new definitions,
				  procedures, and metrics and changes the annual registration and reporting
				  requirements regarding healthcare associated infections for hospitals,
				  ambulatory surgery centers, and abortion facilities.
PURPOSE: This rule establishes requirements and
				  procedures for reporting hospital, ambulatory surgical center, and abortion
				  facility healthcare-associated infection incidence data to the Department of
				  Health and Senior Services.
(1) The following definitions shall be used
				in the interpretation of this rule:
(A)
				Ambulatory Surgery Centers (ASCs) and Abortion Facilities (AFs) as defined in
				section
				197.200,
				RSMo;
(B) CDC means the federal Centers for Disease Control
				and Prevention;
(C) Catheter-associated urinary tract infections
				(CAUTI) as defined by the National Healthcare Safety Network (NHSN), or its
				successor;
(D) Central line-associated bloodstream infection
				(CLABSI) as defined by NHSN, or its successor means central line-related
				bloodstream infection as referred to in section 192.667.12(3), RSMo;
(E)
				Department means the Missouri Department of Health and Senior
				Services;
(F) HAI means Healthcare
				Associated Infection;
(G) Hospitals as
				defined in section
				197.020, RSMo, but
				excluding Critical Access Hospitals and Long Term Acute Care Hospitals, as
				designated by the Centers for Medicare and Medicaid Services;
(H)
				Intensive care unit (ICU) means coronary, medical, surgical, medical/surgical,
				pediatric intensive care unit (PICU), and neonatal intensive care units (NICU)
				as defined by NHSN;
(I) NHSN means the National Healthcare Safety Network,
				CDC's widely used healthcare-associated infection tracking system;
(J) Risk index means grouping patientswho
				have operations according to the American Society of Anesthesiologists (ASA)
				score, length of procedure, wound class, andother criteria as defined by the
				CDC for the purpose of risk adjustment as required in section 192.667.3,
				RSMo;
(K) The Standardized Infection
				Ratio (SIR) is a summary measure used to track HAIs over time at a national,
				state, or facility level. It adjusts for various facility and/or patient-level
				factors that contribute to HAI risk within each facility;
(L)
				Surgical site infection (SSI) as defined by NHSN, or its successor; and
(M) Ward means pediatric, medical, surgical,
				and medical/surgical hospital areas for the evaluation and treatment of
				patients, as defined by NHSN, or its successor.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 1 - Organization › Section 19 CSR 15-1.010

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: Chapter 198 see the
Revised
					 Statutes of Missouri
1986 and 1993; 207.020, RSMo 1945, amended 1961,
					 1965, 1977, 1981, 1982, 1986, 1993; 208.152, RSMo 1967, amended 1969, 1971,
					 1972, 1973, 1975, 1977, 1978, 1978, 1981, 1986, 1988, 1990, 1992, 1993;
					 251.070, RSMo 1967; and 536.023, RSMo 1975, amended
					 1976.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 2 - Education and Program Enhancement › Section 19 CSR 15-2.010 - Alzheimer's Pilot Project Grants

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule describes the general requirements
				  that all applicants shall meet to receive a grant to provide pilot projects in
				  compliance with section
				  660.069,
				  RSMo (Supp. 1987).
(1) All
				grantee contracts solicited through competitive bid under this rule shall be
				done so in accordance with Chapter 34, RSMo (Supp. 1987).
(2) Public and private agencies are eligible
				to apply for funds available through the pilot projects program. Public and
				private agencies shall not receive funds to expand existing services or to
				duplicate services already available through the agency in their jurisdiction
				or locale.
(3) The grantees shall
				use the funds for development or delivery of program-related services and
				expenses, and not for administrative expenses normally considered a cost of
				doing business which are to be considered as a grantee match.
(4) The pilot projects shall develop
				appropriate services for persons having Alzheimer's disease and related
				disorders as defined in subdivision 660.067(2), RSMo (Supp. 1987).
(5) The actual amount and availability of
				funds for the pilot projects grants will depend upon the appropriations
				provided by the general assembly for each fiscal year.
(6) The specific focus of the grants, the
				amount of the individual grants and the number of grants to be awarded through
				the solicitation will be determined by the Division of Aging for each year that
				funding is available.
(7) The
				Division of Aging shall publicly announce all solicitations at least thirty
				(30) calendar days prior to the deadline for acceptance of response. Media
				announcements shall be made within the appropriate area in a manner that will
				enable potential grantees to be notified. Public notice shall-
(A) Identify the program to be
				funded;
(B) Specify the date by
				which the response shall be submitted to the Division of Aging for
				consideration; and
(C) Advise how
				copies of the Request for Proposal (RFP) may be obtained.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 3 - Service Credit Program (Older Volunteer Service Bank) › Section 19 CSR 15-3.010

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 208.300-208.305, please see
Revised Statutes of
					 Missouri
.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 3 - Service Credit Program (Older Volunteer Service Bank) › Section 19 CSR 15-3.020

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 208.300-208.305, please see
Revised Statutes of
					 Missouri
.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 3 - Service Credit Program (Older Volunteer Service Bank) › Section 19 CSR 15-3.030

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 208.300-208.305, please see
Revised Statutes of
					 Missouri
.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 3 - Service Credit Program (Older Volunteer Service Bank) › Section 19 CSR 15-3.040

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 208.300-208.305, please see
Revised Statutes of
					 Missouri
.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 3 - Service Credit Program (Older Volunteer Service Bank) › Section 19 CSR 15-3.050

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 208.300-208.305, please see
Revised Statutes of
					 Missouri
.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.010 - Definition of Terms

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: The amendment updates definitions of
				  existing terms and defines new terms.
(1) Access services-A category of services
				which facilitates access to and utilization of other services. Access services
				may include, but are not limited to, transportation, outreach, case management,
				and information and assistance.
(2)
				Act-The Older Americans Act of 1965, as amended.
(3) The area agency governing body shall have
				written bylaws, ordinances or charter that define its membership, authority,
				responsibilities and procedures for operation. Unless specified otherwise by
				local laws, ordinances or charter the governing body shall comply with the
				requirements below:
(A) Officers of the
				governing body shall be elected by the full membership of the board;
(B) No officer of the governing body shall
				serve in the same office for more than two (2) consecutive terms;
(C) The composition, selection and purpose of
				standing committees shall be specified in the bylaws. Standing committees must
				report to the full governing board as directed by the agency's bylaws, but at
				least annually;
(D) Membership on
				the area agency governing body shall not be restricted to individuals from any
				specific race, creed, color, sex, religion, age, national origin, disabilities
				or veteran status. Elections procedures shall conform to
				13 CSR
				15-4.105.
(E) All members of the area agency governing
				body shall serve three (3)-year staggered terms, meaning one-third (1/3) of the
				membership is elected in year one (1), one-third (1/3) is elected in year two
				(2), and one-third (1/3) is elected in year three (3), then continue in the
				same manner; and
(F) The area
				agency governing body shall not select, appoint or elect as a member, or
ex officio
member, any individual who is an owner, board
				member or employee of a service provider agency that has currently submitted a
				proposal to the area agency to receive funding to provide services or that is
				currently providing services under a grant, contract or stipend with the area
				agency.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.030

Current through Register Vol. 49, No. 14, July 15, 2024
The secretary of state has determined that the publication
					 of this rule in its entirety would be unduly cumbersome or expensive. The
					 entire text of the material referenced has been filed with the secretary of
					 state. This material may be found at the Office of the Secretary of State or at
					 the headquarters of the agency and is available to any interested person at a
					 cost established by law.
*Original authority: 660.050, RSMo 1984, amended
					 1988.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.040 - State Plan

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates the availability of
				  the state plan.
(1) The
				assessment and planning process used by the division to develop a comprehensive
				and integrated plan for delivery of services statewide includes, but is not
				limited to, consulting with area agencies on aging, division staff and other
				agencies and organizations to-
(A) Assess the
				needs of older adults in the state;
(B) Establish statewide priorities;
(C) Review procedures with regard to the
				development and implementation of the state plan; and
(D) Ensure that the objectives established in
				the state plan and the area agencies on aging's area plans are
				consistent.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.050 - Funding Formula and Fiscal Management

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment makes necessary changes to
				  the funding formula and fiscal management responsibilities of the
				  division.
(1) The division in
				consultation with all area agencies on aging (AAAs) shall develop and use an
				intrastate funding formula for the allocation of funds received under Title III
				of the Older Americans Act (the Act) and Title III-B funds utilized for
				outreach demonstration projects and the ombudsman program.
(2) The intrastate funding formula for the
				state of Missouri shall be established by the proportion of the population in
				each planning and service area (PSA) as calculated by using the following four
				(4) factors:
(A) All adults in each PSA sixty
				(60) years of age or older;
(B) All
				adults in each PSA sixty (60) years of age or older who are low
				income;
(C) All adults in each PSA
				who are sixty (60) years of age or older who are low-income
				minorities;
(D) All adults in each
				PSA who are sixty (60) years of age or older who are in the greatest social
				need. The basis for this factor shall be determined by the number of adults who
				are of the appropriate age-
1. With a physical
				or mental disability;
2. With a
				language barrier;
3. Who are
				geographically isolated; or
4. Who
				are culturally or socially isolated;
(E) Data used to compute the area agency on
				aging allotment percentages will be derived from the most recent decennial
				Census of Population and Housing, for the following categories:
1. Population sixty (60) years of age and
				over;
2. Population sixty (60)
				years of age and over, below poverty;
3. Population sixty (60) years of age and
				over, minority below poverty;
4.
				Population sixty (60) years of age and over, rural or geographically isolated;
				and
5. Population sixty (60) years
				of age and over, minority;
(F) Data from the most recent decennial
				Census of Population and Housing, will be used for the following categories:
1. Population sixty (60) years of age and
				over with a disability;
2.
				Population sixty (60) years of age and over with limited English.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.060 - State Long-Term Care Ombudsman Program

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates program names and
				  statutory authority.
PURPOSE: This rule describes how the division
				  operates the statewide Long-Term Care Ombudsman Program.
(1) The statewide Long-Term Care Ombudsman
				Program (LTCOP) consists of the state office, regional offices, and volunteers.
				The regional programs are housed in or subcontracted by the designated area
				agencies on aging. The LTCOP-
(A) Identifies,
				investigates, and resolves complaints made by or on behalf of residents in
				long-term care (LTC) facilities relating to action, inaction, or decision of
				providers, or their representatives, of long-term care services, of public
				agencies or of social service agencies, which may adversely affect the health,
				safety, welfare, or rights of such residents. If regional LTCOP coordinators,
				staff or volunteers determine that a nursing home administrator is not willing
				to work with the ombudsman program to resolve complaints, the regional LTCOP
				coordinator, staff, or volunteer shall notify the state ombudsman in writing.
1. The state ombudsman, or his/her designee,
				may facilitate a meeting with the nursing home administrator, and the regional
				LTCOP coordinator, staff, and/or volunteer. If deemed appropriate, the state
				ombudsman, or his/her designee may notify the nursing facility's corporate
				staff (if applicable) of the meeting and its results
2. The regional LTCOP coordinator or staff of
				the LTCOP state office may contact the Section for Long-Term Care Regulation
				(SLTCR). The LTCOP state office staff will monitor cases where the nursing home
				administrator is unwilling to work with the LTCOP and monitor the involvement
				and/or investigation conducted by SLTCR;
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.070 - Designation of Area Agencies on Aging

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates references to state
				  and federal legal authority and area agencies on aging.
(1) No more than one (1) area agency on aging
				will be designated within a planning and service area (PSA). If the division
				withdraws designation of one (1) of the existing area agencies on aging in
				accordance with section 192.2000.3, RSMo, prior to designating a new area
				agency on aging, the division shall-
(A)
				Consider the views of the unit(s) of general purpose government within the PSA;
				and
(B) Determine through an
				on-site assessment that the potential area agency on aging has the capacity to
				perform all of the required functions.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.080 - Withdrawal of Designation

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminology and makes
				  grammatical updates.
PURPOSE: This rule identifies the circumstances under
				  which the division may withdraw designation of an area agency on aging, notify
				  the assistant secretary of the action, and provide for continuity of
				  services.
(1) The division
				may withdraw an area agency on aging's designation if-
(A) The area agency on aging does not comply
				with requirements of federal and state laws or rules;
(B) State or federal funds are not being
				expended for the purposes for which they were intended; or
(C) Older adults are not receiving
				appropriate services within available resources.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.090 - Appeal to the Assistant Secretary

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates statutory authority
				  and makes grammatical updates.
(1) Any applicant for designation as a
				planning and service area (PSA) whose application has been denied by the
				division and who has requested and received a formal hearing at the state level
				shall be notified in writing of the right to appeal to the assistant secretary
				of the Department of Health and Human Services. Written notification shall
				advise the applicant that a written appeal may be filed with the assistant
				secretary within thirty (30) calendar days of receipt of notification of the
				hearing decision.
(2) Upon request
				by the assistant secretary, the division shall submit the following information
				regarding an applicant who has filed an appeal:
(A) A copy of the applicant's application for
				designation as a PSA;
(B) A copy of
				the written decision of the division; and
(C) Any other relevant information the
				assistant secretary may require.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.100 - Area Agency on Aging Governing Body

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates legal authority,
				  regulations, and terminology.
PURPOSE: This rule requires each area agency on aging
				  to have a governing body and, unless otherwise governed by local law,
				  ordinance, or charter, specifies its composition, responsibilities, and
				  requirements.
(1) Each area
				agency on aging, unless otherwise structured by local law, ordinance, or
				charter shall have a governing body of adequate size and structure to operate
				efficiently and effectively.
(2)
				The area agency on aging governing body shall maintain the ultimate authority
				and responsibility for administration of the approved area plan to provide
				services to older adults within the designated planning and service area in
				accordance with all applicable federal, state, and local laws and regulations
				and division policies and procedures.
(3) The area agency on aging governing body
				shall have written bylaws, ordinances, or charter that define its membership,
				authority, responsibilities, and procedures for operation. Unless specified
				otherwise by local laws, ordinances, or charter the governing body shall comply
				with the requirements below:
(A) Officers of
				the governing body shall be elected by the full membership of the
				board;
(B) No officer of the
				governing body shall serve in the same office for more than two (2) consecutive
				terms;
(C) The composition,
				selection and purpose of standing committees shall be specified in the bylaws.
				Standing committees must report to the full governing board as directed by the
				agency's bylaws, but at least annually;
(D) Membership in the area agency on aging
				governing body shall not be restricted to individuals from any specific race,
				creed, color, sex, religion, age, national origin, disabilities, or veteran
				status. Elections procedures shall conform to
				19 CSR
				15-4.105.
(E) All members of the area agency on aging
				governing body shall serve three- (3-) year staggered terms, meaning one-third
				(1/3) of the membership is elected in year one (1), one-third (1/3) is elected
				in year two (2), and one-third (1/3) is elected in year three (3), then
				continue in the same manner; and
(F) The area agency on aging governing body
				shall not select, appoint, or elect as a member, or
ex officio
member, any individual who is an owner, board member, or employee of a service
				provider agency that has currently submitted a proposal to the area agency on
				aging to receive funding to provide services or that is currently providing
				services under a grant, contract, or stipend with the area agency on
				aging.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.105 - Area Agency on Aging Election Procedures for Governing Body Membership

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates legal authority,
				  regulations, and terms.
PURPOSE: This rule establishes and describes election
				  procedures for membership on the area agency on aging governing body. This rule
				  does not apply to area agency on aging board members appointed by the chief
				  executive of a unit of local government, political subdivision, or council of
				  government who are elected officials with the exception of section
				  (2).
(1) Solicitation for
				governing board nominees shall be publicized locally within the area from which
				a governing body member will be elected. Nominations may be made by filing a
				statement of intent at a publicized location in each area or at a publicized
				open meeting held in the area.
(2)
				Nominees must be residents of the area they represent and must sign a code of
				ethics as approved by the governing body.
(3) All voters must register to vote at the
				polling location. Any person sixty (60) years of age or older shall be eligible
				to vote.
(4) The area agency on
				aging governing body will designate a minimum of one (1) polling location per
				county.
(5) The time and location
				of the election shall be publicized in community newspapers at least seven (7)
				days prior to the election and posted at a minimum in all area agency on aging
				sponsored senior centers.
(6)
				Polling places shall be open for voting at least six (6) consecutive hours,
				with provisions for persons with special needs, including optional absentee
				voting. Polling locations shall not be open earlier than 6:00 a.m., nor stay
				open any later than 7:00 p.m.
(7)
				The area agency on aging will be responsible for printing the official ballots.
				Nominees shall be listed alphabetically.
(8) A minimum of two (2) persons designated
				by the area agency on aging shall be present to count votes unless a local
				county clerk agrees to count votes and certify the results.
(9) Results of the election will be submitted
				to the area agency on aging central office in a standard reporting
				format.
(10) All ballots and
				affidavits shall be kept for a minimum of twenty-two (22) months as required by
				52
				U.S.C. 20701 for federal elections, provided
				they have received final audit approval.
(11) A maximum of thirty (30) days will be
				allowed to contest the results of an election.
*Original authority: 660.050, RSMo 1984, amended 1988,
					 1992, 1993, 1994, 1995.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.110 - Area Agency on Aging Advisory Council

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates legal authority and
				  terminology.
PURPOSE: This rule requires each area agency on aging
				  to have an advisory council and establishes the requirements it shall
				  meet.
(1) Each area agency on
				aging shall have an advisory council which shall develop and make public
				written bylaws which specify the role and functions of the advisory council,
				number of members, procedure for selection of members, term of membership, and
				the frequency of meetings.
(2) The
				advisory council shall meet at least quarterly.
(3) The composition of the councils shall be
				more than fifty percent (50%) older adults, including older adults with the
				greatest economic or social need, older minority adults, service recipients and
				also shall include representatives of older adults, local elected officials,
				and the general public.
(4) The
				advisory council shall advise the area agency on aging on developing and
				administering the area plan, conducting public hearings, representing the
				interests of older adults, and reviewing and commenting on community policies,
				programs, and actions affecting older adults.
(5) The area agency on aging shall provide
				staff and assistance to the advisory council.
*Original authority: 660.050, RSMo 1984, amended
					 1988.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.120 - Affirmative Action/Equal Employment Opportunity/Preference in Hiring

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates legal authority and
				  terminology.
PURPOSE: This rule requires each area agency on aging
				  receiving federal or state funds to comply with the requirements of Affirmative
				  Action/Equal Employment Opportunity programs and to give preference in hiring
				  to persons aged sixty (60) or over.
(1) Each area agency on aging shall have an
				Affirmative Action/Equal Employment Opportunity program as required by 5 CFR
				part 900 , subpart F. The written Affirmative Action/Equal Employment
				Opportunity plan shall be kept on file for review and shall be updated as
				required.
(2) The area agency on
				aging, subject to established job qualification requirements or merit system
				requirements, shall give preference in hiring to applicants who are sixty (60)
				years of age or over for all full- or part-time positions.
*Original authority: 660.050, RSMo 1984, amended
					 1988.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.130 - Area Agency on Aging Staff

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminology and legal
				  authority.
PURPOSE: This rule requires the area agency on aging
				  to have a written staffing plan, employ a full-time director, and have adequate
				  numbers of staff.
(1) The
				area agency on aging shall have on file for review-an up-to-date staffing plan
				that includes, but is not necessarily limited to, an organizational chart; a
				description of the education, experience, and background qualifications
				required for each position (paid and volunteer); a description of the
				responsibility assigned to each position (paid and volunteer); and a salary
				schedule.
(2) The area agency on
				aging shall employ a full-time director to assure the effective and efficient
				administration of the area plan. The full-time director shall possess the
				education, experience, and background qualifications as determined necessary by
				the governing body to fulfill the requirements and functions of the director's
				position.
(3) The area agency on
				aging shall employ sufficient staff to carry out the required functions of the
				area agency on aging.
*Original authority: 660.050, RSMo 1984, amended
					 1988.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.135 - Area Agency on Aging Director

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminology and legal
				  authority.
PURPOSE: This rule establishes and describes
				  procedures each area agency on aging shall follow in hiring a director unless
				  otherwise governed by merit system requirements established under local law,
				  ordinance, or charter.
(1) The
				governing body will appoint a search committee for purposes of filling the
				vacancy. An interim or acting director may be appointed by the board until the
				time a permanent director is selected.
(2) The governing body shall propose a job
				description and qualifications, and update as necessary. This responsibility
				may be delegated to the search committee.
(3) The governing body shall establish a
				salary range for the director of the area agency on aging which is commensurate
				with the duties and responsibilities of the position.
(4) The search committee shall advertise the
				vacancy.
(5) The search committee
				will screen all applications and conduct initial interviews.
(6) The search committee will recommend to
				the full governing body a list of at least the top three (3) finalists based on
				applications, interviews and reference checks. At the governing body's
				discretion, re-interviews of all candidates, including the top three (3)
				recommended by the search committee may take place.
(7) The governing body shall review the
				recommendations of the search committee and make the final decision.
(8) If the desire is to promote an in-house
				person, the open search process may be conducted in a shorter time frame than
				might otherwise be required.
*Original authority: 660.050, RSMo 1984, amended 1988,
					 1992, 1993, 1994, 1995.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.140 - Area Agency on Aging Plan

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates legal authority and
				  terminology and makes grammatical updates.
PURPOSE: This rule establishes the requirements that
				  the area agency on aging shall meet to develop or amend and submit an area
				  plan.
(1) The area agency on
				aging shall develop the area plan in accordance with all applicable federal and
				state regulations, the uniform plan format, and other guidelines issued by the
				division.
(2) The area plan shall
				encompass a planning period as specified by the division. However, fiscal
				budgets, including allotments/funds for services and planned service delivery
				shall be amended at least annually or as available allotments/funds
				change.
(3) The area plan shall be
				amended under the following situations:
(A) A
				new amended state or federal statute or regulation requires a new provision or
				conflicts with any existing provisions;
(B) A supreme court decision changes the
				interpretation of a statute or regulation;
(C) The area agency on aging changes the
				designation of the single organizational unit or component unit;
(D) Receipt by area agency on aging staff or
				board members of compensation or other items of value above their salaries or
				the normal fringe benefits available to all staff; or
(E) The area agency on aging takes any action
				for which prior division approval is required by state regulation, divisional
				policy, or preprint instructions.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.150 - Waivers

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminology and legal
				  authority.
PURPOSE: This rule allows the area agency on aging to
				  request a waiver from meeting specific requirements and sets forth procedures
				  to be followed.
(1) An area
				agency on aging shall request a waiver if unable to comply with a specific
				division requirement. The request shall-
(A)
				Be in writing;
(B) Be signed by the
				chairperson of the governing body and the director of the area agency on
				aging;
(C) State the requirement
				for which a waiver is requested; and
(D) Include supportive documentation that
				explains why the requirement cannot be met, a description of the area agency on
				aging's proposed alternative for meeting the requirement, and an explanation of
				why the proposed alternative is most applicable for the area agency on aging's
				situation.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.160 - Review, Submission, and Approval of Area Agency on Aging Area Plans and Plan Amendments

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates legal authority and
				  terminology.
PURPOSE: This rule describes the requirements for
				  review, submission to the division, and the criteria for approval of the area
				  agency on aging's area plan or plan amendments.
(1) Where not covered by charter or
				established governmental procedures the following shall apply. The area agency
				on aging shall submit the area plan and any plan amendments for review and
				approval by the area agency on aging's governing body. The area agency on aging
				shall obtain signed documentation stating that the area plan and annual updates
				have been approved by the governing body. The area agency on aging shall also
				submit the area plan and annual updates to its advisory council for review and
				comment prior to transmittal to the state unit on aging as required by
				45 CFR
				1321.57. The area agency on aging shall
				comply with the Missouri state and local review process.
(2) Following guidelines specified by the
				division in the preprint, the area agency on aging shall submit the proposed
				area plan or amendments to the division for approval.
(3) The division will approve, in writing, an
				area agency on aging's plan or plan amendment indicating that it meets federal
				and state regulations and division policies and guidelines.
(4) The division will notify the area agency
				on aging, in writing, within fifteen (15) business days of receipt at division
				offices of making a determination that it finds that any provision of the area
				plan or any plan amendment is not approvable and that the division proposes to
				disapprove the area plan or amendment. Written notification shall include the
				following:
(A) Explanation of the reasons for
				the disapproval;
(B) Provision for
				the opportunity for the area agency on aging to review any pertinent documents
				upon which the determination was based; and
(C) Notification of the right to request a
				formal hearing on the determination.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.170 - Area Agency on Aging Fiscal Management

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates legal authority and
				  terminology, and makes grammatical changes.
PURPOSE: This rule describes the requirements that
				  the area agency on aging shall meet in managing all funds related to programs
				  funded in whole or in part with state or federal funds associated by the
				  Division of Senior and Disability Services.
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 area agency on aging shall establish
				a system to monitor financial expenditures of grants and contracts. In order to
				ensure adequate monitoring, at a minimum, the area agency on aging shall-
(A) Establish written policies and procedures
				governing the expenditures of funds by service providers. These procedures
				shall provide for record maintenance by each service provider;
(B) Document, through assessment reports,
				that expenditures are made in accordance with the provisions of 45 CFR Part 75
				, which has been incorporated by reference in this rule, as published on
				October 1, 2021, by the Office of the Federal Register, National Archives and
				Record Administration, 7G Street NW, Suite A-734, Washington, DC 20401-0001 and
				available at
				https://bookstore.gpo.gov/catalog/code-federal-regulations-cfrsprint. This rule
				does not incorporate any subsequent amendments or additions;
(C) Monitor quarterly the financial
				transactions of grants and contracts;
(D) Assure that service providers have
				recorded documentation of the amount of cash and in-kind resources provided as
				a match; and
(E) Require adequate
				bonding of persons handling fiscal responsibilities.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.175 - Funding for Establishment, Maintenance, Modernization, Acquisition, or Construction of Multipurpose Senior Centers

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates the purpose,
				  terminology, legal authority, procedures, and guidance.
PURPOSE: This rule sets forth the procedures and
				  guidance mandated in
				  42
				  U.S.C. 3030b and Administration on Aging
				  PI-91-04 for financing the establishment, maintenance, modernization,
				  acquisition, or construction of multipurpose senior centers with funding
				  received from the division.
(1) The requirements of this rule apply to
				the use of division funding for establishment, maintenance, modernization,
				acquisition, or construction of multipurpose senior centers. The requirements
				apply whether division funding is used to finance the cost in whole or in
				part.
(2) Area agencies on aging
				may utilize supportive services funding received from the division to finance
				the acquisition, establishment, maintenance, modernization, or construction of
				multipurpose senior centers only where an area plan or area plan update has
				been approved by the division, where funding has been explicitly identified and
				designated in the plan or plan update for the named center, and where-
(A) The center is operated under an approved
				direct service waiver where title to the structure is held by the area agency
				on aging; or
(B) A grant is made to
				a public or nonprofit private organization where title to the structure is held
				by the public or nonprofit organization.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.180 - Area Agency on Aging Advocacy Responsibility

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminology and legal
				  authority.
PURPOSE: This rule requires the area agency on aging
				  to carry out activities to advocate in the interest of older
				  adults.
(1) The area agency
				on aging shall serve as the advocate for older adults in the planning and
				service area by performing at least the following activities:
(A) Monitor, evaluate and comment on all
				policies, programs, hearings, levies and community actions which affect older
				adults;
(B) Solicit comments from
				the public on the needs of older adults;
(C) Represent the interests of older adults
				to public officials, public and private agencies, or organizations;
(D) Carry out activities in support of the
				department's Long-Term Care Ombudsman Program; and
(E) Coordinate planning with other agencies
				and organizations to promote new or expanded benefits and opportunities for
				older adults.