Memorandum for Home and Community-Base Services Staff and Stakeholders

DATE: March 16, 2026

FROM: Veronica Jameson, Bureau Chief
Bureau of Policy and Quality Enhancements

SUBJECT: Updates to HCBS Policy Manual

3.20 RCF/ALF Personal Care – State Plan (Agency Model)

Updated to include:

  • Medically Related Household tasks language revised for clarification and support in authorizing the task
  • Essential Correspondence added as a task to assist participants with reading, writing, and managing paperwork or communication when they are unable to do so independently
9.00 Appendix 1 DHSS Notice of Privacy Policies

Updated to include:

  • Department issued expanded version with an effective date of February 1, 2026

The revised policies have been posted in the HCBS Policy Manual.

Questions should be directed to the Bureau of Policy and Quality Enhancements via email at LTSS@health.mo.gov.

Unless otherwise noted, the policy revisions are effective upon receipt.