Memos

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The Division of Senior and Disability Services releases memorandums to inform stakeholders of recent policy changes, program initiatives, program guidance, and more. Providers should subscribe to DSDS E-News to ensure notifications are received of all memorandums released.
INFO Memos
2025
- INFO 08-25-01 Residential Care Facility (RCF)-Assisted Living Facility (ALF) Care Planning Quick Guide
- INFO 07-25-01 State of the Workforce-Aging and Disabilities 2025 Survey
- INFO 06-25-03 CDS Operational Survey Value Based Incentive Payment
- INFO 06-25-02 HCBS Fusion June 2025 Update & HCBS Web Tool Reminder
- INFO 06-25-01 Electronic Visit Verification (EVV) Claims Validation
- INFO 05-25-06 [UPDATE] HCBS Fusion Prior Authorization and Billing Issue
- INFO 05-25-05 HCBS Fusion Prior Authorization and Billing Issue
- INFO 05-25-04 Adult Brain Injury Program (ABI) vs. Brain Injury Waiver (BIW) Quick Guide
- INFO 05-25-03 HCBS Fusion Updates
- INFO 05-25-02 HCBS Fusion: Help Line and General Requirements
- INFO 05-25-01 HCBS Fusion: CDS and ILW Authorization Changes
- INFO 04-25-05 HCBS Fusion: Provider User Accounts
- INFO 04-25-04 PPEC Rate Study Report Publication & Responses to Stakeholder Feedback
- INFO 04-25-03 State of the Workforce-Aging and Disabilities (SoTW-AD) Survey
- INFO 04-25-02 HCBS Intake Customer Service Center Temporary Closing Period
- INFO 04-25-01 Updated Process for Completing Assessments Due June 2025
- INFO 03-25-03 DSDS E-News Transition to GovDelivery
- INFO 03-25-02 Structured Family Caregiving Waiver Update
- INFO 03-25-01 Provider Reassessor Assignment Information
- INFO 02-25-03 Guidance for the Independent Living Waiver (ILW)
- INFO 02-05-02 HCBS Rate Study Final Report Publication & Responses to Stakeholder Feedback submitted after October 16, 2024 meeting
- INFO 02-25-01 Prescribed Pediatric Extended Care (PPEC) Rate Study Stakeholder Meeting Notice
- INFO 01-25-03 Provider Training - Electronic Case Management System
- INFO 01-25-02 Restructure of HCBS Programmatic Teams
- INFO 01-25-01 Consumer Directed Services Operational Survey
2024
- INFO 12-24-06 Updated InterRAI Assessment Coding Guidance
- INFO 12-24-05 Spenddown Not Met - Aged & Disabled Waiver Eligible
- INFO 12-24-04 Updated Information - New Electronic Case Management System Implementation
- INFO 12-24-03 Consumer Directed Services Operational Survey
- INFO 12-24-02 Provider Reassessor Assignment Information
- INFO 12-24-01 Upcoming Electronic Case Management System Transition
- INFO 10-24-01 Medicaid Eligibility Spenddown Information
- INFO 09-24-06 National Core Indicators for Aging and Disabilities (NCI-AD) Consumer Survey
- INFO 09-24-05 Web Tool and HCBS MAA Updates for HCBS – Remove LOC Standard Score & InterRAI Update
- INFO 09-24-04 Upcoming Transformed Level of Care Implementation
- INFO 09-24-03 State of the Workforce - Aging and Disabilities 2023 Survey Instructions
- INFO 09-24-02 HCBS Rate Study Stakeholder Meeting (Second Session) Notice
- INFO 09-24-01 Contracted Reassessment Partners Notice
- INFO 08-24-04 Rate Study Data Collection on Nursing Services
- INFO 08-24-03 General Health Evaluation
- INFO 08-24-02 9817 ARPA Maintenance of Effort Lifted
- INFO 08-24-01 HCBS Workforce Survey Results Report
- INFO 07-24-05 Provider Reassessment Rate Increase
- INFO 07-24-04 State of the Workforce-Aging and Disabilities 2024 Survey
- INFO 07-24-03 Level of Care Training
- INFO 07-24-02 HCBS Rate Study Stakeholder Meeting
- INFO 07-24-01 Level of Care Transformation Update
- INFO 06-24-03 Medicaid Eligibility Spenddown Reminders
- INFO 06-24-02 HCBS Value Based Incentive Payments - EVV and CDS Operational Survey
- INFO 06-24-01 HCBS Rate Study
- INFO 03-24-01 Provider Coordination during Person Centered Care Planning Process
- INFO 01-24-03 Residential Care Facility RCF Assisted Living Facility ALF Assessment and Care
- INFO 01-24-02 State of the Workforce-Aging and Disabilities (SOTW-AD) Survey
- INFO 01-24-01 Consumer Directed Services Operational Survey - Open
2023
- INFO 12-23-03 Safe at Home Program
- INFO 12-23-02 Electronic Visit Verification Value Based Incentive
- INFO 12-23-01 Consumer Directed Services Operational Survey
- INFO 10-23-03 HCBS Online Referral
- INFO 10-23-02 Web Tool Enhancement: HCBS InterRAI update Release
- INFO 10-23-01 Remaining COVID-19 Flexibilities Set to Expire
- INFO 09-23-03 National Core Indicators for Aging and Disabilities (NCI-AD) Consumer Survey Memo
- INFO 09-23-02 HCBS Workforce Survey Results Report
- INFO 09-23-01 State of the Workforce - Aging and Disabilities (SoTW-AD) 2023 Staff Stability Survey
- INFO 08-23-02 In-Home Service StandaIrds and Personal Care Program Regulation Updates
- INFO 08-23-01 State of the Workforce - Aging and Disabilities (SoTW-AD) 2023 Staff Stability Survey
- INFO 07-23-03 Web Tool Enhancements
- INFO 07-23-02 Electronic Visit Verification Value Based Payment Opportunities
- INFO 07-23-01 Unable to Contact Process Change
- INFO 05-23-02 Electronic Visit Verification Value Based Incentive Payments
- INFO 05-23-01 Preparation and What to Expect for Initial Referrals and Care Plan Changes
- INFO 04-23-01 HCBS Value Based Survey Payments
- INFO 03-23-03 Medicaid Eligibility Renewals Resuming Soon
- INFO 03-23-02 Limited English Proficient (LEP) Services Guidance
- INFO 03-23-01 National Core Indicators for Aging and Disabilities (NCI-AD) Survey
- INFO 02-23-01 Policy Clarification Questions (PCQ) Updates
- INFO 01-23-02 Guidance for Case Management and Financial Management Services
- INFO 01-23-01 Provider Reassessors - Cyber Access/Web Tool Training Modules
2022
- INFO 12-22-04 COVID-19 Flexibility Amendments
- INFO 12-22-03 Consumer Directed Services Operational Survey
- INFO 12-22-02 Community Mental Health Center Healthcare Homes
- INFO 12-22-01 HCB Medicaid and Care Planning
- INFO 11-22-02 HCBS Referral Training for Providers and Online Referral Form Training
- INFO 11-22-01 Home and Community Based Services Policy Clarification Questions (PCQ's) Updates
- INFO 10-22-01 Electronic Visit Verification Value Based Payment Incentives
- INFO 09-22-02 HIPAA Compliance
- INFO 09-22-01 National Core Indicators – Aging & Disabilities Staff Stability Survey
- INFO 07-22-01 COVID-19 Flexibility Amendments
- INFO 06-22-01 CyberAccess & HCBS Web Tool Web Browser Update – Action Required
- INFO 04-22-03 E-mail Encryption Reminder
- INFO 04-22-02 Missouri's Money Follows the Person (MFP) Program Updates
- INFO 04-22-01 Type 27 Provider Reassessor Updates and Reminders
- INFO 03-22-01 CyberAccess & HCBS Web Tool Web Browser Information
- INFO 01-22-02 COVID-19 Home and Community Based Services Flexibilities Reinstated
- INFO 01-22-01 COVID-19 State of Emergency Termination
HCBS Memos
2025
HCBS 07-25-01 Home and Community Based Services (HCBS) Policy Revisions
HCBS 06-25-02 FY 26 Cost Maximum Adjustment and Rate Change for SFCW and Home Delivered Meals
HCBS 06-25-01 HCBS Assessment Attestation Form and Participant Choice Statement Form
HCBS 05-25-01 Home and Community Based Services (HCBS) Policy Updates
HCBS 04-25-01 Medicaid Income Information Update
HCBS 03-25-01 APC, CDS and RCF/ALF Personal Care Policy Updates
HCBS 02-25-02 DMH and HCY Service Coordination Policies Updates
HCBS 02-25-01 Case Notes Documentation Policy Update
HCBS 01-25-01 Policy Updates for Not Attending Scheduled Inital Assessment
2024
HCBS 12-24-01 Medicaid Income Information Update
HCBS 11-24-01 Policy 4.15 Assessment Process Update
HCBS 10-24-01 Rights and Responsibilities and Legal References for Adverse Action Updates
HCBS 09-24-02 Explanation of the Level of Care Determination Update
HCBS 09-24-01 Case Notes Documentation Update
HCBS 07-24-01 HCBS Policy Revisions to Reflect Implementation of the FY25 Budget
HCBS 06-24-02 Updates to Introduction and Legal Authority
HCBS 06-24-01 3.60 Structured Family Caregiving Waiver
HCBS 05-24-03 SFCW Diagnosis Verification Form Update
HCBS 05-24-02 Medicaid Income Information Update
HCBS 05-24-01 Updates to 2.00 Medicaid Eligibility Policy
HCBS 02-24-02 Home and Community Based Services Policy Manual Update
HCBS 02-24-01 Brain Injury Waiver
2023
HCBS 12-23-02 Updates to Adverse Action and Appeal Hearing Policies
HCBS 12-23-01 Update to 3.10 Advanced Personal Care-Non-injectable medications
HCBS 09-23-02 Participant Communication Reason for Contact Update
HCBS 09-23-01 Updates to Participant Choice Statement Forms and Instructions
HCBS 08-23-01 Provider Reassessment Process Policy Update
HCBS 07-23-05 Updates to Abbreviations 1.05
HCBS 07-23-04 Update to 3.20 RCF/ALF Personal Care-State Plan (Agency Model)
HCBS 07-23-03 Correction to the Consumer Directed Services Worksheet
HCBS 05-23-03 Provider Reassessment Process Policy Update
HCBS 05-23-02 Medicaid Income Information Update
HCBS 05-23-01 New HCBS and Program of All-Inclusive for the Elderly (PACE) Coordination Policy
HCBS 04-23-02 Updates to HCBS Rights and Responsibilities
HCBS 04-23-01 SMH Options Counseling Transition Coordination Contractors Map Update
HCBS 03-23-01 Additional Updates to the Provider Reassessment Process Policy
HCBS 02-23-02 Updates to Index and Chapter 7 Show-Me Home Policies
HCBS 02-23-01 New Links for Online Referrals and Requests
HCBS 01-23-04 Update to Notice of Closure Form
HCBS 01-23-03 Update to Respite Care - Aged and Disabled Waiver
HCBS 01-23-02 Facility Discharge Referrals and HCBS Online Referral Form
2022
HCBS 12-22-02 Index, Chapter 4 Introduction and Provider Reassessment Process Policy Updates
HCBS 12-22-01 Home and Community Based Service Policy Manual Chapter 4 Updates
HCBS 08-22-04 Provider Reassessment Process Updates
HCBS 08-22-03 SFCW Policy and Form Updates
HCBS 08-22-02 Healthy Children and Youth (HCY) Service Coordination
HCBS 08-22-01 Intake Policy Updates
HCBS 07-22-03 RCF/ALF Participant Choice Statement Form and HCBS Assessment Attestation Form Updates
HCBS 07-22-02 Provider Reassessment Process Policy Update
HCBS 06-22-01 PCCP Form Enhancements - Attestation and Instructions
HCBS 04-22-02 Person Centered Care Plan (PCCP) Form Enhancements
HCBS 04-22-01 MFP Options Counseling/Transition Coordination Contractors Map Update
HCBS 03-22-02 Medicaid Income Information Update
HCBS 03-22-01 Update to 4.00 Appendix 2a Participant Choice Statement
HCBS 02-22-02 Revisions to HCBS Policy 8.05 – Participant Case Records
HCBS 02-22-01 Adverse Action Policy and Legal References for Adverse Action Updates
HCBS 01-22-02 Medicaid Income Information Update - CORRECTION