Missouri Register, Volume 42, No. 23, December 1, 2017, Pages 1747-1820

• Jurisdiction: Missouri
• Library: Missouri Register
• Published date: 01 December 2017
• Year: 2017

Volume 42, Number 23

Pages 1747–1820

December 1, 2017

MISSOURI

REGISTER

John R. Ashcroft

Secretary of State

SALUS POPULI SUPREMA LEX ESTO

“The welfare of the people shall be the supreme law.”

The Missouri Register is an official publication of the state of Missouri, under the authority granted to

the secretary of state by sections 536.015 and 536.033, RSMo 2016. Reproduction of rules is allowed;

however, no reproduction shall bear the name Missouri Register or “official” without the express per-

mission of the secretary of state.

The Missouri Register is published semi-monthly by

SECRETARY OF STATE

John R. Ashcroft

Administrative Rules Division

James C. Kirkpatrick State Information Center

600 W. Main

Jefferson City, MO 65101

(573) 751-4015

EDITOR-IN-CHIEF

CURTIS W. T REAT

·

MANAGING EDITOR

AMANDA MCKAY

·

EDITOR

VONNE KILBOURN

·

ASSOCIATE EDITOR

MARTY SPANN

·

PUBLICATION SPECIALIST

JACQUELINE D. WHITE

·

ADMINISTRATIVE AIDE

ALISHA DUDENHOEFFER

ISSN 0149-2942, USPS 320-630; periodical postage paid at Jefferson City, MO

Subscription fee: $56.00 per year

POSTMASTER: Send change of address notices and undelivered copies to:

MISSOURI REGISTER

Office of the Secretary of State

Administrative Rules Division

PO Box 1767

Jefferson City, MO 65102

The Missouri Register and Code of State Regulations (CSR) are available on the Internet. The Register address is

www.sos.mo.gov/adrules/moreg/moreg and the CSR is www.sos.mo.gov/adrules/csr/csr. These websites contain rulemakings and regu-

lations as they appear in the paper copies of the Registers and CSR. The Administrative Rules Division may be contacted by email at

rules@sos.mo.gov.

The secretary of state’s office makes every effort to provide program accessibility to all citizens without regard to disability. If you desire

this publication in alternate form because of a disability, please contact the Division of Administrative Rules, PO Box 1767, Jefferson City,

MO 65102, (573) 751-4015. Hearing impaired citizens should contact the director through Missouri relay, (800) 735-2966.

December 1, 2017

MISSOURI REGISTER

Vol. 42 No. 23 Pages 1747–1820

I

IN

NT

THIS

HIS I

ISSUE

SSUE:

:

Register Register Code Code

Filing Deadlines Publication Date Publication Date Effective Date

August 1, 2017 September 1, 2017 September 30, 2017 October 30, 2017

August 15, 2017 September 15, 2017 September 30, 2017 October 30, 2017

September 1, 2017 October 2, 2017 October 31, 2017 November 30, 2017

September 15, 2017 October 16, 2017 October 31, 2017 November 30, 2017

October 2, 2017 November 1, 2017 November 30, 2017 December 30, 2017

October 16, 2017 November 15, 2017 November 30, 2017 December 30, 2017

November 1, 2017 December 1, 2017 December 31, 2017 January 30, 2018

November 15, 2017 December 15, 2017 December 31, 2017 January 30, 2018

December 1, 2017 January 2, 2018 January 29, 2018 February 28, 2018

December 15, 2017 January 16, 2018 January 29, 2018 February 28, 2018

January 2, 2018 February 1, 2018 February 28, 2018 March 30, 2018

January 16, 2018 February 15, 2018 February 28, 2018 March 30, 2018

February 1, 2018 March 1, 2018 March 31, 2018 April 30, 2018

February 15, 2018 March 15, 2018 March 31, 2018 April 30, 2018

March 1, 2018 April 2, 2018 April 30, 2018 May 30, 2018

March 15, 2018 April 16, 2018 April 30, 2018 May 30, 2018

April 2, 2018 May 1, 2018 May 31, 2018 June 30, 2018

April 16, 2018 May 15, 2018 May 31, 2018 June 30, 2018

Documents will be accepted for filing on all regular workdays from 8:00 a.m. until 5:00 p.m. We encourage early filings to facilitate the timely publication of the

Missouri Register. Orders of Rulemaking appearing in the Missouri Register will be published in the Code of State Regulations and become effective as listed in the

chart above. Advance notice of large volume filings will facilitate their timely publication. We reserve the right to change the schedule due to special circumstances.

Please check the latest publication to verify that no changes have been made in this schedule. To review the entire year’s schedule, please check out the website at

www.sos.mo.gov/adrules/pubsched.

EMERGENCY RULES

Department of Public Safety

Missouri State Highway Patrol . . . . . . . . . . . . . . . . . .1751

Department of Revenue

Director of Revenue . . . . . . . . . . . . . . . . . . . . . . . . .1752

Department of Health and Senior Services

Office of the Director . . . . . . . . . . . . . . . . . . . . . . . .1752

Division of Regulation and Licensure . . . . . . . . . . . . . .1754

Missouri Consolidated Health Care Plan

Health Care Plan . . . . . . . . . . . . . . . . . . . . . . . . . . .1755

PROPOSED RULES

Department of Elementary and Secondary Education

Division of Learning Services . . . . . . . . . . . . . . . . . . .1760

Department of Mental Health

Division of Developmental Disabilities . . . . . . . . . . . . .1761

Department of Public Safety

Missouri State Highway Patrol . . . . . . . . . . . . . . . . . .1764

Department of Revenue

Director of Revenue . . . . . . . . . . . . . . . . . . . . . . . . .1765

Department of Corrections

State Board of Probation and Parole . . . . . . . . . . . . . . .1768

Department of Health and Senior Services

Office of the Director . . . . . . . . . . . . . . . . . . . . . . . .1768

Division of Regulation and Licensure . . . . . . . . . . . . . .1776

Department of Insurance, Financial Institutions

and Professional Registration

Missouri State Board of Accountancy . . . . . . . . . . . . . .1790

Missouri Consolidated Health Care Plan

Health Care Plan . . . . . . . . . . . . . . . . . . . . . . . . . . .1793

ORDERS OF RULEMAKING

Department of Elementary and Secondary Education

Division of Learning Services . . . . . . . . . . . . . . . . . . .1797

Department of Revenue

Director of Revenue . . . . . . . . . . . . . . . . . . . . . . . . .1799

Department of Social Services

Family Support Division . . . . . . . . . . . . . . . . . . . . . .1799

MO HealthNet Division . . . . . . . . . . . . . . . . . . . . . .1799

IN ADDITIONS

Department of Health and Senior Services

Missouri Health Facilities Review Committee . . . . . . . . .1800

DISSOLUTIONS . . . . . . . . . . . . . . . . . . . . . . . . .1801

SOURCE GUIDES

RULE CHANGES SINCE UPDATE . . . . . . . . . . . . . . . .1806

EMERGENCY RULES IN EFFECT . . . . . . . . . . . . . . .1810

EXECUTIVE ORDERS . . . . . . . . . . . . . . . . . . . . . . . .1812

REGISTER INDEX . . . . . . . . . . . . . . . . . . . . . . . . . . .1814