1. Program Definition and Services Provided 

Support Broker services in Missouri are part of self-directed support programs, assisting individuals with disabilities or their families in managing their own care services. These services include helping participants plan, secure, and direct their supports, such as recruiting and hiring caregivers, managing payroll, and ensuring compliance with Medicaid regulations. Support Brokers facilitate the development of natural relationships and community supports, assist with employer-related tasks, and ensure compliance with applicable policies and regulations. 

2. Regulations 

Current regulations governing Support Broker services in Missouri are outlined in the Missouri Home and Community-Based Waivers, specifically under Section 9 CSR 45-3.080, which addresses self-directed supports. These regulations require compliance with federal and state standards for self-directed services. 

3. Licensing or Certification 

To operate as a Support Broker provider in Missouri, you must be certified through a recognized program. While there is no specific state license for Support Brokers, certification is necessary for Medicaid reimbursement. 

4. Responsible State Agency 

The Missouri Department of Mental Health, Division of Developmental Disabilities, is responsible for overseeing self-directed support services, including Support Brokerage. 

5. Application Process 

To become a Support Broker provider, you typically need to establish a relationship with the Division of Developmental Disabilities or other state agencies involved in self-directed services. There is no specific online application platform for becoming a provider. 

6. Required Documentation 

• Contract with State Agencies: Agreement with the Division of Developmental Disabilities or other relevant state agencies. 

• Proof of Business Registration: If applicable. 

• Insurance and Liability Coverage: Proof of adequate insurance. 

• Staff Qualifications: Documentation of staff expertise in self-directed supports. 

• Certification: Completion of a recognized Support Broker certification program. 

7. Timeline for Approval 

The approval process can vary depending on the complexity of the services offered and the speed of contracting with state agencies. 

8. Pre-Application Process 

There is no formal pre-application process, but applicants should ensure they meet all eligibility criteria and have necessary documents ready. 

9. Pre-Application Training 

Support Brokers must complete a certification program that covers topics such as employer-related tasks, conflict resolution, and compliance with Medicaid regulations. Ongoing training is recommended to maintain best practices. 

10. Additional Notes 

• Support Brokers must maintain confidentiality and avoid conflicts of interest, such as providing other direct or indirect waiver services. 

• Providers must comply with federal and state consumer protection laws and ensure that all services are person-centered and tailored to the needs of the individuals being served.