The links on this page include regulations, waivers and other guidance issued by the Missouri Department of Health and Senior Services and other Missouri agencies affecting health care providers in Missouri in response to the coronavirus pandemic.
See DHSS Waivers of Laws and Rules for a more complete listing of all waivers related to COVID-19 related to Health Care Providers.
6.05.20 | Missouri Board of Pharmacy Waiver Update (Some Waivers Extended until September 1, 2020)
4.24.20 | Waivers Extended Until June 15, 2020
4.14.20 | Waivers Related to Residential Care Facilities. Allows individuals who have completed a nurse education program but who have not yet taken the nurse exam to administer certain medications or insulin injections to patients.
4.09.20 | MO HealthNet Cost Reports Public Notice & Order. Suspends 13 CSR 70-10-015(10).5 and .6 to allow the MO HealthNet Division to accept cost reports past the regulatory due date without penalizing a nursing facility provider.
4.06.20 | Waiver Providing Increased Access to Delivery of Health Care by Assistant Physicians and Physician Assistants. These temporary waivers will allow a collaborating physician and physician assistants and/or assistant physicians to practice over 75 miles of one another.
4.03.20 | Waiver of Laws Related to Nurse Assistant Training Program. Various regulations contained in 19 CSR 30-85.010 and Section 198.082.1 and 4 are waived with respect to the Nurse Assistant Training Program, including requirements on the number of required classroom training hours and the number of supervised on-the-job training hours.
4.02.20 | Waiver of Certain Hospital Inspections and Investigations. This describes the temporary suspension of all state licensure inspections and investigations of hospitals, with the exception of those necessary to maintain public health and safety and those considered to be immediate jeopardy situations, during the declared emergency period.
4.02.20 | Waivers Related to Trauma, Stroke and STEMI Designated Hospitals. This waiver suspends Missouri Department of Health and Senior Services designation reviews required for trauma, stroke, and STEMI designated hospitals and allows applications to be sent in after the required time in order to free up hospital resources to respond to COVID-19; other waivers suspend certain other regulatory requirements.
4.01.20 | Waiver Related to APRN Restrictions Amid COVID-19. This waiver allows advanced practice registered nurses and physicians to have increased flexibility to collaborate to meet rising staffing demand.
3.31.20 | Waivers Relating to the Bureau of Narcotics & Dangerous Drugs. These waivers relate to temporary health care facilities operation, pharmacies dispensing emergency supply of controlled substances, and annual inventory by Missouri controlled substances registrant.
3.27.20 | Missouri Department of Health and Senior Services, Waiver of Deadline for Hospital Annual Survey Data (new deadline of August 30, 2020).
3.25.20 | State of Missouri Section 1135 Waiver Approval. Section 1135 waiver approvals relate to Provider Enrollment, temporary suspension of Medicaid fee-for-service prior authorization requirements; extension of pre-existing authorizations for which a beneficiary has previously received prior authorization through the end of the public health emergency; provisions of services in alternative settings; temporary delay in scheduling of Medicaid fair hearings and issuance of fair hearings decisions during the emergency period; and certain State Plan Amendment processes.
3.20.20 | Missouri Department of Health and Senior Services, Waivers of Hospital Licensure Regulations. Hospital licensure regulations are waived with respect to 19 CSR 30-20.015(5) granting six-month extension of any hospital license scheduled to expire during declared emergency period and allowing hospitals to exceed their licensed bed capacity; 19 CSR 30-20-015(2), allowing hospitals to establish alternative screening sites of care in remote locations and place inpatients in non-licensed patient areas; 19 CSR 30-20-030, related to applicable construction standards to all alternative screening and treatment sites; and 19 CSR 30-20-050, to create capacity to treat patients with higher acuities relating to the operation of long-term care units within a hospital and waiving staffing ratio requirements in a designated long-term care unit.
3.18.20 | Missouri Executive Order 20-04. This Order suspends provisions of subsections 1 and 4 of section 344.108, section 191.1146, and 20 CSR 2220-020(11) relating to telemedicine and pharmacology for telemedicine, to allow physicians licensed under Chapter 334, RSMo, to decrease the risk of exposure to both healthcare providers and patients.
3.23.20 | Joint Statement From the Missouri State Board of Registration for the Healing Arts and the Missouri Board of Pharmacy. This statement includes recommendations to prevent drug shortages of hydroxychloroquine, choroquine and azithromycin for both prescribers and pharmacies.
6.17.20 | Missouri Department of Social Services Order. This order suspends certain regulations to preserve a participant’s eligibility for the Temporary Assistance program and remove Temporary Assistance work activity requirements to preserve coverage for participants
6.12.20 | Executive Order 20-12 – extends State of Emergency to December 30, 2020
5.28.20 | Economic Reopening Order of Director of the Department of Health and Senior Services – effective June 1 through June 15
4.30.20 | Missouri State Board of Registration for the Healing Arts, Emergency Rule on Temporary Licensure of Graduate Medical Students – effective May 15, 2020 through November 10, 2020
4.27.20 | Economic Reopening Order of Director of the Department of Health and Senior Services – effective May 4 through May 31, 2020
4.24.20 | Executive Order 20-09. This order extends State of Emergency until June 15, 2020.
4.03.20 | Missouri Stay at Home Order. This is effective 04/06/2020 through 04/24/2020.
3.25.20 | Blind Pension Public Notice & Order. This preserves a participant’s eligibility and coverage for the Blind Pension program by waiving certain requirements.
3.23.20 | Hospital to Facility Transfer – COVID-19
PPE Resource Request Process (issued by Missouri Department of Health and Senior Services).
Health Care Workers
6.03.20 | Antigen Testing for COVID-19
5.18.20 | Congregate Facility Reporting to DHSS. This resource provides instructions on reporting when a positive PCR test is found on a resident or staff member who was physically at the facility
4.17.20 | Changes to the MO HealthNet Division’s Home Health Program. This resources changes affect plans of care and certifying/recertifying patient eligibility, initial assessments being conducted remotely, online visits for HHA aide supervision, and information for occupational therapists.
4.02.20 | 2020 MO HealthNet Provider Hot Tips. This resource contains several provider tips related to COVID-19, including private duty nursing, radiology, teledentistry, e-prescribing, and more.
3.23.20 | Telehealth Provider Bulletin
Missouri Guidance for Dental Professionals. This guidance is from the Office of Dental Health on providing care to Missourians and protecting patient and provider safety.
3.13.20 | Memo from DHSS to All Missouri Long-Term Care Facilities (regarding COVID-19 response in facilities and visitor restrictions).