This page provides the most current information and will be continuously updated as federal and state guidance becomes available.
- DD Operation/Provider Specific Guidance
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- COVID-19 Flexibility Authority Chart
- Face-to-Face Visits Guidance posted 3-17-20; 4-14-23
- UPDATED Waiver Rule Exceptions and Operational Changes posted 4-15-20; updated 4-16-20; 4-14-23
- Waiver Rule Exceptions and Operational Changes posted 3-20-20
- Home Delivered Meals in Response to COVID-19 Appendix K posted 5-11-20; updated 5-15-20
- Provider Enrollment Form for Home Delivered Meals posted 5-11-20; updated 7-14-20
- Suspending On-site Surveys for DMH OLC Due to COVID-19 posted 3-23-20; 4-14-23
- Appendix K (Expires 11/11/23)
- Appendix K Addendum - October 11, 2023
- CMS Appendix K Approval Letter - October 11, 2023
- Appendix K Addendum – October 6, 2022
- CMS Appendix K Approval Letter - November 18, 2021
- Appendix K Addendum - November 18. 2021
- CMS Appendix K Approval Letter - August 13, 2021
- Appendix K Addendum - August, 2021
- Appendix K Submission Cover Letter - May 26, 2021
- CMS Appendix K Addendum - May 26, 2021
- CMS Appendix K Approval Letter - January 19, 2021
- Appendix K Addendum - January 19, 2021
- CMS Appendix K Approval Letter - October 29, 2020, posted 10-30-20
- Appendix K Addendum - October 29, 2020, posted 10-30-20
- CMS Appendix K Approval Letter - May 22, 2020, posted 5-22-20
- Appendix K Addendum - May 22, 2020, posted 5-22-20
- Appendix K Submission Cover Letter - April 10, 2020, posted 4-15-20
- Appendix K - submitted April 20, 2020, posted 4-15-20
- Appendix K Addendum - October 11, 2023
- Federal Approval of State of Missouri 1135 Waiver Request Approved 3-26-20 posted 5-18-20
- Missouri's Disaster Relief State Plan Amendment 20-0020 effective 3-1-20
- Medicaid Eligibility FAQ posted 4-13-20
- DSS Public Notice and Order posted 4-6-20
- SSA Representative Payees Regarding Grocery and Household Supply Purchases posted 4-2-20
- Expired DD Operation/Provider Specific Guidance
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- Reopening Guidance for Group Homes Supporting Eleven or More People per Site posted 7-22-20; updated 8-3-20; 4-14-23
- Appendix A-Status Tracker posted 8-3-20
- Guidance for Annual Individual Support Plan (ISP) Process during the COVID-19 State of Emergency posted 5-21-20; 4-14-23
- ISP Planning, Monitoring and Review posted 3-19-20; updated 4-1-20; updated 7-1-20; 4-14-23
- Appendix A-Guide for Preplanning Call updated 8/11/20
- DMH DD IQMFD Entry for COVID-19 posted 4-1-20
- Self-Directed Supports Exceptions and Changes posted 3-25-20; updated 4-23-20; 4-14-23
- MOCABI Certification during COVID-19 posted 4-6-20; 4-14-23
- COVID-19 Guidance for Provider Review Modification and Fiscal Review for Purchase of Service (POS) and Individual Funds Suspension posted 1-6-21; 4-14-23
- Waiver Rule Exceptions regarding Hospital Supports in Response to COVID-19 -Appendix K posted 6-15-21; 4-14-23
- Emergency Process for SIS, Vineland, ABES and MOCABI Assessments and Level of Care Determinations posted 3-23-20; updated 4-9-21; 4-14-23
- Reporting of Disruption of a DMH DD Contracted Service Due to COVID-19 posted 3-23-20; 4-14-23
- Alternative Process for Quality of Services Reviews, NCI In-Person Surveys, and Focus Reviews via Remote Technology posted 3-19-20; revised 4-9-20; revised 9-11-20; revised 4-22-21; 4-14-23
- Provider Relations and TCM TAC Return to the Field Monitoring Guidance posted 3-19-20; updated 6-25-20; updated 4-1-21; updated 4-9-21; 4-14-23
- Utilization Review
- Resuming Expedited Utilization Review posted 9-9-21; 4-14-23
- Cessation of Expedited Utilization Review (Expedited UR) posted 6-15-21
- Resuming Expedited Utilization Review (Expedited UR) posted 12-28-20
- Cessation of Expedited Utilization Review (Expedited UR) posted 9-16-20
- Utilization Review (UR) Process Changes Necessitated by the COVID-19 State of Emergency posted 3-24-20
- Expedited Service Change Request posted 3-24-20
- Expedited Services Change Request (word version)
- Clarification for UR Process Changes posted 3-30-20
- Residential Service RN Oversight posted 3-18-20; updated 4-8-20; updated 4-20-21; 4-14-23
- CPR, First Aid, and DMH Med Aide Recertification posted 3-26-20; updated 4-22-20; 4-1423
- Appendix A—CPR and First Aid List posted 4-6-20
- Appendix E—Med Aide Contacts posted 4-6-20; updated 4-10-20; updated 4-16-20; updated 5-12-20
- Initial Certification for CPR, First Aid, and Med Aid posted 4-6-20; updated 4-7-20; updated 4-21-20; updated 5-22-20; 4-14-23
- Appendix A—CPR and First Aid List posted 4-6-20
- Appendix B—Instructions for Online Testing and Certification posted 4-6-20
- Appendix C—Med Aide Practicum Evaluation posted 4-6-20; updated 4-27-20
- Appendix D—Med Aide Remote Class Roster posted 4-6-20; updated 4-21-20; updated 4-27-20
- Appendix E—Med Aide Contacts posted 4-6-20; updated 4-10-20; updated 4-16-20; updated 5-12-20
- Guidance for DMH DD Agencies to Develop COVID-19 Guidance posted 8-7-20; 4-14-23
- Interim Guidance for Transitioning Group Home, Individualized Supported Living and Shared Living to the Home of a Caregiver posted 4-22-20; 4-14-23
- Guidance for Family Members as Paid Caregivers posted 4-23-20; 4-14-23
- QE RN Health Identification and Planning posted 3-30-20; updated 4-21-21; 4-14-23
- Alternative Method for Conducting Due Process Review Committees posted 3-19-20; 4-14-23
- Due Process—Limitation of Rights posted 3-27-20; 4-14-23
- Telehealth Delivery of HCBS Waiver Services posted 3-30-20; updated 4-1-20; updated 4-9-21; 4-14-23
- Individualized Service Planning posted 5-1-20; updated 5-11-20; 4-14-23
- Appendix A: Emergency Backup Plan Tool posted 5-1-20
- Appendix B: Community Reintegration posted 5-1-20; updated 11-9-20
- Guidance for Employment Services, Service Settings, and Unemployment posted 3-24-20; updated 4-2-20; 4-14-23
- Reporting DD Service Participant with COVID-19 posted 3-30-20; updated 4-20-20; updated 7-1-20; updated 9-1-20; updated 9-29-20; updated 12-1-20; updated 7-22-21
- Monitoring Guidance posted 8-5-20; updated 3-26-21; updated 7-1-21; updated 7-14-21; updated 8-9-21; updated 8-18-21, updated 8-24-21; updated 10-1-21; revised 11-29-21; revised 1-21-22; revised 2-18-22
- Timeline for CARES Act Payments posted 10-20-20
- Provider Cares Act Funding Addendum posted 12-4-20
- Provider CARES Act Funding posted 7-23-20; updated 8-25-20; updated 11-19-20
- Provider Relief Funds and Changes to Paycheck Protection Program posted 6-25-20
- Inquiries for Complaints of Abuse/Neglect and Misuse of Funds/Property posted 3-19-20; updated 3-30-20; updated 7-1-20. This guidance document has been rescinded. See Guideline 68
- Reopening Guidance for Group Homes Supporting Eleven or More People per Site posted 7-22-20; updated 8-3-20; 4-14-23
- Archived General Information
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- Community Re-Engagement Plan posted 7-1-20
- Personal Protective Equipment (PPE) Updates posted 5-18-20
- Staff Gown Information posted 5-18-20
- Face Mask Information posted 5-18-20
- Reopening Service Delivery posted 5-1-20
- Guidance for Reopening Home and Community Based (HCB) Service Delivery posted 5-1-20
- Battelle Critical Care Decontamination System posted 4-27-20
- Missouri National Guard PPE Drop-off/Pick-up Sites posted 4-27-20
- Missouri COVID Supply Solution posted 4-27-20
- Instructions for the Missouri PPE Marketplace posted 4-27-20
- Interim Guidance for Community Service Providers during COVID-19 Outbreak posted 4-16-20
- DHSS Interim Recommendations for PPE Sterilization, Re-use, and Extended Use posted 4-11-20
- Guidance for Personal Protective Equipment (PPE) posted 3-24-20
- DHSS Status of PPE requests posted 3-24-20
- CDC Crisis Capacity Strategies for PPE posted 3-26-20
- State Employee Travel Guidance posted 3-20-20
- Guidance for Community Providers posted 3-19-20
- Guidance for Congregate Settings updated posted 3-19-20
- Appendix 1 Social Distancing posted 3-19-20
- Appendix 2 Self Quarantine updated 3-24-20
- Appendix 3 Self Isolation updated 3-24-20
- Appendix 4 Caregiver Guidance posted 3-19-20
- Appendix 5 Sample Visitor Form posted 3-19-20
- Provider Letter posted 3-17-20
- DHSS PPE Guidance posted 4-7-20
- Information Regarding Stimulus Checks Received by SSDI Recipients posted 4-23-20
- DMH Facility and Office Guidance
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- DMH Facilities and Offices Guidance Updated December 28, 2021 NOTE: This guidance is specific to DMH facilities and offices
- Vaccine Information
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- Vaccine Lottery Winnings Can Be put Toward MO ABLE Accounts
- Disability Information and Access Line (DIAL)
- State Adds Five Additional Language Options to Missouri Vaccine Navigator
- NCOA and Lyft Help Older Adults Get a Ride to COVID Vaccine
- Vaccine Hesitancy Among Adults with Disabilities-COVID-19 and Vaccine Survey Project
- Flu Vaccinations Rates for People with Intellectual and Developmental Disabilities, and What That Suggests About COVID Vaccinations
- News Release-Missouri Pauses J&J COVID-19 Vaccine Administration
- Get A Ride
- Missouri Seniors Vaccination Information
- COVID Vaccination Events
- CDC—Vaccinate with Confidence
- HRS COVID-19 Vaccination Information
- Vaccine Myth Buster video with Dr. Kimberly Thomas (scroll part way down the page for the video)
- Your Questions and Our Answers About The COVID-19 Vaccine For Direct Support Professionals
- COVID-19 Vaccine Dashboard
- The Facts About Covid-19 Vaccines for Direct Support Professionals
- COVID-19 Vaccination Video
- COVID-19 Vaccine Fact Sheet
- COVID-19 Vaccine Information
- Testing Information
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- BinaxNOW COVID-19 Ag Card Product Expiry Update
- BinaxNOW Testing for DMH Community Providers
- CDC: Testing for COVID-19
- MO Show Me Strong Recover Plan-Includes information pertaining to testing expansion in Missouri
- MO DHSS: COVID-19 Outbreak-This site includes:
- Link to Congregate Facility Reporting for Positive COVID-19 Case(s)
- COVID-19 testing reported to MO DHSS(updated daily)
- MO COVID-19 Dashboard
- MO testing site locations
- Missouri Hospital Association COVID-19 Resource Page-This site includes:
- Daily COVID-19 updates
- Regional COVID-19 Situational Awareness Updates
- Weekly Regional Dashboards
- MO DMH DD Residential Provider Testing Mailbox- Questions pertaining to DMH DD contracted residential service provider agency testing efforts may be submitted here.
- Resources and Videos
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- Long-haul COVID Information for DSPs, Nurses, and Health Care Providers
- Long-haul COVID Quick Reference Guide
- Long-haul COVID Information for Families and People with IDD
- NCI Data about the Impact of COVID
- Know Where to Get Your Care
- NCI Family Surveys COVID-19 Supplement Report
- Materials for People with I/DD and Care Providers
- We Can Do This
- COVID-19 Delta Variant Monitoring in Missouri
- Federal programs still providing assistance during COVID-19
- FEMA Releases Shelter-In-Place Pictogram Guidance
- Mind Over Matter: Strategies to Help Combat the Coronavirus Blues resource guide
- Mitigating the Threat of School Violence as the U.S. "Returns to Normal" from the COVID-19 Pandemic and Beyond
- Disaster Distress Helpline
- U.S. Department of Education Publishes New Q & A on Civil Rights and School Reopening in the COVID-19 Environment
- Food Insecurity In the Disability Community
- Emergency Broadband Benefit Program
- NADSP DSP COVID-19 Toolkit
- Missouri Plain Language Guide - COVID-19 Vaccine for Individuals with Intellectual and Developmental Disabilities, Their Families & Caregivers in Missouri
- COVID-19 Risk Mitigation Questionnaire
- HRST Health Passport
- Comprehensive listing of updated CDC guidance—more than 15 updated guidance documents have been posted since March 1, 2021
- COVID Anniversary video
- Georgia Tech’s Accessible COVID-19 Resources
- HRS Risk/Benefit Return to Activity Form
- Direct Support during the COVID-19 Pandemic Direct Support Professionals Survey
- COVID-19 Recovery Stories Project
- White House Task Force Report
- COVID-19 Observe! Decide! Act!
- Informative COVID Video
- NCI Bulletin: Data from the Adult Family Survey
- Return to Work & Community Activities Planning Tool
- MO PPE Manufacturing Directory
- DHSS Health Update: Discontinuation of Isolation for Persons with COVID-19
- NCI COVID-19 Bulletin: Data on Racial Disparities
- Recovery Story Project
- COVID-19 One-Stop Shop Toolkits
- First Responder Advocacy Training (FRAT)
- DHSS Long-Term Care Reopening Guidance
- COVID-19 Prevention Training
- Missouri PPE Manufacturers
- National Core Indicators COVID 19 Bulletin #3 Data on Family Experiences
- Institute for Community Inclusion (ICI) COVID-19 Publications and Resources
- CDC Key Points COVID-19 6-1-20
- Caregivers who support people with developmental disabilities.
- COVID-19 Webinar Series
- Community COVID-19 Sampling Events to be Conducted throughout Missouri
- Missouri COVID-19 Dashboard
- Relaxed Stay-at-Home Restrictions: Guidance for High Risk Populations (DHSS)
- MO HealthNet Provider COVID-19 Updates
- Directory of Local Public Health Agencies
- DSS Online EBT Purchases
- ACL COVID-19 information
- Mental Health First Aid for COVID-19 Online
- United Way 2-1-1
- Guidance for Cleaning and Disinfecting Public Spaces, Workplaces, Businesses, Schools, and Homes
- Missouri Chamber of Commerce’s Return To Work Guide for Businesses
- Plain Language Discussion of COVID 19
- Hospitalization Communication Guide for Individuals Who Use AAC Devices
- Hospitalization Communication Guide for Individuals Who Have Vision Loss
- Hospitalization Communication Guide for Individuals Who are Deaf Blind
- Successful Communication with People with Disabilities
- Tips for First Responders
- Shelter from the Storm: Supported Decision-Making and Emergency Planning
- How to Prepare for Coronavirus (COVID-19) and Influenza
- Safeguard Against Disability Discrimination During COVID-19
- Employment Service Provider COVID-19 Resource List
- NCI COVID-19 Bulletin
- NCI Data Highlight—Access to Cell/Smartphones
- DHSS Routine Cleaning Considerations for COVID-19
- Paid Sick Leave and Expanded Family and Medical Leave Under Families First Coronavirus Response Act
- U.S. Department of Labor Families First Coronavirus Response Act Q&A
- Business Encouraged to Seek Relief
- Having a Meaningful Day under Shelter in Place—Ohio Dept. of DD
- Resources for HCBS Waiver Technology Medication Administration Systems
- ECHO Autism Parent Resources During COVID-19
- DHSS Guidance on Hospice Care in Long Term Care Facilities
- CDC How to Discontinue Home Isolation & Return to Work
- Sick with COVID-19 CDC Guidance
- Spanish Plain Language Booklet on Coronavirus
- Plain Language Booklet on Coronavirus
- 2020 MO HealthNet Provider Hot Tips
- Centers for Medicare and Medicaid Services (CMS)
- Emergency Child Care
- Social Security and Coronavirus
- Department of Health and Senior Services - COVID-19
- MO HealthNet Diabetic Supplies
- MO HealthNet Pharmacy Early Refill
- Missouri Board of Pharmacy COVID-19 Rule Updates
- Preparing for Coronavirus (COVID-19) and Influenza: Free Online Training & Resources
- Missouri Department of Social Services COVID-19
- COVID-19 Coronavirus--Oregon DDS
- Cleaning and Sanitizing with Bleach after an Emergency
- How to Make Your Own Hand Sanitizer
- The Role of the DSP and the Coronavirus Webinar Recording
- Wash your Hands! And other tips to stay healthy this season
- COVID-19 Precautions & Preventative Measures (Updated link)
- Individuals and Families
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The Division works to provide up-to-date information through a variety of sources, which are posted for all stakeholders, including families and individuals.
Under the “DD Operation/Provider Specific Guidance” ribbon, families and individuals will find information about specific DD related programs and processes that have been adapted to accommodate changes related to COVID-19.
Under the “Resources and Videos” ribbon, families and individuals will find various links to valuable information including instruction on proper hand-washing techniques, cleaning and sanitizing efforts, links to pharmacy information, positive COVID-19 guidance, COVID-19 information by and for people with disabilities, childcare resources, and more.
The Division encourages families, individuals, and stakeholders to stay connected by signing up for e-mail notifications, and following both the Department of Mental Health and the Division through social media venues including Facebook and Twitter where updates and valuable is posted regularly.
Individuals and families can also stay connected to local county-based resources in your area for important announcements and updates, such as targeted case management entities, provider agencies, educational entities, local county health departments, and disability specific entities providing services.
Additional COVID-19 information targeted to various audiences, including families and individuals, can be found at:
- COVID-19 Information and Resources
- HRST Health Passport
- How to Create an Emergency Plan
- Department of Mental Health (DMH) Disaster Services
- Department of Health and Senior Service’s (DHSS)
- Missouri Developmental Disabilities Council (MODDC)
- Missouri Family-to-Family (MOF2F) for peer connections and resources
- Fact Sheet from the Administration on Community Living (ACL)
- Mental Health Considerations from the World Health Organization
- DHSS COVID-19 24-hour hotline: 1-877-435-8411
- If you need assistance in managing stress related to COVID-19, please call the Disaster Distress Helpline at: 1-800-985-5990 or text “TalkWithUs” to 66746
- Emergency Preparedness and Shelters
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Emergency Shelters are being developed to provide a safe, staffed location for individuals in the DD system to relocate to in case of a displacement due to COVID-19. The shelters can potentially be for an individual whose caregiver becomes sick or their staff are unable to provide care. The shelter can also be utilized for an individual to be quarantined due to being discharged from the hospital due to exposure or having tested positive for COVID-19.