The Missouri Department of Mental Health (DMH), Division of Developmental Disabilities (DD), issued a notice that the Centers for Medicare & Medicaid Services (CMS) approved Missouri’s request to renew the 1915(c) Home and Community Based Services (HCBS) waivers. Upon CMS waiver approval, changes were implemented that impact Group Home, Individualized Supported Living, Shared Living providers and Remote Services for the 1915(c) Home & Community Based Service waivers. The Implementation of Waiver Service Changes in Response to CMS Waiver Renewal memo has been posted and applies to all four 1915(c) waivers and individuals serviced by those waivers statewide.
The DMH DD memo contains information for transition of Personal Assistant, Individualized Skill Development, or Community Networking Service from Group Home, Individualized Supported Living, and Shared Living. It also contains information for transition of Remote Monitoring from Personal Assistant Service to Assistive Technology Service.
Effective October 18, 2021, the U.S. Department of Health and Human Services issued a declaration that a federal public health emergency is still in existence related to COVID19. The previous declaration was set to expire October 18, 2021. The renewal will be effective for 90 days or until Sunday, January 16, 2022.
The Missouri State Public Health Emergency ended on August 31, 2021. Missouri Executive Order (EO) 21-09 was signed declaring a Targeted State of Emergency for Health Care System through December 31, 2021. All DMH and DHSS Code of State Regulations waived under the previous state public health emergency will remain waived through under EO 21-09 through December 31, 2021.
The CMS Appendix K Addendum will expire no later than six (6) months after the expirations of the federal public health emergency.
The DMH COVID-19 Flexibility Authority Chart was updated with the renewed federal public health emergency expiration date. The DHSS COVID-19 Flexibility Authority Chart has also been updated to reflect the new expiration dates.
The Missouri Department of Health and Senior Services (DHSS), Division of Senior and Disability Services (DSDS), issued final notice earlier today to all Type 27 (State Designee – Reassessments) providers who have not yet returned their updated Provider Reassessor Terms and Conditions forms. All Type 27 providers must have the updated Terms and Conditions signed and returned to Missouri Medicaid Audit and Compliance Unit (MMAC) by November 30, 2021 in order to continue conducting reassessments on behalf of DSDS. Providers who have not returned a signed copy by November 30th will have their Type 27 enrollment deactivated by MMAC.
Please refer to INFO 07-21-01 for more information. The Type 27 Terms and Conditions form can be found on the MMAC Reassessor Page.
If you have questions regarding this memorandum, please contact the Bureau of Long Term Services and Supports (BLTSS) via e-mail at LTSS@health.mo.gov
