1. Program Definition and Services Provided 

Adult health services in Missouri can encompass a range of programs, including adult day health care, which provides organized therapeutic, rehabilitative, and social activities for functionally impaired adults. These services are designed to support individuals who require care and supervision due to age or infirmity, offering assistance with activities of daily living (ADLs), health monitoring, medication administration, nursing services, and therapies like physical, occupational, or speech therapy. 

2. Regulations 

Current regulations governing adult health services in Missouri include: 

• 19 CSR 30-90.010: Adult Day Care Program Licensure, which outlines requirements for adult day care programs. 

• 19 CSR 30-90.060: Record Keeping Requirements for adult day care providers. 

• 13 CSR 35-71.095: Exceptions for Transitional Living Services Programs, which may apply to some adult health services. 

3. Licensing or Certification 

To operate as an adult health services provider in Missouri, particularly for adult day health care, you must be licensed by the Missouri Department of Health and Senior Services. Certification is also required for Medicaid reimbursement through the Aged and Disabled Waiver program. 

4. Responsible State Agency 

The Missouri Department of Health and Senior Services, Division of Senior Services and Regulation, is responsible for licensing adult day care programs. 

5. Application Process 

The application process involves submitting a licensure application to the Division of Senior Services and Regulation. There is no specific online platform for submitting applications, but forms can be obtained from their website or by mail. 

6. Required Documentation 

• Licensure Application: For adult day care programs. 

• Participation Agreement: With the Missouri Medicaid Audit and Compliance Unit for Medicaid reimbursement. 

• Staff Qualifications: Proof of licensure or certification for nursing staff. 

• Insurance and Liability Coverage: Proof of adequate insurance. 

• Record Keeping Compliance: Documentation showing adherence to record-keeping regulations. 

7. Timeline for Approval 

The approval process typically involves several weeks to months, depending on the completeness of the application and the speed of inspections. 

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 

No specific pre-application training is required, but staff must meet licensing standards and ongoing training requirements once licensed. 

10. Additional Notes 

• Providers must maintain ongoing compliance with state regulations and ensure that all services are person-centered and tailored to the needs of the individuals being served. 

• Adult day health care programs must have at least one staff member trained in first aid and CPR on the premises at all times, and a registered nurse (RN) or licensed practical nurse (LPN) must be available during operating hours.