reglab/statecodes huggingface dataset:
Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 70 - MO HealthNet Division › Chapter 55 - Nurse-Midwife Program › Section 13 CSR 70-55.010 - MO HealthNet Program Benefits for Nurse-Midwife Services

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates the purpose statement
				  and adds the most recent publication information for the MO HealthNet
				  Nurse-Midwife Manual.
PURPOSE: This rule establishes the MO HealthNet
				  payment policy for the Nurse-Midwife Services Program. The goal of the
				  Nurse-Midwife Services Program is to provide care of a pregnant woman and her
				  unborn/newborn infant throughout the maternity cycle.
(1) Administration. The Nurse-Midwife Program
				shall be administered by the Department of Social Services, MO HealthNet
				Division. The medical services covered and not covered, the program
				limitations, and the maximum allowable fees for all covered services shall be
				determined by the Department of Social Services, MO HealthNet Division, and
				shall be included in the Nurse-Midwife Program provider manual, which is
				incorporated by reference and made a part of this rule as published by the
				Department of Social Services, MO HealthNet Division, 615 Howerton Court,
				Jefferson City, MO 65109, at its website at
http://manuals.momed.com/collections/collection_nmw/print.pdf
, November
				25, 2020. This rule does not incorporate any subsequent amendments or
				additions.
(2) Persons Eligible.
				Any person who is eligible for MO HealthNet benefits from the Department of
				Social Services and is in need of medical services in accordance with the
				procedures described in this regulation.
(3) Provider Participation. To be eligible
				for participation in the MO HealthNet Nurse-Midwife Program, a provider must
				meet the following criteria:
(A) Be currently
				licensed and maintain an active license as a registered nurse.
1. A nurse-midwife who resides in or outside
				Missouri and who practices in whole or in part in Missouri must be a currently
				licensed registered nurse (RN) in Missouri.
2. A nurse-midwife who provides services, in
				whole or in part, to MO HealthNet participants in a state other than Missouri
				must be a currently licensed registered nurse (RN) in that state and be legally
				authorized under that state's law to practice as a nurse-midwife; and
Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 70 - MO HealthNet Division › Chapter 90 - Home Health Program › Section 13 CSR 70-90.010 - Home Health-Care Services

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment changes the practitioners
				  that may order home health services due to a change in federal regulations
				  found at 42 CFR
				  440.70, updates incorporated by reference
				  dates, and corrects a reference error.
(1) An otherwise eligible MO HealthNet
				participant is eligible for MO HealthNet reimbursement on his/her behalf for
				home health services if all the conditions of subsections (1)(A)-(C) are met-
(A) The services are prescribed by the
				participant's physician, a nurse practitioner, a clinical nurse specialist, or
				a physician assistant within the scope of practice authorized under state law,
				who documents a face-to-face patient encounter occurred in accordance with
				42 CFR
				440.70(f). If a Medicare
				face-to-face encounter document has already been provided for the same
				participant episode of care, it will suffice as the MO HealthNet face-to-face
				documentation requirement;
(B) The
				services are provided in accordance with a written plan of care which clearly
				documents the need for services and is reviewed by the ordering practitioner at
				least every sixty (60) days; and
(C) The services are provided in the
				participant's place of residence as specified in
				42 CFR
				440.70(c) by a qualified
				person in the employ of or under contract to a Medicare-certified home health
				agency which is also licensed by Missouri and enrolled with the MO HealthNet
				program. 42 CFR
				440.70 as published by the Federal Register,
				at
https://www.ecfr.gov/
, September
				19, 2022, is incorporated by reference and made a part of this rule. A copy of
				42 CFR
				440.70 is available at the Department of
				Social Services, MO HealthNet Division, 615 Howerton Ct., Jefferson City, MO
				65109, and at its website at
https://dssruletracker.mo.gov/dss-proposed-rules/welcome
.
				action. This rule does not incorporate any subsequent amendments or
				additions.
Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 70 - MO HealthNet Division › Chapter 90 - Home Health Program › Section 13 CSR 70-90.020 - Home Health-Care Services Reimbursement

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: The purpose of this amendment is to remove
				  outdated information from section (1) and to add section (2) which contains
				  requirements regarding non-routine supply reimbursement.
(1) MO HealthNet reimbursement for covered
				home health services provided to eligible individuals shall be made at the
				lower of-
(A) The provider's billed charge
				for the service; or
(B)
				The MO HealthNet maximum allowable fee for service. The fee schedule is
				available at
www.dss.mo.gov/mhd/providers/index.htm
.
Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 70 - MO HealthNet Division › Chapter 91 - Personal Care Program › Section 13 CSR 70-91.010 - Personal Care Program

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment revises section (3) regarding
				  the MHD criteria for providers of personal care services, section (5) regarding
				  criteria for providers of advanced personal care services, and section (6)
				  regarding requirements for separately authorized nurse visits. In addition,
				  obsolete language and agency names were updated throughout the regulation, with
				  changes to sections (1) through (6).
(1) Persons Eligible for Personal Care
				Services. Any person who is determined eligible by the Family Support Division
				for Title XIX benefits and is found to be in medical need of personal care
				services as an alternative to institutional care. Persons must be assessed,
				approved, and case-managed by the Department of Health and Senior Services or
				its designee as described in this rule to be eligible for personal care
				services. Eligibility procedures for personal care services are as follows:
(A) Requirements for Personal Care Services.
1. The participant must need an institutional
				level of care which is defined as twenty-four-(24-) hour institutional care on
				an inpatient or residential basis in a hospital or nursing facility (NF) and
				approved by the Department of Health and Senior Services or its designee.
2. Level of care will be
				determined by the Department of Health and Senior Services or its
				designee.
3. The participant must
				agree to an in-home assessment performed by the Department of Health and Senior
				Services or its designee of his/her physical, social, and functional ability to
				benefit from personal care services;
Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 70 - MO HealthNet Division › Chapter 91 - Personal Care Program › Section 13 CSR 70-91.020

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 208.152, RSMo 1967, amended 1969,
					 1971, 1972, 1973, 1975, 1977, 1978, 1981, 1986, 1988, 1990, 1992, 1993;
					 208.153, RSMo 1967, amended 1973, 1989, 1990, 1991; and 208.201, RSMo
					 1987.
Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 70 - MO HealthNet Division › Chapter 92 - Adult Day Health Care Program › Section 13 CSR 70-92.010

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 208.153, RSMo 1967, amended 1973,
					 1989, 1990, 1991, 2007; 208.159, RSMo 1979; 208.168, RSMo 1982; and 208.201,
					 RSMo 1987, amended 2007.
Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 70 - MO HealthNet Division › Chapter 94 - Rural Health Clinic Program › Section 13 CSR 70-94.010 - Independent Rural Health Clinic Program

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes the regulatory basis
				  for Title XIX Medicaid payment for Independent Rural Health Clinic
				  Services.
PURPOSE: This rule is being amended to reflect the
				  current cost report form and related worksheets, provide an exemption to the
				  cost report filing requirements, and to clarify documentation and record
				  retention requirements, interim payments, and final
				  settlements.
(1) Authority.
				This is the payment methodology used to reimburse providers in the MO HealthNet
				Independent Rural Health Clinic (RHC) program.
(2) Qualifications. For a clinic to qualify
				for participation in the MO HealthNet independent RHC program, the clinic must
				be an independent facility, which means that the clinic may not be part of a
				hospital. However, a clinic may be located in the same building as a hospital,
				as long as there is no administrative, organizational, financial, or other
				connection between the clinic and the hospital.
(3) General Principles.
(A) The MO HealthNet program shall reimburse
				independent RHC providers based on the reasonable cost of RHC-covered services
				related to the care of MO HealthNet participants (within program limitations)
				less any copayment or other third party liability amounts which may be due from
				MO HealthNet participants.
(B)
				Reasonable costs shall be determined by the MO HealthNet Division based on desk
				review of the applicable cost reports and shall be subject to adjustment based
				on field audit. Reasonable costs shall not exceed the Medicare cost principles
				set forth in 42 CFR part 413.
Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 70 - MO HealthNet Division › Chapter 94 - Rural Health Clinic Program › Section 13 CSR 70-94.020 - Provider-Based Rural Health Clinic

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment deletes or clarifies outdated
				  terms, language, and provisions regarding Provider-Based Rural Health
				  Clinics.
(1) General
				Principles.
(A) The MO HealthNet program shall
				reimburse Provider-Based Rural Health Clinics (PBRHC) based on the reasonable
				cost incurred by the PBRHC to provide covered services, within program
				limitations, related to the care of MO HealthNet participants less any
				copayment or other third party liability amounts that may be due from the MO
				HealthNet-eligible individual.
(B)
				Reasonable costs shall be determined by the division based on a review of the
				applicable cost reports. Reasonable costs shall not exceed the Medicare cost
				principles set forth in 42 Code of Federal Regulations (CFR) parts 405 and 413.
(C) The Medicaid charges used to
				determine the cost, and the payments used to determine the final settlement,
				will be the charges and payments extracted from the Medicaid paid claims
				history for reimbursable services paid on a percentage
				basis.
Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 70 - MO HealthNet Division › Chapter 95 - Private Duty Nursing Care Under the Healthy Children and Youth Program › Section 13 CSR 70-95.010 - Organized Group Camps

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment revises section (3) regarding
				  the MO HealthNet provider enrollment criteria for private duty nursing (PDN)
				  providers. Section (10) was also revised to update the incorporation by
				  reference date.
(1) Service
				Definition. Private duty nursing is the provision of individual and continuous
				care (in contrast to part-time or intermittent care) under the direction of the
				participant's, physician, by licensed nurses acting within the scope of the
				Missouri Nurse Practice Act. Services within the MO HealthNet private duty
				nursing program include:
(A) Shift care by a
				registered nurse (RN); and
(B)
				Shift care by a licensed practical nurse (LPN).
(C) Shift care by a graduate LPN or graduate
				RN. A graduate LPN or graduate RN may provide nursing services until receipt of
				the results of the first licensure examination taken by the graduate nurse or
				until ninety (90) days after graduation, whichever comes first, unless the time
				requirements have been temporarily suspended or extended by the Board of
				Nursing.
Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 70 - MO HealthNet Division › Chapter 97 - Health Insurance Premium Payment (HIPP) Program › Section 13 CSR 70-97.010 - Health Insurance Premium Payment (HIPP) Program

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment defines "participant" and
				  lists additional exceptions to participation in the HIPP
				  Program.
PURPOSE: This rule establishes that the Department of
				  Social Services, MO HealthNet Division shall pay for the cost of enrolling an
				  eligible MO HealthNet participant in a group or individual health insurance
				  plan when the MO HealthNet Division determines it is cost-effective to do
				  so.
(1) Definitions.
(A) "Group health insurance" shall mean any
				plan of, or contributed to by, an employer (including a self-insured plan) to
				provide health care (directly or otherwise) to the employer's employees, former
				employees, or the families of the employees or former employees. A group health
				plan must meet section 5000(b)(1) of the Internal Revenue Code of 1986, as
				amended, and include continuation coverage pursuant to Title XXII of the Public
				Health Service Act, section 4980B of the Internal Revenue Code of 1986, or
				Title VI of the Employee Retirement Income Security Act of 1974, as amended.
				Participation in a health insurance plan that is not group health insurance as
				defined in this section is not a condition of MO HealthNet
				eligibility.
(B) "Participant"
				shall mean MO HealthNet enrollee eligible for comprehensive or full coverage
				under Medicaid.
Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 70 - MO HealthNet Division › Chapter 98 - Behavioral Health Services › Section 13 CSR 70-98.015 - Behavioral Health Services Program

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment will eliminate separate and
				  more restrictive documentation requirements for behavioral health services.
				  Behavioral health services will remain subject to the adequate documentation
				  requirements in 13 CSR 70-3.030 that apply to
				  all MO HealthNet services.
PURPOSE: This rule establishes the regulatory basis
				  for the program requirements of the MO HealthNet behavioral health services
				  program.
(1) Administration.
				The MO HealthNet behavioral health services program shall be administered by
				the Department of Social Services, MO HealthNet Division (MHD). The services
				covered and not covered and the limitations under which services are covered
				shall be determined by MHD and shall be included in the MO HealthNet Behavioral
				Health Services Provider Manual and the Physician's Provider Manual, which are
				incorporated by reference and made part of this rule as published by the
				Department of Social Services, MO HealthNet Division, 615 Howerton Court,
				Jefferson City, MO 65109, at its website at
http://manuals.momed.com/manuals/
,
				October 1, 2018. This rule does not incorporate any subsequent amendments or
				additions. Behavioral health services shall include only those which are
				clearly shown to be medically necessary.
(2) Persons Eligible. The MO HealthNet
				Program pays for approved MO HealthNet behavioral health services when
				furnished within the provider's scope of practice. The participant must be
				eligible on the date the service is furnished. Participants may have specific
				limitations for behavioral health services according to the type of assistance
				for which they have been determined eligible. It is the provider's
				responsibility to determine the coverage benefits for a participant based on
				their type of assistance as outlined in the provider program manual. The
				provider shall ascertain the patient's MO HealthNet and managed care or other
				lock-in status before any service is performed. The participant's eligibility
				shall be verified in accordance with methodology outlined in the provider
				program manual.
(3) Provider
				Participation. To be eligible to participate as a MO HealthNet provider of
				behavioral health services, a provider must meet the qualifications specified
				by the state agency for his or her profession and be an enrolled MO HealthNet
				provider.
(A) The enrolled MO HealthNet
				provider shall comply with the following requirements:
1. Maintain adequate documentation and
				adequate records in accordance with
				13 CSR
				70-3.030(2)(A); and
2. On request furnish to the MO HealthNet
				agency, the Medicaid Audit and Compliance Unit, or State Medicaid Fraud Control
				Unit any information regarding payments claimed by the provider for furnishing
				services under the plan.
Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 70 - MO HealthNet Division › Chapter 100 - Missouri Rx Plan › Section 13 CSR 70-100.010 - Missouri Rx Plan Benefits and Limitations

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: The purpose of this amendment is to update
				  the rule to reflect the current program processes.
PURPOSE: This rule establishes the benefits and
				  limitations for administering the Missouri Rx Plan and Missouri's State
				  Pharmacy Assistance Program.
(1) Administration. The Missouri Rx Plan
				shall be administered by the Department of Social Services, MO HealthNet
				Division.
(2) Definitions.
(A) Dual eligible-An individual who is
				eligible for both Medicare and Medicaid.
(B) Missouri Rx Plan-The state pharmacy assistance
				program administered by the Department of Social Services, MO HealthNet
				Division.
(C) Out-of-pocket costs-
				The co-pays required for prescription drug. The Missouri Rx Plan does not pay
				for the Medicare Part D monthly premium.
Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 73 - Missouri board of nursing home Administrators › Chapter 2 - General Rules › Section 13 CSR 73-2.020 - Procedures and Requirements for Licensure of Nursing Home Administrators (Moved to 19 CSR 73-2.020)

Current through Register Vol. 49, No. 14, July 15, 2024
Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 73 - Missouri board of nursing home Administrators › Chapter 2 - General Rules › Section 13 CSR 73-2.060 - Registration of Training Agencies and Single Offering Providers (Moved to 19 CSR 73-2.060)

Current through Register Vol. 49, No. 14, July 15, 2024
Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 73 - Missouri board of nursing home Administrators › Chapter 2 - General Rules › Section 13 CSR 73-2.100 - Restoration and Rehabilitation of Suspended/Revoked Licenses (Moved to 19 CSR 73-2.100)

Current through Register Vol. 49, No. 14, July 15, 2024
Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 110 - Division of Youth Services › Chapter 1 - Organization and Description › Section 13 CSR 110-1.010 - General Organization

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: The purpose of this regulation is to comply
				  with section
				  536.023,
				  RSMo Supp. 1999 which requires each agency to adopt as a rule a description of
				  its operation and the methods where the public may obtain information or make
				  submissions or requests.
(1)
				The Division of Youth Services is a division of the Department of Social
				Services.
(A) The division is responsible for
				the development and administration of an effective state-wide comprehensive
				program of youth services. This includes, but is not limited to:
1. Providing for the reception,
				classification, care, activities, education and rehabilitation of all youth
				committed to the division;
2.
				Administering the interstate compact on juveniles;
3. Collecting statistics and information
				relating to the nature, extent and causes of, and conditions contributing to,
				the delinquency of youth;
4.
				Evaluating existence and effectiveness of delinquency prevention and
				rehabilitation programs;
5.
				Preparing a master plan for the development of a state-wide comprehensive
				system of delinquency prevention, control and rehabilitation
				services;
6. Providing from funds
				specifically appropriated by the legislature for this purpose, financial
				subsidies to local units of government for the development of community-based
				treatment services;
7. Developing
				written instructional, informational and standard-setting materials relating to
				state and local delinquency prevention, control and rehabilitation programs, as
				provided for in these rules;
8.
				Cooperating with and assisting other public and voluntary agencies and
				organizations in the development and coordination of such programs;
				and
9. Upon request, assisting
				local units of government in the development of community-based treatment
				services and providing technical assistance and consultation to law enforcement
				officials, juvenile courts and other community child care agencies.
Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 110 - Division of Youth Services › Chapter 2 - Classification Services and Residential Care › Section 13 CSR 110-2.010 - Regional Classification Services

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: The purpose of this rule is to establish
				  guidelines and lines of authority for the classification procedure when a youth
				  is classified from one of the juvenile courts by a regional administrator or
				  his/her designee.
(1) Each
				regional administrator or his/her designee, subject to all other divisional
				rules and policies, has full authority to assign youth to any residential unit
				or appropriate other placement. Classification criteria to be used is contained
				in
				13
				CSR 110-2.040.
(2) After a determination of the type of
				program in which a youth could best function, if it is determined s/he could
				best function in a community-based program, the assignment will be made in the
				following priority order:
(A) If a vacancy
				exists in the youth's home community, the regional administrator should assign
				the youth to a program in that community;
(B) If no vacancy exists in a local program,
				the assignment can be made on a regional basis; and
(C) When none of the circumstances in
				(2)(A)-(B) exist, the youth can be assigned to a community-based program
				regardless of the location as long as the regional administrator still
				considers the assignment in the best interest of the youth.
Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 110 - Division of Youth Services › Chapter 2 - Classification Services and Residential Care › Section 13 CSR 110-2.030 - Special or Unique Service Needs

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminology in the purpose
				  statement and corrects one word in section (5) from "appraised" to the
				  appropriate word "apprised."
PURPOSE: This rule establishes the guidelines and lines of
				  authority for youth who are in need of services that are not generally provided
				  by this agency. This would include such things as psychological disorders,
				  intellectual disabilities, specialized foster home care, special medical needs,
				  etc.
(1) The regional administrators
				or their designees are responsible for making the initial determination that
				special services are necessary for a particular youth.
(2) When the division finds that a youth
				committed to its custody is in need of care of treatment other than that which
				the division is equipped to provide, the division may apply to the court which
				committed such youth requesting an order relieving the division of custody. If
				a change of custody is not ordered by the court, the division shall ensure the
				youth is provided special services within the division's capability.
(3) Requests for psychiatric evaluations and
				developmental disability evaluations are to be made in accordance with the
				Department of Mental Health's established catchment area guidelines.
(4) Upon receipt of the evaluation
				recommendation, the regional administrators or their designees will review the
				evaluation recommendation and take appropriate action to see that the necessary
				services are provided. If the services can be provided directly by the division
				then such services will be utilized. If such services cannot be provided
				directly by the division or if they can be provided in a more economical,
				effective, or practical manner by a contract provider pursuant to section
				217.036, RSMo, the regional administrator or designee will initiate the
				necessary paperwork to obtain such services from a contract provider.
(5) The service coordinator's supervisor
				shall keep the regional administrator apprised of status changes of youth and
				any problems they may encounter.
*Original authority: 219.036, RSMo 1975, amended
					 1993.
Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 110 - Division of Youth Services › Chapter 2 - Classification Services and Residential Care › Section 13 CSR 110-2.040 - Classification Criteria for Placement into Division of Youth Services (DYS) Programs

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates and clarifies terminology
				  throughout the rule.
(1) A medical,
				psychological, and social history shall be developed for each youth by the
				service coordinator. Areas to be considered in developing this history are
				listed as follows:
(A) Medical History.
				Special medical needs shall be evaluated to determine if such needs can be met
				by Division of Youth Services (DYS). If the needs can be met by DYS, then they
				should be identified, treated and explained in meaningful terms as to the
				impact they may have on the treatment process;
(B) Psychological History. If a youth's
				psychological history reveals the need for additional assessment, the following
				areas may be evaluated through formal or informal testing:
1. Intellectual functioning;
2. Educational achievement;
3. Screening for organic
				impairment;
4. Drug abuse
				screening; and
5. Behavioral
				observation and personal interview. This information shall be gathered through
				personal contact with parents, guardians, teachers, juvenile court staff, and
				relevant others. This will assist the service coordinators in their efforts to
				properly match the youth with the service category to which they may be
				assigned; and
(C) Social
				History.
1. An evaluation of relevant past
				history should include retrieval and evaluation of any pertinent information in
				social histories, court records, school files, etc.
2. An evaluation of the present environment
				should include pertinent information concerning home, school and community
				conditions having an effect on classification.
Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 110 - Division of Youth Services › Chapter 2 - Classification Services and Residential Care › Section 13 CSR 110-2.050 - Transfers Between DYS Residential and/or Community Based Programs

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates the title to better capture
				  the information provided in the rule. The amendment also updates language in
				  the purpose and the amendments throughout. The amendment changes the timeframe
				  for the regional administrator to make a decision on a request for
				  administrative transfer from two (2) days to five (5) working days to allow
				  additional time for review. The amendment changes the timeframe for the
				  hearings officer to set a date for a vertical transfer hearing from seven (7)
				  calendar days to fifteen (15) calendar days to allow more notification to be
				  given to those wanting to attend. The amendment changes the timeframe for the
				  hearing officer to notify the participants of the decisions on the vertical
				  transfer hearing from two (2) working days to five (5) working days to allow
				  additional time for review.
PURPOSE: This rule protects the rights and ensures the
				  appropriate treatment of youth moved from one Division of Youth Services (DYS)
				  program to another. The procedure is to be used if a youth has been
				  inappropriately classified into a program or if the program is not meeting the
				  youth's needs.
(1) An administrative
				transfer may be effected when a change in placement, either interagency or
				intragency, may better serve the needs of the youth. An administrative transfer
				is a transfer from one (1) foster home to another, from one (1) community-based
				facility to another, or from one (1) medium or secure care facility to another.
(A) Such a transfer may be effected when one
				(1) or more of the following conditions are present:
1. An opening exists in a similar placement
				that is closer to the youth's home community;
2. A placement in a different area would
				provide access to a program(s) and that would be of special benefit to the
				youth; and
3. There is evidence the
				youth has potential to benefit from the program offered in his/her current
				placement but either internal or external forces make it difficult for them to
				obtain maximum value from the placement.
Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 110 - Division of Youth Services › Chapter 2 - Classification Services and Residential Care › Section 13 CSR 110-2.060 - Furlough Policies and Procedures

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment removes wording in the
				  purpose that is outdated and not relevant, clarifies wording regarding
				  notification to victims, updates outdated language, and clarifies that an
				  apprehension request be issued for runaway youth who fail to return from
				  furlough.
PURPOSE: Furloughs granted to youth residing in
				  Division of Youth Services (DYS) facilities should be purposeful and
				  constructive supplements to the treatment program. Only through well-justified
				  deliberation should furloughs be granted.
(1) Requests for furloughs require verbal and
				written approval by the service coordinator with written notification to
				identified officials, parent(s) or guardian(s), courts, and those that require
				notification under the law pertaining to victim's rights.
(2) Upon approval of the request for
				furlough, the service coordinator or facility manager shall arrange for
				transportation.
(3) A furlough
				authorization form should be prepared to accompany the youth. (The form should
				identify the youth, state the date, and purpose of the furlough, and include
				the name and phone number of the DYS residential facility authorizing the
				furlough.)
(4) If a youth fails to
				return from a furlough at the designated time, the youth is required to call
				the DYS facility manager or the service coordinator to provide justification
				for the delay and to establish an estimated time of return. If the youth does
				not notify the DYS facility manager or the service coordinator or fails to
				provide satisfactory justification for the delay, the DYS facility manager or
				the service coordinator shall determine the youth to be a runaway and shall
				contact law enforcement and request the apprehension and detention of the youth
				pending the return of the youth to the division. The DYS facility manager or
				the service coordinator shall submit a critical incident report.
*Original authority: 219.036, RSMo 1975, amended
					 1993.
Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 110 - Division of Youth Services › Chapter 2 - Classification Services and Residential Care › Section 13 CSR 110-2.080 - Runaway and Absconding Youth

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates the purpose to better capture
				  the information provided in the rule, corrects and clarifies wording, and adds
				  the requirement that a youth that has either absconded or runaway and is not
				  apprehended must also have passed the discharge date of any determinate
				  sentence, if applicable, prior to discharging that youth.
PURPOSE: This rule establishes formal procedures to be
				  followed when a youth runs away from a residential facility or has absconded
				  from community care or aftercare, and is apprehended. It is recognized that
				  local procedures followed in these circumstances vary from
				  facility-to-facility. Each facility shall write procedures which can be
				  logically and consistently followed.
(1) These procedures are to be followed in
				the case of runaways.
(A) Immediately upon
				the discovery and verification that a youth has run away, the premises shall be
				secured and an immediate search will be conducted. The local police shall be
				notified and given the information necessary to help locate the
				youth.
(B) Upon apprehension or
				return to placement the case will be reassessed and necessary treatment
				intervention made and documented.
(C) If the youth is not apprehended during
				the initial search period, then the need for a pickup and detention warrant
				will be ascertained.
(D) A critical
				incident report shall be prepared by the site supervisor or service
				coordinator. Upon apprehension, the pickup order/warrant will be canceled and
				notification given to appropriate local law enforcement, local juvenile
				officer, parent(s)/guardian(s), and service coordinator.
(E) If the youth is not apprehended or does
				not return within fourteen (14) days, the youth will be placed on the inactive
				roll by the Division of Data Processing until apprehension or appropriate
				discharge.
(F) In the event the
				youth is not apprehended, has reached age seventeen (17), has passed the
				discharge date of any determinate sentence, if applicable, and has been on
				runaway status for six (6) consecutive months, the Division Director, Deputy
				Director, Regional Administrator, or Deputy Compact Administrator shall
				discharge the youth.
Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 110 - Division of Youth Services › Chapter 2 - Classification Services and Residential Care › Section 13 CSR 110-2.100 - Grievance Procedures for Committed Youth In Residential Facilities

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates the title to better capture
				  the information provided in the rule, updates wording in the purpose to better
				  clarify the purpose of the rule, and adds discrimination to the list of areas
				  that will be considered for grievances.
PURPOSE: This rule insures that youth in Division of Youth
				  Services (DYS) residential facilities have a process to submit grievances, and
				  establishes a formal procedure for DYS to respond to those grievances.
(1) Any youth who has a grievance may submit
				their grievance in written form to the group leader or first line supervisor.
				Following receipt of the written grievance, the group leader and first line
				supervisor shall discuss the matter within five (5) working days and then
				subsequently interview the youth. A written decision shall be issued to the
				youth within three (3) working days after the interview. Copies of this
				decision shall be distributed to the youth, parent(s)/guardian(s), service
				coordinator, site supervisor, and regional administrator. If the decision is
				not satisfactory to the youth, the youth may present the grievance to the site
				supervisor, or next supervisor in line within five (5) days of the original
				decision. The site supervisor may-
a) review
				the grievance and, after meeting with staff, prepare a response within five (5)
				working days; or
b) convene a
				grievance committee of three (3) staff members, one (1) of which is the
				designated chairperson, to hear the grievance. The youth will be advised of the
				date the grievance committee will consider their complaint and the youth may
				request that any person represent them at the hearing. The youth will have the
				right to cross-examine, call witnesses, or present any testimony in their
				behalf.
Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 110 - Division of Youth Services › Chapter 2 - Classification Services and Residential Care › Section 13 CSR 110-2.120 - Administrative Decisions Affecting the Rights of Youth in DYS Facilities

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment removes the word
				  constitutional from the title and purpose, removes section (1) because the
				  division no longer utilizes the practice of administrative segregation of
				  youth, amends sections (2), (3), and (5) to update outdated language, removes
				  section (4) as it is adequately addressed in section 211.151.3, RSMo, removes
				  sections (6) and (7) as they are unnecessary, and renumbers all remaining
				  sections.
PURPOSE: This rule standardizes procedures and
				  establishes safeguards for the youth in those areas of treatment where the
				  rights of the youth in residence in a Division of Youth Services (DYS) facility
				  may be an issue. These areas include: mailing; visitation privileges; and
				  containment.
(1) Mailing.
				The Division of Youth Services (DYS) reserves the authority to inspect mail of
				youth in DYS residential care facilities for the purpose of detecting
				contraband. Mail may be opened in the presence of the youth for this purpose
				only. Mail between youth and attorney will not be subject to the
				inspection.
(2) Visitations. The
				Division of Youth Services recognizes the importance of family visits with the
				youth as a means of maintaining and improving family relationships. Each
				Division of Youth Services residential facility shall establish a regular
				visiting schedule for the purpose of maintaining order in the treatment
				program. Each youth and their family are to be advised in writing of the
				regular visiting hours at the time the youth is received at the facility.
(3) Containment. Corporal
				punishment or physical abuse of a youth shall not be permitted. Physical
				restraint, if necessary, may be used for the purpose of containment only and
				only then when the youth being restrained is involved in a serious incident
				(for example, a youth assaults another person, damages property, hurts
				him/herself, or runs away). Failure of an employee to abide by this policy is
				cause for dismissal.
*Original authority: 219.036, RSMo 1975, amended 1993 and
					 219.51, RSMo 1975.
Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 110 - Division of Youth Services › Chapter 2 - Classification Services and Residential Care › Section 13 CSR 110-2.130 - Release of Youth from DYS Facilities

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment corrects a word in the title and
				  purpose, updates terminology, and clarifies that a direct discharge is directly
				  from a facility without aftercare.
PURPOSE: This rule provides an administrative procedure for
				  the release of youth from Division of Youth Services (DYS) facilities.
(1) Release to aftercare supervision shall be
				made under the following procedure:
(A) When
				it has been determined by the service coordinator and/or the facility that a
				youth is eligible for release to aftercare, the service coordinator assigned to
				the case shall provide an aftercare plan and submit all required Division of
				Youth Services (DYS) paperwork to the service coordinator supervisor. The
				service coordinator shall notify the parent(s)/guardian(s) and the community
				and the committing court; and
(B)
				Conditions of Aftercare Supervision. Transfer to aftercare supervision is a
				trial home placement. The rules of placement to which the child shall agree
				prior to this transfer shall be the principal conditions of this transfer and
				violation of these conditions may result in revocation of aftercare
				supervision. The rules established by the division are as follows:
1. I will obey all city, state, and federal
				laws;
2. I will report to the
				service coordinator as directed and immediately report any changes in
				residence, school, employment, or other status;
3. I will not leave the state of Missouri, or
				alter any conditions of my placement agreement without the advance permission
				of the service coordinator;
4. I
				will obey the rules and instructions of my parents, foster parents, or
				guardian. I will advise my service coordinator immediately if any problems
				arise in this area;
5. I understand
				that I am under the supervision of the DYS until discharged; and
6. Other special rules or conditions may be
				invoked to meet specific adjustment problems of the youth in the community.
Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 110 - Division of Youth Services › Chapter 2 - Classification Services and Residential Care › Section 13 CSR 110-2.150 - Division of Youth Services Staff Training Programs

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: The purpose of this rule is to provide for
				  the establishment of comprehensive training programs for staff of the division
				  and of other agencies and organizations, public and private, engaged in
				  activities relating to the prevention of delinquency and the provision for care
				  and treatment to delinquent youth.
(1) The division will establish comprehensive
				training programs for its staff, employed or to be employed.
(2) The division will also be responsible for
				extending training opportunities to other public and private youth serving
				agencies, which are offering delinquency prevention and delinquency
				rehabilitative treatment services to youth within the state as funds for such
				training are made available. The division, in conjunction with these public and
				private agencies, will initiate and facilitate an assessment of training needs.
				After the assessment all needs will be prioritized, and appropriate training
				will be jointly planned and initiated by qualified Division of Youth Services
				(DYS) staff, qualified staff or agencies served and/or by purchase of services
				from other qualified training consultants.
*Original authority: 219.016, RSMo 1975, amended 1993,
					 1995.
Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 110 - Division of Youth Services › Chapter 3 - Case Management › Section 13 CSR 110-3.010 - Comprehensive Individual Treatment Plans

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment changes the chapter title,
				  and rule title to current terminology and updates terminology throughout the
				  rule. It removes a paragraph which is not relevant to this rule and is covered
				  in 13 CSR
				  110-3.020 - Aftercare Involvement During Residential
				  Treatment. It adds a new paragraph to clarify who is responsible for initiating
				  and finalizing the aftercare placement planning portion of the treatment plan
				  prior to the youth's release from residential or community care. It adds a new
				  paragraph stating the division will reexamine the youth's treatment plan per
				  section 219.021.5, RSMo and adds a paragraph that states the youth or families
				  may petition the director for a hearing under section 219.051.1(1), RSMo if
				  they disagree with the content developed or information contained in the
				  treatment plan.
(1) A
				comprehensive individual treatment plan (CITP) shall be developed by Division
				of Youth Services for the purpose of meeting individual youth and family needs.
				The CITP also serves to record case activity and fulfill requirements for
				official notifications.
(A) CITP procedures
				are-
1. The Division of Youth Services shall
				initiate the development of a written CITP within thirty (30) days of the
				commitment date. The treatment plan should involve the youth and their
				parent(s) or guardian(s). The CITP shall be completed within forty-five (45)
				days of commitment and distributed to the youth, family, court, and
				facility;
2. Involvement of the
				parent(s) or guardian(s) is encouraged;
3. Information contained in the CITP
				includes, but is not limited to:
A.
				Assessment, including youth and family strengths, needs, and trauma
				history;
B. Youth history,
				including core issues, and history with other systems such as mental health,
				Children's Division, and Juvenile Courts;
C. Education;
D. Youth's medical health/mental health
				needs; and
E. Transition
				Planning;
4. The service
				coordinator will include the preliminary possibilities for the youth's
				placement;
5. The Division of Youth
				Services will finalize aftercare placement planning for the youth prior to
				release from residential or community care;
6. The Division of Youth Services will
				reexamine the youth's CITP when deemed necessary, but in no case to exceed
				intervals greater than six (6) months; and
7. The youth, the youth's parent(s) or legal
				guardian(s), and other members of the youth's family, when appropriate, shall
				be consulted whenever the CITP is reviewed. Should youth or their families
				disagree with the content developed or information contained in the CITP they
				may petition the director for a hearing under section 219.051.1(1),
				RSMo.