Memorandum for Home and Community-Base Services Staff and Stakeholders

DATE: December 23, 2025

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

SUBJECT: Home and Community-Based Services Policy Updates

3.15 Authorized Nurse Visits Updates include:
  • Additional screenshots providing examples for APC authorizations with no monthly or weekly nurse visits in Fusion.
  • Language added under the Authorization section, stating that combined nurse visits can be separated if the need is justified.
    Instructions on how to authorize separate visits can be found in the recently released Fusion 5 video, located under the Training section on the Fusion webpage.
3.20 RCF-ALF Personal Care
State Plan
Updates include:
  • Sections added and organized to improve clarity and ease of understanding

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.