This rule establishes the policy of the board of trustees in regard to review and appeals procedures for participation in, and coverage of services under, the Missouri Consolidated Health Care Plan.
Emergency
Title 22 - Missouri Consolidated Health Care Plan
Division 10 Health Care Plan
Chapter 2 State Membership
22 CSR 10-3.090
This rule establishes the policy of the board of trustees in regard to the Pharmacy Benefit Summary for the PPO 750 Plan, PPO 1250 Plan, Health Savings Account (HSA) Plan of the Missouri Consolidated Health Care Plan.
Emergency
Title 22 - Missouri Consolidated Health Care Plan
Division 10 Health Care Plan
Chapter 3 Public Entity Membership
12 CSR 10-23.350
Converted
Rescission
2/2/2026
Title 12 - Department of Revenue
Division 10 Director of Revenue
Chapter 23 Motor Vehicle
13 CSR 70-10.040
Converted
Amendment
2/4/2026
Title 13 - Department of Social Services
Division 70 MO HealthNet Division
Chapter 10 Nursing Home Program
16 CSR 50-2.080
Converted
Amendment
1/13/2026
Title 16 - Retirement Systems
Division 50 The County Employees' Retirement Fund
Chapter 2 Membership and Benefits
19 CSR 25-32.010
Converted
Rescission
2/2/2026
Title 19 - Department of Health and Senior Services
Division 25 Missouri State Public Health Laboratory
Chapter 32 Milk-Testing Laboratories
19 CSR 30-86.047
Converted
Amendment
1/22/2026
Title 19 - Department of Health and Senior Services
Division 30 Division of Regulation and Licensure
Chapter 86 Residential Care Facilities and Assisted Living Facilities
20 CSR 2117-2.080
Converted
Rescission
1/23/2026
Title 20 - Department of Commerce and Insurance
Division 2117 Office of Statewide Electrical Contractors
Chapter 2 Licensure Requirements
2 CSR 80-6.055
Laboratories which perform examinations of milk required by the "Grade A Pasteurized Milk Ordinance" and by the cooperative State-United States Public Health Service/Food and Drug Administration Program for Certification of Interstate ·Milk Shippers must be approved by the State Milk Board, which is the official agency for approval of milk-testing laboratories. This rule established up-to-date minimum requirements for laboratory approval, using the current recommendations of the federal Food and Drug Administration and the National Conference on Interstate Milk Shipments.
Proposed
1/29/2026
Title 2 - Department of Agriculture
Division 80 State Milk Board
Chapter 6 Requirements for the Missouri Dairy Law
12 CSR 10-110.990
Section 144.014, RSMo provides for a reduced tax rate for certain sales of food. This rule explains when the reduced rate applies.
Amendment
1/23/2026
Title 12 - Department of Revenue
Division 10 Director of Revenue
Chapter 110 Sales/Use Tax-Exemptions
12 CSR 10-110.601
Section 144.054.2, RSMo, exempts from state tax and local use tax, but not local sales tax, electricity, gas (natural, artificial, or propane), water, coal, and energy sources used or consumed in manufacturing, processing, compounding, mining or producing any product or used in research and development related to manufacturing, processing, compounding, mining or producing any product or in the processing of recovered materials. This rule explains when this exemption applies and how a taxpayer may claim the exemption at the time of purchase.
Amendment
1/28/2026
Title 12 - Department of Revenue
Division 10 Director of Revenue
Chapter 110 Sales/Use Tax-Exemptions
12 CSR 10-102.016
Section 144.190, RSMo permits a seller to file a claim for refund of an over-payment of sales or use taxes resulting from a mistake of fact or law and it permits a purchaser that is not able to obtain a refund of an over-payment of sales or use tax from the seller to file a claim for refund from the department. Section 144.100, RSMo requires a seller to file an amended return to file a correct an error or omission on a return. This requirement is in addition to the requirement that a refund application be filed. Section 144.746, RSMo allows the seller and the department to extend by agreement the time to file a claim for refund. Section 144.030.2, RSMo establishes special refund procedures for purchasers of domestic utilities under a non-domestic utility rate classification. This rule explains requirements for obtaining a refund or credit on overpayment of sales and use taxes.
Amendment
1/13/2026
Title 12 - Department of Revenue
Division 10 Director of Revenue
Chapter 102 Sales/Use Tax-Taxpayers Rights
16 CSR 50-2.035
This rule clarifies options of benefit payments available to members of the County Employees? Retirement Fund, the procedure for selecting such options, and the timing of benefit payments.
Amendment
1/14/2026
Title 16 - Retirement Systems
Division 50 The County Employees' Retirement Fund
Chapter 2 Membership and Benefits
16 CSR 50-2.050
This rule clarifies the process for certifying employment and salary figures upon separation from service for purposes of calculating retirement benefits in the future.
Amendment
1/13/2026
Title 16 - Retirement Systems
Division 50 The County Employees' Retirement Fund
Chapter 2 Membership and Benefits
2 CSR 80-5.010
This rule complies with section 196.945, RSMo to set inspection fees for Fiscal Year 2027 for milk produced on farms inspected by State Milk Board and milk
imported from points beyond the limits of routine inspection.
Amendment
Title 2 - Department of Agriculture
Division 80 State Milk Board
Chapter 5 Inspections
16 CSR 50-1.010
This rule complies with section 536.023(3), RSMo, which requires each agency to adopt as a rule a description of its operation and the methods and procedures where the public may obtain information or make submissions or requests. The County Employees Retirement Fund was created by an act of the legislature in 1994 and is governed by a board of directors as provided in sections 50.1010 and 50.1030, RSMo. The board is charged with administering and investing the funds of the County Employees Retirement Fund as provided by 50.1000ñ50.1200, RSMo.
Amendment
Title 16 - Retirement Systems
Division 50 The County Employees' Retirement Fund
Chapter 1 Organization and Operation of Board of Directors
23 CSR 10-3.015
This rule defines the administration of the Missouri National Guard Member Educational Assistance Program.
Proposed
Missouri Department of the National Guard
National Guard
Chapter 3--National Guard Member Educational Assistance Program
16 CSR 50-2.120
This rule describes the benefits available to the beneficiaries of participants who die before receiving a retirement benefit.
Amendment
1/13/2026
Title 16 - Retirement Systems
Division 50 The County Employees' Retirement Fund
Chapter 2 Membership and Benefits
16 CSR 50-20.050
This rule describes the limitations on deferral elections to the 457 Plan imposed by the Internal Revenue Code.
Amendment
1/13/2026
Title 16 - Retirement Systems
Division 50 The County Employees' Retirement Fund
Chapter 20 County Employees' Deferred Compensation Plan
16 CSR 50-10.050
This rule describes the timing and form of benefit payments from the defined contribution plan.
Amendment
1/13/2026
Title 16 - Retirement Systems
Division 50 The County Employees' Retirement Fund
Chapter 10 County Employees' Defined Contribution Plan
16 CSR 50-3.010
This rule describes what constitutes creditable service under the plan, and describes how such service may be purchased.
Amendment
1/13/2026
Title 16 - Retirement Systems
Division 50 The County Employees' Retirement Fund
Chapter 3 Creditable Service
16 CSR 50-2.090
This rule describes when a participant is eligible for unreduced retirement benefits under the plan.
Amendment
1/13/2026
Title 16 - Retirement Systems
Division 50 The County Employees' Retirement Fund
Chapter 2 Membership and Benefits
16 CSR 50-10.070
This rule describes when a Participant vests in his or her defined contribution plan account.
Amendment
1/13/2026
Title 16 - Retirement Systems
Division 50 The County Employees' Retirement Fund
Chapter 10 County Employees' Defined Contribution Plan
13 CSR 70-10.020
This rule establishes a reimbursement plan for nursing facility and HIV nursing facility services required by the Code of Federal Regulations. The plan describes principles to be followed by Title XIX nursing facility and HIV nursing facility providers in preparing and submitting cost reports and sets forth the principles and methodology for determining the reimbursement for nursing facility and HIV nursing facility providers. This rule provides for a rebasing of nursing facility and HIV nursing facility per diem rates using on a more current cost report year and incorporates acuity and value based purchasing adjustments in determining the per diem rate.
Amendment
Title 13 - Department of Social Services
Division 70 MO HealthNet Division
Chapter 10 Nursing Home Program
13 CSR 40-91.020
This rule establishes the guidelines for provision of vocational rehabilitation services to applicants and eligible clients as mandated by the Rehabilitation Act of 1973 (P.L. 93?112), as amended through 2020, 34 CFR 361 and 34 CFR 363. These services are authorized by sections 207.010, 209.010, and 209.020, RSMo.
Amendment
1/6/2026
Title 13 - Department of Social Services
Division 40 Family Support Division
Chapter 91 Rehabilitation Services for the Blind (RSB)
22 CSR 10-3.075
This rule establishes the policy of the board of trustees in regard to review and appeals procedures for participation in, and coverage of, services under the Missouri Consolidated Health Care Plan.
Emergency
Title 22 - Missouri Consolidated Health Care Plan
Division 10 Health Care Plan
Chapter 3 Public Entity Membership
22 CSR 10-2.089
This rule establishes the policy of the board of trustees in regard to the benefit provisions, covered charges, limitations, and exclusions of the pharmacy benefit for Medicare-primary members of the Missouri Consolidated Health Care Plan.
Emergency
Title 22 - Missouri Consolidated Health Care Plan
Division 10 Health Care Plan
Chapter 2 State Membership
22 CSR 10-2.090
This rule establishes the policy of the board of trustees in regard to the benefit provisions, covered charges, limitations, and exclusions of the pharmacy benefit for the PPO 750 Plan, PPO 1250 Plan, and Health Savings Account Plan of the Missouri Consolidated Health Care Plan.
Emergency
Title 22 - Missouri Consolidated Health Care Plan
Division 10 Health Care Plan
Chapter 2 State Membership
22 CSR 10-2.053
This rule establishes the policy of the board of trustees in regard to the Health Savings Account (HSA) Plan, benefit provisions, and covered charges of the Missouri Consolidated Health Care Plan.
Emergency
Title 22 - Missouri Consolidated Health Care Plan
Division 10 Health Care Plan
Chapter 2 State Membership
22 CSR 10-3.055
This rule establishes the policy of the board of trustees in regard to the Health Savings Account (HSA) Plan, Plan Benefit Provisions, and Covered Charges of the Missouri Consolidated Health Care Plan.
Amendment
Title 22 - Missouri Consolidated Health Care Plan
Division 10 Health Care Plan
Chapter 3 Public Entity Membership
9 CSR 30-6.010
This rule establishes the requirements for Certified Community Behavioral Health Clinic (CCBHC) to provide a comprehensive range of mental health and substance use disorder services to people with serious mental illness, serious emotional disturbances, long-term chronic addiction, mild or moderate mental illness and substance use disorders, and complex health conditions. CCBHC provide services regardless of an individual?s ability to pay, including those who are underserved, have low incomes, are insured, uninsured, Medicaid-eligible, and active duty U.S. Armed Forces or veterans.
Amendment
Title 9 - Department of Mental Health
Division 30 Certification Standards
Chapter 6 Certified Community Behavioral Health Organization
20 CSR 4240-10.035
This rule establishes the requirements governing the residential advanced meter and hub meter opt-out process in accordance with section 386.820, RSMo
Proposed
1/7/2026
Title 20 - Department of Commerce and Insurance
Division 4240 Public Service Commission
Chapter 10 Utilities
19 CSR 20-80.010
This rule establishes training standards relating to the office of county coroner.
Rescission
Title 19 - Department of Health and Senior Services
Division 20 Division of Community and Public Health
Coroner Standards and Training Commission
16 CSR 50-1.030
This rule explains the open records policy for the County Employees? Retirement Fund.
Amendment
1/13/2026
Title 16 - Retirement Systems
Division 50 The County Employees' Retirement Fund
Chapter 1 Organization and Operation of Board of Directors
16 CSR 50-20.120
This rule is intended as good faith compliance with the provisions of section 457(b) of the Code and is to be construed in accordance with such provisions and guidance issued thereunder.
Amendment
Title 16 - Retirement Systems
Division 50 The County Employees' Retirement Fund
Chapter 20 County Employees' Deferred Compensation Plan
20 CSR 2245-3.005
This rule prescribes the process for an individual to register as a trainee real estate appraiser and the rules governing the practice of real estate appraising by a trainee real estate appraiser.
Amendment
Title 20 - Department of Commerce and Insurance
Division 2245 Real Estate Appraisers
Chapter 3 Applications for Certification and Licensure
20 CSR 4240-10.165
This rule prescribes the requirements and prohibitions for HVAC services to be conducted regulated electrical corporations, gas corporations, and heating companies (covered utilities) and describes the circumstances when such covered utilities may have an affiliate engaging in HVAC services as set forth in sections 386.752, 386.754, 386.756, 386.760, 386.762 and 386.764, RSMo.
Amendment
Title 20 - Department of Commerce and Insurance
Division 4240 Public Service Commission
Chapter 10 Utilities
16 CSR 50-20.030
This rule provides the 457 Plan?s eligibility requirements and the rules governing deferral elections to the 457 Plan.
Amendment
1/13/2026
Title 16 - Retirement Systems
Division 50 The County Employees' Retirement Fund
Chapter 20 County Employees' Deferred Compensation Plan
16 CSR 50-20.020
This rule provides the definitions needed to describe the terms of the 457 Plan authorized by section 50.1300, RSMo.
Amendment
1/13/2026
Title 16 - Retirement Systems
Division 50 The County Employees' Retirement Fund
Chapter 20 County Employees' Deferred Compensation Plan
16 CSR 50-2.010
This rule sets forth the defined terms necessary to describe the provisions of the Missouri County Employees? Retirement Fund.
Amendment
1/13/2026
Title 16 - Retirement Systems
Division 50 The County Employees' Retirement Fund
Chapter 2 Membership and Benefits
12 CSR 10-2.010
This rule sets forth the method to be used by married persons filing joint federal income tax returns in allocating capital losses between the spouses for Missouri income tax purposes. Explains the proper method of determining and reporting the taxable portion of Social Security benefits in cases
where both spouses have income and how the combined Missouri adjusted gross income is computed on a combined return for purposes of computing each spouse's separate income tax liability.