Guidelines

Guidance on various topics from the Division of DD Directors' Office.

Guidance Description Created/Reviewed

#1 This guideline is no longer effective

#2 Guidelines for Contract Termination 

Created 3-30-11; Reviewed 10-4-11, 5-30-12, and 8-9-13; Reviewed 3-6-14, Reviewed 2-19-16, Revised 6-2-17, Revised 11-20-17

#3 Group Home Staffing

created 4-13-11; reviewed 9-13-11; reviewed 7-3-12; reviewed 7-15-13; reviewed 7-10-14, reviewed 3-3-16

#4 Coordination of HCB State Plan and Waiver Services-This guideline has been rescinded.  Information is now available in the DD Waivers Manual and DHSS Process for Referring Individuals for State Plan Personal Care.  

created 4-13-11; reviewed 11-2-11; revised 8-22-12, revised 10-18-13

#5 Water Temperatures for Residential Programs

created 4-22-11; revised 1-27-12; reviewed 1-29-13, Rescinded 2019

#6 Exceptions to Waiver Cost Caps - Converted to Procedure 4A

created 7-5-11; revised 10-3-11; revised 8-17-12; revised 10-7-13; revised 7-1-14, revised 11/12/15, revised 3/20/18

#7 Out of State Referrals for Nursing Facility Placement

created 7-7-11; reviewed 12-8-11; reviewed 12-7-12; reviewed 12-11-13, reviewed 4-6-16, reviewed 8-22-18

#8 Transition Guidelines

created 7-19-11; reviewed 12-28-11; revised 6-8-12; reviewed 5-3-13, revised 5-6-14

#9 Guidelines for Targeted Case Management Reviews

created 8-9-11; revised 9-15-11; reviewed 2-16-12; reviewed 7-19-12; revised 12-11-12; revised 5-29-13; reviewed 6-9-14, reviewed 3-3-16

#10 Fire/Safety Inspection Requirements-The guideline has been rescinded.  For more information, see 9 CSR 45-5.105, 110, 130 or 140.  

created 9-8-11; revised 9-23-11 and 2-14-12; reviewed 8-12-13; revised 9-10-14

#11 Implementation Guidelines for all 5 Waivers: Comprehensive; Support; Partnership for Hope (PfH); Autism; and Missouri Children with Developmental Disabilities (MOCDD)

Please see the DD Provider Waiver Manual for the information

created 9-15-11; revised 7-31-12; revised 7-17-13, revised 5-20-14

#12 Coordination of Health Home, DD TCM, and Waiver - This guideline is retired.

Additional information is available at: https://dmh.mo.gov/mental-illness/provider/health-care-home.

created 12-28-11; revised 1-18-12; revised 8-22-12; revised 12-18-12; revised 12-20-13

#13 Group Home Development Guidelines

created 12-28-11; reviewed 5-30-12, reviewed 9-12-13; reviewed 9-15-14, reviewed 3-3-16, revised 3-28-16

#14 Guidelines to Manage TCM Changes - Rescinded

created 1-23-12; reviewed 7-11-12; reviewed 12-13-13, reviewed 3-3-16, Rescinded

#15 Rate Allocation Score (RAS) Review Process

created 3-27-12; reviewed 4-19-13, revised 3-4-14, revised 12-8-21

#16 Medicaid Eligibility and Spend Down

created 3-28-12; revised 6-8-12; revised 8-22-12; revised 6-3-13, revised 6-9-14

#17 Rate Development and Service Authorizations for Out-of-Home Respite -1/4 Hour and Temporary Residential Services - 1/4 Hour - Rescinded due to rate standardization 10-14-22

created 3-28-12; revised 4-25-12; reviewed 4-3-13, revised 4-16-14

#18 Discharge and Inactivation

created 4-6-12; revised 7-6-12; reviewed 6-10-13, reviewed 3-10-16

#19 Utilization Review Committee (UR) Timelines

created 4-20-12; reviewed 4-22-13; reviewed 4-9-14

#20 Intake and Eligibility Responsibility for Transient or Out-of-Home Placement

created 5-30-12; reviewed 4-29-13; reviewed 4-9-14, reviewed 3-10-16

#21 This guideline has been combined with Guideline 11

#22 Consumer Banking - Converted to Division Directive 5.101

created 6-25-12; reviewed 8-26-13; revised 6-18-14

#23 Transition of Adult Day Health Care from State Plan to Home and Community-Based Waiver-retired 2014

created 7-2-12; revised 1-8-13; Completed June 30, 2013, retired 2014

#24 TCM-Transfer of Case Responsibility

created 7-26-12; reviewed 8-27-13; reviewed 8-27-14; retired 2020

#25 Assistive Technology Guidelines and Referral Form

#25 AT Fillable Form 

Created 8-1-12; Reviewed 7-8-13, Reviewed 4-2-14

#26 Wait List Process

created 8-20-12; revised 7-15-13; revised 3-7-14, revised 1-23-17

#27 Guidelines for developing interdivisional agreements between Children's Division and Division of DD

created 8-29-12; revised 8-9-13, revised 9/1/15, reviewed 2/26/20, Revised 5/23/24

#28 Managing Medicaid Spend Down Amounts

created 8-29-12

#29 Support Coordination Security and Set Up

created 12-6-12, reviewed 4-8-14

#30 Support Coordinator Manual Revision: SC Roles and Responsibilities for Mo. Autism Projects

created 1-29-13; reviewed 2-11-14

#31 Priority of Need Assessment--Scoring Guideline During Emergency Supports

created 2-22-13; reviewed 1-13-14

#32 MoHealthNet Applications for Youth Approaching 18th Birthday

created 3-4-13, revised 6-24-14, revised 5-16-17, revised 1-17-19, updated 2-25-20

#33 PON Critical Service Situation Guidance

created 4-2-13, revised 3-7-14

#34 Resolution of Disputed PON Scores

created 6-12-13

#35 Professional Assessment and Monitoring

created 8-9-13, Retired 2/13/20

#36 Transition Ages Reference Guide

created 12-9-13

#37 ISL Budget Guidelines - Converted to ISL Services and Budget Manual

#38 Health and Safety: Emergency, Evacuation and Safety Planning (EESP) - This has been retired. This information was replaced by the Health and Safety section of the ISP Guide.

created 2-6-14

#39 Training Requirements for MOCABI and Vineland Administration

created 3-4-14, Revised 4-4-18, Revised 12-7-20

#40 Emergency Procedures

created 6-25-15

#41 Travel Policy for Regional Offices and State Operated Programs 

created 6-18-15

#42 New Employee Orientation

created 6-22-15, revised 6-24-20

#43 Employee Recognition Selection of Employee of the Month/Quarter-Covered Under Guideline #78

created 6-22-15

#44 Use of Personal Cell Phones-Covered In Employee Handbook

created 6-22-15

#45 Tardiness-Covered In Employee Handbook

created 6-22-15

#46 Sign in-Sign out Policy

created 6-22-15

#47 Personal Appearance of Employees

revised 9-5-17

#48 Smoking Policy

created 6-22-15

#49 Weather Precautions for Extreme Heat and Extreme Cold - Will be moved to a State Operated Programs policy

created 8/3/15-rescinded 10-12-17

#50 New Employee Orientation Training and Procedures for Habilitation Center Campuses and State Operated Waiver Programs-Moved to SOP Policy File

created 8/3/15

#51 Annual Training and Procedures for Habilitation Center Campuses and State Operated Waiver Programs-Moved to SOP Policy File

created 8/3/15

#52 Employee Recognition-Selection of Employee of the Year-Covered Under Guideline #78

created 8/3/15

#53 Determination of Recommended Time on the DMH Employee Disqualification Registry (EDR)

created 8/3/15

#54 Quality of Services Review

Created 7/8/15, Reviewed 7/1/16, Reviewed 8/18/17, Reviewed 7/17/18, Updated 8/19/19, Updated 8/1/20, updated 5/26/21; updated 5/25/22

#55 Provider Relations Review

created 11/1/15, revised 11/13/18

#56 Quality of Services Focus Review

created 10/30/15, reviewed 8/18/17, reviewed 7/17/18, updated 11/9/20

#57 Access to Individual Funds Policy and Procedures for Habilitation Center Campuses

created 2/16/16 - Moved to State Operated Programs Policy effective 3-1-18.

#58 Individual Support Plan Review - Converted to Guideline 61

created 5/27/16 from division directive 4.060

#59 Notification Procedures for Individuals Residing with Registered Sex Offenders in Department of Mental Health Funded Placement

created 5/25/16, revised 8/19/16, revised 5-10-18

#60 Overtime Policy

created 9/2/16

#61 Individual Support Plan Review

created 10/20/16

Guideline #62-Disabled

Guideline #63-Disabled

#64-Self-Directed Services Review Policy (Provider Relations)

created 11/1/15; Revised Jan 1, 2019

#65 Waiver Slot Notification Process

created 4/21/17

#66 Provider Bulletin Process

effective 7/1/17

#67 Transition Monitoring Guideline

effective 11/1/17, revised 2/7/19, revised 7/9/19; revised 1/12/22

#68 DD Inquiry Process for Abuse/Neglect/Misuse of Consumer Funds & Property

Consumer Funds & Property effective 11-3-17, revised 1-14-21

#69 CIMOR EMT Processing Event Report Forms and Electronic Event Entries

effective 12-12-17, Revised 11-25-20, 8-10-21, 2-23-22

#70-Funeral Expenses

#71-Regional Office Reporting to MMAC - Moved to Procedure 12A

Moved to Procedure 12A

#72-Children's Division/Division of Developmental Disabilities Waiver Eligibility Guideline

effective 4-2-18

#73 Designation of Acting Regional Director 

effective 7-1-18

#74 Level of Care Annual Redetermination Remediation Process

effective 7-1-18

#75 Processing Contacts from DMH Office of Constituent Services

created 12/11/18; updated 11/9/20

#76 Single ISL Services

created 3/1/19

#77 Health Identification and Planning System (HIPS) Process-Regional Office QE Nurse Reviews /Focus Reviews

Created 8/28/19; updated 11/2020

#78-Telecommuting, Other Work Schedules and Incentives Application 

Created 11-1-19; revised 6-2-21

#79 Quarterly Quality Enhancement Plan Meeting

Created 3/1/20; revised 6-9-20; revised 5-18-21; revised 4-26-22

#80 Residential RN Oversight Orientation Training and Monitoring - converted to Procedure 12B and 12C

Created 5-15-20;

#81 Utilization Review (UR) Monitoring Guideline

Created 9/21/20; not implemented

#82 Developmental Disabilities (DD) Services for Family Members of Military Personnel 

Created 1-14-21

#83 Behavioral Risk Rationale, Assessment Methodology and Review Process

Created 4-29-21

#84 Behavior Support Review Committee (BSRC) Timelines and Requirements

Created 4-29-21

#85 Review and Discontinuation of Prohibited Procedures

Created 9-8-21

#86 - Health Assessment and Coordination Services Procedure

Converted to Procedure 86.  

Created 7-1-22