Opinion ID: 2186139
Heading Depth: 1
Heading Rank: 9

Heading: Sufficiency Under State and Federal Law

Text: DMS also argues that estimated Medicaid days calculations do not require promulgation of a rule because the federal government has approved Missouri's Medicaid State Plan without the estimation process codified in the Plan. It further contends that support for its arguments are shown because 13 CSR 70-15.010(15), governing direct Medicaid payments, was approved by the General Assembly's Joint Committee on Administrative Rules (JCAR) without demand for detail about how DMS would estimate days. Notwithstanding the support given to DMS by the federal government and the JCAR, DMS's responsibility to comply with rulemaking procedures under the MAPA is not alleviated if its decision-making falls under the definition of rule as articulated in section 536.010(6).