Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 10 - Director, Department of Mental Health › Chapter 31 - Reimbursement for Services › Section 9 CSR 10-31.011 - Standard Means Test

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule prescribes a standard means test
				  as required by section
				  630.210,
				  RSMo, to determine amounts to be charged for services provided or procured by
				  the Department of Mental Health.
(1) Definitions. The terms defined in section
				630.005, RSMo, are
				incorporated by reference as though set out in this rule. The following other
				terms used in this rule, unless the text clearly requires otherwise, shall
				mean:
(A) Adjusted gross monthly income the
				income remaining after allowable deductions permitted by this rule;
(B) Community psychiatric rehabilitation
				center (CPR provider or CPR program) an organization which provides or arranges
				for, at the minimum, the following core services: intake and annual
				evaluations, crisis intervention and resolution, medication services,
				consultation services, medication administration, community support, and
				psychosocial rehabilitation in a nonresidential setting for individuals with
				serious mental illness in conjunction with standards set forth in
				9 CSR
				30-4.031-9 CSR
				30-4.047;
(C) Community services any services purchased
				or provided by the department that are not included in the definition of "long
				term care";
(D) Community support
				services for the Division of Developmental Disabilities (DD), this means all
				Purchase of Service (POS) services, case management services for clients
				residing in Community Placement Program (CPP) facilities and in their natural
				homes, Choices for Families services, and all voucher services; for the
				Division of Comprehensive Psychiatric Services (CPS), this means Family
				Preservation services, Intensive Case Management services for children and
				adults, Supported Housing Voucher Program or Housing and Urban Development
				(HUD) Housing Voucher Program services, and Intergrated Employment Support
				services; for the Division of Alcohol and Drug Abuse (ADA), this applies to
				drug free counseling services provided to clients participating in a methadone
				maintenance program who have become drug free;
(E) Early intervention services developmental
				services provided by qualified personnel to meet infant's or toddler's
				developmental needs in one (1) or more of the following areas: physical
				development, cognitive development, language and speech development,
				psychosocial development, or self help skills. Early intervention services must
				be provided in conformity with an individualized family service plan. Early
				intervention services may include, but are not limited to:
1. Family training, counseling, and home
				visits;
2. Special
				instructions;
3. Speech pathology
				and audiology;
4. Occupational
				therapy;
5. Physical
				therapy;
6.
				Transportation;
7. Psychological
				services;
8. Social work;
9. Case management services;
10. Nursing services;
11. Nutrition services;
12. Medical services for diagnostic or
				evaluation purposes;
13. Early
				identification, screening, and assessment services; and
14. Health services which enable infants or
				toddlers to benefit from other early intervention services;
(F) Financially responsible person
				the individual who is obligated by law or this rule to pay charges for
				services;
(G) Gross monthly income
				(earned and unearned) the total monthly income from all sources before payroll
				deductions, other with holdings, and expenses incurred in earning the income.
				Examples would include salaries and wages, dividends, annuities, interest,
				rents, pensions, disability and survivor benefits, Workers' Compensation,
				unemployment compensation, maintenance and child support payments, bonuses,
				tips and gratuities, income from business or profession, and any other taxable
				and nontaxable income;
(H)
				Household size the number of persons dependent upon the income of the
				financially responsible person including the person (recipient) receiving
				services, except for a blended family situation. Dependency for family members,
				other than the recipient, must meet the dependency test in the federal
Internal Revenue Code;
(I) Long term care continuous residential
				care (excluding supportive housing) which meets any of the following
				conditions:
1. Admission to a habilitation
				center;
2. Admission to a community
				placement facility;
3. A statement
				signed by a physician or a qualified mental health professional that the care
				is for an indeterminate period; or
4. The care has been provided for at least
				twenty four (24) months without any documentation in the recipient's
				individualized treatment, habilitation, or rehabilitation plan indicating
				discharge is imminent (within ninety (90) days);
(J) Monthly rate the amount determined by
				application of the sliding fee scale to be charged for services provided in a
				month;
(K) Provider a public or
				private agency offering services to individuals approved for Department of
				Mental Health (DMH) funded services;
(L) Recipient client, patient, or resident
				the person receiving services;
(M)
				Representative payee guardian, trustee, conservator, or other fiduciary
				appointed to receive a beneficiary's benefits (for example, Social Security,
				Railroad Retirement);
(N) Sliding
				fee scale a table for determining the monthly rate to be charged to a
				financially responsible person for services; and
(O) Unearned income income that is not
				derived from employment. Examples would include maintenance and child support
				monies, interests, pensions, unemployment benefits, Workers' Compensation, and
				benefits from the Social Security Administration, Railroad Retirement Board,
				Civil Service Commission, Veterans Administration, and other similar types of
				income.