Code of State Regulations

Title 13 - Department of Social Services

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The Code of State Regulations (CSR) is updated monthly. Pursuant to section 536.021.8, RSMo, "no rule...shall become effective prior to the thirtieth day after the date of publication of the revision to the Missouri code of state regulations." Therefore, some of the rules published in the current version of the CSR may not be effective. A rule's effective date is found in the authority section at the end of the rule. If a rule's effective date has not arrived yet, the previous edition of the rule would be the rule still in effect. Previous editions of these rules may be available in the archived editions.

division 5 - office of the director

Chapter 1 - Public Records
Chapter 2 - State Technical Assistance Program

division 10 - division of finance and administrative services

Chapter 1 - Financial Services
Chapter 3 - Tax Credits
Chapter 4 - Abortions

division 15 - division of aging

*Chapter 1 - moved to 19 CSR 15-1
*Chapter 2 - moved to 19 CSR 15-2
*Chapter 3 - moved to 19 CSR 15-3
*Chapter 4 - moved to 19 CSR 15-4
*Chapter 5 - Title XX
*Chapter 6 - moved to 19 CSR 15-6
*Chapter 7 - moved to 19 CSR 15-7
*Chapter 8 - moved to 19 CSR 30-90
*Chapter 9 - moved to 19 CSR 30-81
*Chapter 10 - moved to 19 CSR 30-82
*Chapter 11 - moved to 19 CSR 30-83
*Chapter 12 - Skilled Nursing Facility
*Chapter 13 - moved to 19 CSR 30-84
*Chapter 14 - Intermediate Care and Skilled Nursing Facility
*Chapter 15 - Residential Care Facilities I and II
*Chapter 16 - Adult Boarding Facilities
*Chapter 17 - moved to 19 CSR 30-87
*Chapter 18 - moved to 19 CSR 30-88
*Chapter 19 - Special Inspection Standards
*Chapter 20 - moved to 19 CSR 30-89

*Moved to Department of Health and Senior Services or rescinded

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division 20 - division of corrections

Special Notice
Chapter 1 - Organization
Chapter 101 - Director's Office
Chapter 102 - Classification and Assignment
Chapter 103 - Community Services
Chapter 104 - Custodial Services
Chapter 106 - Inmate Services
Chapter 109 - Fire and Safety
Chapter 110 - Fiscal Management
Chapter 112 - Health Services
Chapter 113 - Legal Services
Chapter 114 - Personnel Services
Chapter 116 - Staff Training

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division 30 - child support enforcement

Chapter 1 - Organization
Chapter 2 - Performance Measures
Chapter 3 - County Reimbursement (Moved to 13 CSR 40-3)
Chapter 4 - Income Withholding
Chapter 5 - Determining Child Support Obligation
Chapter 6 - Credit Reporting
Chapter 7 - Administrative Hearings
Chapter 8 - Cooperation Requirement
Chapter 9 - Incentives
Chapter 10 - Fees

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division 35 - children's division

Chapter 20 - Child Protective Services
Chapter 30 - Voluntary Placement Agreement
Chapter 31 - Child Abuse
Chapter 32 - Child Care
Chapter 34 - Homeless, Dependent and Neglected Children
Chapter 35 - Alternative Care
Chapter 36 - Alternative Care Review Board
Chapter 38 - Adoption and Guardianship Subsidy
Chapter 50 - Licensing
Chapter 60 - Licensing of Foster Family Homes
Chapter 71 - Rules for Residential Care Facilities for Children
Chapter 73 - Child Placing Agencies
Chapter 80 - Payment of Residential Facilities
Chapter 100 - Tax Credits

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division 40 - family support division

Chapter 1 - Organization
Chapter 2 - Income Maintenance
Chapter 3 - County Reimbursement (moved to 13 CSR 40-108)
Chapter 7 - Family Healthcare
Chapter 8 - MO HealthNet for the Aged, Blind, and Disabled
Chapter 13 - Blind Pension
Chapter 15 - Supplemental Nutrition Assistance Program (Food Stamps)
Chapter 19 - Energy Assistance
Chapter 20 - Child Support Enforcement
Chapter 24 - Community Programs
Chapter 30 - Permanency Planning for Children
Chapter 31 - Child Abuse
Chapter 32 - Child Care
Chapter 33 - WIN
Chapter 34 - Homeless, Dependent and Neglected Children
Chapter 35 - Medical Assistance
Chapter 36 - Alternative Care Grievance Process
Chapter 37 - Early Periodic Screening, Diagnosis and Treatment
Chapter 38 - Adoption - moved to 13 CSR 35-38
Chapter 39 - Interstate Compact
Chapter 40 - Title XX
Chapter 50 - Licensing of Foster/Adoptive Homes
Chapter 59 - Criminal Record Reviews
Chapter 60 - Licensing of Foster Family Homes
Chapter 61 - Licensing Rules for Family Day Care Homes
Chapter 62 - Licensing Rules for Group Day Care Homes and Child Day Care Centers
Chapter 63 - Licensing of Day Care Centers
Chapter 64 - Infant and Toddler Day Care Centers
Chapter 65 - Evening and Nighttime Care Centers
Chapter 66 - Hourly Care Centers
Chapter 67 - Summer School Age Day Care
Chapter 71 - Licensing Rules for Residential Care Agencies
Chapter 72 - Group Homes Facilities
Chapter 73 - Licensing of Child Placing Agencies
Chapter 79 - Domestic Violence Shelter Tax Credit
Chapter 80 - Maternity Home Tax Credit
Chapter 81 - Vendor Payment for Medical Care Services
Chapter 91 - Rehabilitation Services for the Blind (RSB)
Chapter 100 - Child Support Program, General Administration
Chapter 102 - Child Support Program, Establishment
Chapter 104 - Child Support Program, Enforcement
Chapter 106 - Child Support, Modification
Chapter 108 - Child Support Program, Counties under Cooperative Agreement
Chapter 110 - Fees
Chapter 112 - Child Support Program, Medical Support

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division 45 - division of legal services

Chapter 2 - State Technical Assistance Team (Moved to 13 CSR 5-2.010)

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division 50 - division of health

Chapter 1 - Organization (rescinded)
*Chapter 10-16 - Special Notice
*Chapter 20 - Hospitals - moved to 19 CSR 30
*Chapter 22 - Rehabilitation Hospitals - moved to 19 CSR 30
*Chapter 24 - Psychiatric Hospitals - moved to 19 CSR 30
*Chapter 25 - Special Notice
*Chapter 30 - Ambulatory Surgical Centers - moved to 19 CSR 30
*Chapter 40 - Ambulance Regulations - moved to 19 CSR 30
*Chapter 61 - Food Service Sanitation - moved to 19 CSR 20
*Chapter 63 - Frozen Desserts - moved to 19 CSR 20
*Chapter 66 - Sanitation of Tourist Camps, Cabins and Resorts - moved to 19 CSR 20
*Chapter 70 - The Inspection of Manufacturing and Sale of Foods - moved to 19 CSR 20
*Chapter 71 - Inspection of Manufacturing and Sale of Drugs
and Devices - moved to 19 CSR 20
*Chapter 72 - Inspection of Manufacturing and Sale
of Cosmetics - moved to 19 CSR 20
*Chapter 73 - Return and Resale of Drugs and Medicines - moved to 19 CSR 20
*Chapter 74 - Sanitation Standards for the Manufacture of Soft Drinks
and Beverages - moved to 19 CSR 20
*Chapter 75 - Licensing of Beverage Manufacturers and Distributors and the
Collection of Beverage Inspection Fees - moved to 19 CSR 20
*Chapter 77 - Construction of Water Supply Wells - moved to 19 CSR 20
*Chapter 79 - Preparation Rooms of Funeral Establishments - moved to 19 CSR 20
*Chapter 82 - Sanitation of Public Bathing Places - moved to 19 CSR 20
*Chapter 83 - Environmental Health - moved to 19 CSR 20
*Chapter 90 - Protection Against Ionizing Radiation - moved to 19 CSR 20
*Chapter 101 - Communicable Diseases - moved to 19 CSR 20
*Chapter 103 - Typhoid and Paratyphoid Carriers - moved to 19 CSR 20
*Chapter 105 - Dead Bodies Infected With a Communicable
Disease - moved to 19 CSR 20 - 24
*Chapter 107 - Venereal Diseases - moved to 19 CSR 20
*Chapter 110 - Immunization - moved to 19 CSR 20
*Chapter 115 - Chronic Diseases - moved to 19 CSR 70
*Chapter 130 - Controlled Substances Schedules - moved to 19 CSR 30
*Chapter 131 - Controlled Substances Registration - moved to 19 CSR 30
*Chapter 132 - Dispensing to Controlled Substances - moved to 19 CSR 30
*Chapter 140 - Rules for Determination of Blood Alcohol by Blood, Breath,
Saliva and Urine Analysis - moved to 19 CSR 20
*Chapter 141 - Milk-Testing Laboratories - moved to 19 CSR 20
*Chapter 142 - Laboratories for Serologic Tests for Syphilis - moved to 19 CSR 20
*Chapter 143 - Testing for Metabolic Diseases - moved to 19 CSR 20
*Chapter 144 - Laboratory Fees - moved to 19 CSR 20
*Chapter 150 - Vital Records - moved to 19 CSR 30
*Chapter 151 - Abortions - moved to 19 CSR 30
*Chapter 155 - The Sudden Infant Death Syndrome Program - moved to 19 CSR 40
*Chapter 156 - The Hemophilia Program - moved to 19 CSR 40
*Chapter 157 - Early Periodic Screening, Diagnosis and
Treatment - moved to 19 CSR 40
*Chapter 160 - Missouri Crippled Children's Service (MCCS) - moved to 19 CSR 40
*Chapter 170 - Financial Aid for Medical Students - moved to 19 CSR 50
*Chapter 171 - Programs to Increases Family Physician Training Opportunities in
Missouri - moved to 19 CSR 50

*Moved to Department of Health and Senior Services

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division 60 - state health planning and Development*

*Chapter 1 - 4 - Moved to Title 19

* Moved to Department of Health and Senior Services

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division 65 - missouri medicaid audit and Compliance

Chapter 2 - Medicaid
Chapter 3 - Providers and Participants—General Provider and Participant Policies

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division 70 - mo healthnet division

Chapter 1 - Organization
Chapter 2 - General Scope of Medical Service Coverage
Chapter 3 - Conditions of Provider Participation, Reimbursement and Procedure
of General Applicability
Chapter 4 - Conditions of Recipient Participation, Rights and Responsibilities
Chapter 5 - Nonemergency Medical Transportation (NEMT) Services
Chapter 6 - Emergency Ambulance Program
Chapter 8 - Program of All-Inclusive Care for the Elderly
Chapter 10 - Nursing Home Program
Chapter 15 - Hospital Program
Chapter 20 - Pharmacy Program
Chapter 25 - Physician Program
Chapter 26 - Federally-Qualified Health Centers Services
Chapter 30 - Podiatry Program
Chapter 35 - Dental Program
Chapter 40 - Optical Program
Chapter 45 - Hearing Aid Program
Chapter 50 - Hospice Services Program
Chapter 55 - Nurse-Midwife Program
Chapter 60 - Durable Medical Equipment Program
Chapter 65 - Rehabilitation Center Program
Chapter 70 - Therapy Program
Chapter 90 - Home Health Program
Chapter 91 - Personal Care Program
Chapter 92 - Adult Day Health Care Program
Chapter 93 - Medicaid Clinic Program
Chapter 94 - Rural Health Clinic Program
Chapter 95 - Private Duty Nursing Care Under the Healthy Children and Youth Program
Chapter 96 - Medicaid Primary and Prenatal Care Clinic Program
Chapter 97 - Health Insurance Premium Payment (HIPP) Program
Chapter 98 - Behavioral Health Services
Chapter 99 - Comprehensive Day Rehabilitation
Chapter 100 - Missouri Rx Plan