'Order' Date Range Report: 10/12/2026 to 11/12/2026
13 CSR 70-15.160
This rule establishes the payment methodology for outpatient hospital services.
Proposed
10/22/2026
Title 13 - Department of Social Services
Division 70 MO HealthNet Division
Chapter 15 Hospital Program
19 CSR 60-50.430
This rule provides the information requirements and the application format of how to complete a Certificate of Need (CON) application for a CON review.
Amendment
10/30/2026
Title 19 - Department of Health and Senior Services
Division 60 Missouri Health Facilities Review Committee
Chapter 50 Certificate of Need Program
20 CSR 2263-2.082
This rule sets continuing education requirements for renewal of licenses to practice as a licensed social worker and establishes the basic continuing education standards. The goal of continuing education is to ensure quality social work services to clients. The requirements for continuing education are grounded in
the ethical principle to develop and enhance professional expertise and increase competence in service and delivery.
Amendment
11/10/2026
Title 20 - Department of Commerce and Insurance
Division 2263 State Committee for Social Workers
Chapter 2 Licensure Requirements
12 CSR 10-108.700
Converted
Amendment
11/10/2026
Title 12 - Department of Revenue
Division 10 Director of Revenue
Chapter 108 Sales/Use Tax-Taxable Services
13 CSR 70-10.005
Converted
Rescission
10/13/2026
Title 13 - Department of Social Services
Division 70 MO HealthNet Division
Chapter 10 Nursing Home Program
19 CSR 40-6.010
Converted
Rescission
11/2/2026
Title 19 - Department of Health and Senior Services
Division 40 Division of Maternal, Child and Family Health
Chapter 6 Perinatal Substance Abuse
5 CSR 20-400.380
Section 160.720 and 161.375 RSMo Supp. 2013, and section 161.092, RSMo Supp. 2014, establish the completion of a Mentoring Program as a requirement of certification. This guideline identifies minimum requirements for implementation of an effective mentoring program for beginning teachers as mentees
and clarifies the role of mentor teachers for school districts and charter schools in the state of Missouri. A well-designed and implemented Mentoring Program with on-going support will improve practice, helping new educators have the skills and knowledge to positively impact student achievement.
Amendment
10/27/2026
Title 5 - Department of Elementary and Secondary Education
Division 20 Division of Learning Services
Chapter 400 Office of Educator Quality
19 CSR 30-30.100
Section 197.225, RSMo authorizes the Department of Health to establish physical standards for birthing centers in order to provide care in a safe environment. Birthing centers are
considered ambulatory surgical centers as defined by section 197.200(1), RSMo and are subject to licensure as required by section 197.205, RSMo. This rule establishes up-to-date construction requirements for new birthing center construction to help ensure accessible, functional, fire-safe and sanitary facilities. A new birthing center is one for which plans are submitted to the Department of Health after the adoption of this rule for the construction of a new facility, expansion or renovation of an existing birthing center or the conversion of an existing facility not previously and continuously licensed as a birthing center under Chapter 197, RSMo.
Proposed
11/2/2026
Title 19 - Department of Health and Senior Services
Division 30 Division of Regulation and Licensure
Chapter 30 Ambulatory Surgical Centers
19 CSR 30-30.040
The Division of Health Resources, Department of Health has the authority to establish construction standards for ambulatory surgical centers. This rule provides procedures
to follow in the submission of plans and specifications for new construction.
Amendment
11/2/2026
Title 19 - Department of Health and Senior Services
Division 30 Division of Regulation and Licensure
Chapter 30 Ambulatory Surgical Centers
19 CSR 30-30.030
The Division of Health Resources, Department of Health has the authority to establish construction standards for ambulatory surgical centers. This rule provides standards for
facilities to ensure sanitary and fire-safe facilities.
Amendment
11/2/2026
Title 19 - Department of Health and Senior Services
Division 30 Division of Regulation and Licensure
Chapter 30 Ambulatory Surgical Centers
5 CSR 20-400.210
The state board of education is authorized to grant certificates of license to teach in any of the public schools of the state and establish requirements and qualifications for those certificates. This rule outlines the procedures for applicants to acquire certification through the American Board for Certification of Teacher Excellence (ABCTE).
Rescission
10/20/2026
Title 5 - Department of Elementary and Secondary Education
Division 20 Division of Learning Services
Chapter 400 Office of Educator Quality
5 CSR 20-400.500
The State Board of Education is authorized to grant certificates of license to teach in any of the public schools of the state and establish requirements and qualifications for those certificates. This rule outlines the procedures for application for a certificate of license to teach.
Amendment
10/20/2026
Title 5 - Department of Elementary and Secondary Education
Division 20 Division of Learning Services
Chapter 400 Office of Educator Quality
5 CSR 20-400.570
The State Board of Education is authorized to grant certificates of license to teach in any of the public schools of the state and establish requirements and qualifications for those certificates. This rule outlines the requirements for application for a certificate of license to teach English Language Learners.
Amendment
10/20/2026
Title 5 - Department of Elementary and Secondary Education
Division 20 Division of Learning Services
Chapter 400 Office of Educator Quality
5 CSR 20-400.550
The State Board of Education is authorized to grant certificates of license to teach in any of the public schools of the state and establish requirements and qualifications for those certificates. This rule outlines the requirements for application for a certificate of license to teach K-12 Education.
Amendment
10/20/2026
Title 5 - Department of Elementary and Secondary Education
Division 20 Division of Learning Services
Chapter 400 Office of Educator Quality
5 CSR 20-400.530
The State Board of Education is authorized to grant certificates of license to teach in any of the public schools of the state and establish requirements and qualifications for those certificates. This rule outlines the requirements for application for a certificate of license to teach Middle School Education.
Amendment
10/20/2026
Title 5 - Department of Elementary and Secondary Education
Division 20 Division of Learning Services
Chapter 400 Office of Educator Quality
5 CSR 20-400.540
The State Board of Education is authorized to grant certificates of license to teach in any of the public schools of the state and establish requirements and qualifications for those certificates. This rule outlines the requirements for application for a certificate of license to teach Secondary Education.
Amendment
10/20/2026
Title 5 - Department of Elementary and Secondary Education
Division 20 Division of Learning Services
Chapter 400 Office of Educator Quality
20 CSR 2263-1.015
This rule complies with sections 337.600?337.639, RSMo, which permit the department to adopt rules governing the conduct of the State Committee for Social Workers.
Amendment
11/10/2026
Title 20 - Department of Commerce and Insurance
Division 2263 State Committee for Social Workers
Chapter 1 General Rules
20 CSR 2233-2.010
This rule defines the educational requirements to be licensed as a marital and family therapist.
Amendment
10/30/2026
Title 20 - Department of Commerce and Insurance
Division 2233 State Committee of Marital and Family Therapists
Chapter 2 Licensure Requirements
13 CSR 70-10.100
This rule establishes a limitation on the allowance of capital cost overruns in the construction of new institutional health services for Title XIX reimbursement rate setting purposes.
Rescission
10/13/2026
Title 13 - Department of Social Services
Division 70 MO HealthNet Division
Chapter 10 Nursing Home Program
13 CSR 70-10.010
This rule establishes a payment plan for nursing home care required by the Code of Federal Regulations (42 CFR 447.273?447.316). The plan describes cost principles to be followed by Title XIX nursing home providers in making financial reports and presents the necessary procedures for setting rates, making adjustments and auditing of the cost reports.
Rescission
10/13/2026
Title 13 - Department of Social Services
Division 70 MO HealthNet Division
Chapter 10 Nursing Home Program
13 CSR 70-3.120
This rule establishes a regulatory basis for implementation of prior authorization on all out-of-state nonemergency MO HealthNet-covered services.
Amendment
10/21/2026
Title 13 - Department of Social Services
Division 70 MO HealthNet Division
Chapter 3 Conditions of Provider Participation, Reimbursement and Procedure of General Applicability
13 CSR 70-70.010
This rule establishes the regulatory basis for the administration of the therapy program. This rule provides for such methods and procedures relating to the utilization of, and the payment for, care and services available through the MO HealthNet program as may be necessary to safeguard against unnecessary utilization of such care and services and to assure that payments are consistent with efficiency, economy, and quality of care and are sufficient to enlist enough providers so that care and services are available under the plan at least to the extent that such care and services are available to the general population in the geographic area. Specific details of provider participation, criteria, and methodology for provider reimbursement, participant eligibility, and amount, duration, and scope of services covered are included in the therapy provider program manual, which is available at the website www.dss.mo.gov/mhd.
Amendment
10/21/2026
Title 13 - Department of Social Services
Division 70 MO HealthNet Division
Chapter 70 Therapy Program
19 CSR 30-20.030
This rule establishes up-to-date construction standards for new hospitals to help ensure accessible, functional, fire-safe, and sanitary facilities.
Proposed
11/2/2026
Title 19 - Department of Health and Senior Services
Division 30 Division of Regulation and Licensure
Chapter 20 Hospitals
20 CSR 2120-2.060
This rule outlines the provisions for the practice of funeral directing.
Amendment
10/20/2026
Title 20 - Department of Commerce and Insurance
Division 2120 State Board of Embalmers and funeral Directors
Chapter 2 General Rules
19 CSR 60-50.410
This rule provides the information requirements and the details of how to complete the Letter of Intent package to begin the Certificate of Need (CON) review process.
Amendment
10/30/2026
Title 19 - Department of Health and Senior Services
Division 60 Missouri Health Facilities Review Committee