Information for Service Providers

This area of the Division website offers information regarding core areas of interest to potential and existing contracted providers.

Provider Portal

• Intent to Terminate Community Services
• Residential Oversight RN Vacancy/Hire Reporting

Provider Enrollment

• Division Directive 5.060 Enrollment of New Providers
• Provider Enrollment FAQ
• Navigating the DD Provider Enrollment Process
• Application A
• Application B
• POS Contract
  • Value Based Payment Contract Amendment
• Organizational Changes FAQ
  • Instructions to reduce 85 and NPI numbers

Forms & Manuals

• Service Manuals
  • ISL Manual
  • Shared Living Manual
    • Shared Living Rate Determination Form
  • Waiver Manual
  • POS Manual
• Staff Implementation Manuals
  • Degreed Professional Manager Manual
  • Residential RN Manual
  • Medication Administration Program Manual
  • Medication Aide 2 year Update Manual
  • Missouri Quality Outcomes
  • Positive Behavior Support Guidelines and Information
• ISP Guide
• Community Transition Manual
• Program Forms
  • Initial SIS Request Form
  • ISL Budget Form
  • ISL Staffing Pattern (3 Person)
  • ISL Staffing Pattern (4 Person)
  • ISL Environmental Site Review
  • ISL and Shared Living Variance Reporting
• Health and Safety Forms
  • Abnormal Involuntary Movement Scale (AIMS)
  • Bowel Chart
  • RN Oversight Delegation Of Specified Nursing Task
  • RN Oversight Monthly Health Summary
  • RN Oversight Monthly Service Log
  • RN Oversight Directives for Action To Be Taken
  • Controlled Substance Count Sheet
  • Alternative to CPR Order
  • Death Notification Form
  • DNR Order
  • Doctor's Statement of Terminal Condition
  • Drug Destruction Record
  • Immunization Record
  • Medication Administration Record (Sample)
  • Medication Aide 2 Year Update Training
  • Menses Record
  • Personal Safety Assessment Tool
  • Physician or Service Consultation Report and Request
  • Physician's Orders
  • Seizure Record
• Sample Program Forms
  • ISL Ledger
  • Petty Cash Ledger
  • Personal Spending Ledger
  • Adaptive Equipment Maintenance Log
  • Fire Safety Checklist
  • Professional Manager Log 
  • Tornado Safety Checklist
  • Vehicle Condition Sheet

Provider Memo's

Out-of-Home Respite Memo

Distribution of HCBS Enhance Spend Plan Rate Increases-October 1, 2021

Implementation of Waiver Service Changes in Response to Centers for Medicare and Medicaid Services (CMS) Waiver Renewal Approvals- October 21, 2021

Office of Licensure and Certification

The Office of Licensure and Certification provides regulatory oversight to Department of Mental Health providers. This oversight is carried out in order to license or certify facilities or programs that provide services to consumers. Monitoring ensures providers maintain compliance with applicable state and federal standards and remain consistent with the Department of Mental Health’s vision, principles of practice, and values.

More Licensure and Certification Information

Business Acumen

Visit Business Acumen

Directives, Regulations, and Guidelines

• Division of Developmental Disabilities Guidelines
• Division of Developmental Disabilities Directives (Division Directives)
• Department of Mental Health Operating Regulations (DORS)
• Code of State Regulations (CSR)
• Missouri Revised Statutes - (RSMo)

Resources and Training

• DMH Exceptions Committee Training - This is a 30 minute training answering common questions about employee eligibility as related to individuals with criminal convictions.
• Abuse and Neglect Training has been moved to the Relias training platform.  To create a Relias account or access your account, go to: 
  https://moddcontent.training.reliaslearning.com/  After creating or logging into your Relias account you may browse Elective Courses.  To find the MO Abuse/Neglect—Identification, Reporting, Prevention training you may Browse by entering MO Abuse or 960785 in the Browse Elective Courses field. 
• “Observe, Report, & Record” is a training package for Direct Care Staff. It contains a power point presentation a workbook and test and evaluation. Answer keys may obtained from your local Regional Office QE RN’s. Providers are encouraged to utilize this free resource to better prepare staff in early recognition, reporting, and documenting medical concerns.
• Division of DD Event Report
  • DD Event Reporting & Critical Events
  • Division of DD Event Reporting Notes
  • EMT Direct Entry Trouble Shooting
  • CIMOR EMT Main Search Screen
  • Entering Event Detail Modules
  • Entering Provider Event Follow Up Actions
• Implementation Strategies FAQ
• Encrypted Email-Tip Sheet for using Proofpoint
• Pre-admission Screening and Resident Review (PASSR)