Please note that the official text of a proposed rule is the version that appears in the Missouri Register,
not the draft copy on this site. Refer to the official copy if you
wish to submit comments.
The following are summaries and other information related to Proposed Rules that Missouri Consolidated Health Care Plan has submitted to the Secretary of State for publication in the Missouri Register. These rules will not go into effect until the public has had an opportunity to submit written comments, and to attend a public hearing if one is scheduled.
Any person may offer comments on a Proposed Rule. The instructions for submitting comments, and the location and date of a hearing if one is scheduled, are located after the text of each rule.
Please note that the official text of a Proposed Rule is the version that appears in the Missouri Register, not the draft copy on this site. Refer to the official copy if you wish to submit comments.
| Proposed Amendment, Rule or Rescission |
Summary | Fiscal Note | Material Incorporated by Reference | Link to Missouri Register |
Missouri Register Publication Date |
|---|---|---|---|---|---|
| 22 CSR 10-2.020 General Membership Provisions |
Clarifies enrollment procedures when an eligible dependent loses MO HealthNet or Medicaid status and when a member becomes Medicare eligible. | Fiscal Note: None | Material Incorporated by Reference: None | Link to Missouri Register: Missouri Register | Missouri Register Publication Date: 12/02/2024 |
| 22 CSR 10-2.025 Rule for Participating Higher Education Entity Entry into the Missouri Consolidated Health Care Plan |
This amendment revises the timeframe for Participating Higher Education Entities (PHEE) to provide their letter of intent to join the plan and clarifies eligibility requirements for PHEEs that choose to cover retirees. | Fiscal Note: None | Material Incorporated by Reference: None | Link to Missouri Register: Missouri Register | Missouri Register Publication Date: 12/02/2024 |
| 22 CSR 10-2.046 PPO 750 Plan Benefit Provisions and Covered Charges |
Clarifies how non-network plan payments are processed and revises language regarding members who are eligible for Medicare. | Fiscal Note: None | Material Incorporated by Reference: None | Link to Missouri Register: Missouri Register | Missouri Register Publication Date: 12/02/2024 |
| 22 CSR 10-2.047 PPO 1250 Plan Benefit Provisions and Covered Charges |
Clarifies how non-network plan payments are processed and revises language regarding members who are eligible for Medicare. | Fiscal Note: None | Material Incorporated by Reference: None | Link to Missouri Register: Missouri Register | Missouri Register Publication Date: 12/02/2024 |
| 22 CSR 10-2.053 Health Savings Account Plan Benefit Provisions and Covered Charges |
Revises coverage of virtual visits, non-network payments, the timing of other deposits to health savings accounts and adds the right of MCHCP to recoup deposits members are not entitled to. | Fiscal Note: None | Material Incorporated by Reference: None | Link to Missouri Register: Missouri Register | Missouri Register Publication Date: 12/02/2024 |
| 22 CSR 10-2.055 Medical Plan Benefit Provisions and Covered Charges |
Revises the availability of transition of care and coverage of eyeglasses and contact lenses. | Fiscal Note: None | Material Incorporated by Reference: None | Link to Missouri Register: Missouri Register | Missouri Register Publication Date: 12/02/2024 |
| 22 CSR 10-2.075 Review and Appeals Procedure |
Adds an occurrence in which MCHCP may allow one (1) additional reinstatement and revises the timeframe in which MCHCP may approve an appeal where a subscriber missed a deadline. | Fiscal Note: None | Material Incorporated by Reference: None | Link to Missouri Register: Missouri Register | Missouri Register Publication Date: 12/02/2024 |
| 22 CSR 10-2.089 Pharmacy Benefits for Medicare Primary Members |
Revises Medicare Part D coverage stages and amounts. | Fiscal Note: None | Material Incorporated by Reference: None | Link to Missouri Register: Missouri Register | Missouri Register Publication Date: 12/02/2024 |
| 22 CSR 10-2.090 Pharmacy Benefit Summary |
Corrects the omission of the maximum amount Health Savings Account members will pay for non-preferred formulary drugs and approved excluded drugs. | Fiscal Note: None | Material Incorporated by Reference: None | Link to Missouri Register: Missouri Register | Missouri Register Publication Date: 12/02/2024 |
| 22 CSR 10-2.120 Partnership Incentive Provisions and Limitations |
Revises the requirements to participate in the incentive. | Fiscal Note: None | Material Incorporated by Reference: None | Link to Missouri Register: Missouri Register | Missouri Register Publication Date: 12/02/2024 |
| 22 CSR 10-2.140 Strive for Wellness® Health Center Provisions, Charges, and Services |
Revises eligibility for the Strive for Wellness® Health Center. | Fiscal Note: None | Material Incorporated by Reference: None | Link to Missouri Register: Missouri Register | Missouri Register Publication Date: 12/02/2024 |
| Proposed Amendment, Rule or Rescission |
Summary | Fiscal Note | Material Incorporated by Reference | Link to Missouri Register |
Missouri Register Publication Date |
|---|---|---|---|---|---|
| 22 CSR 10-3.020 General Membership Provisions |
Clarifies enrollment procedures when an eligible dependent loses MO HealthNet or Medicaid status. | Fiscal Note: None | Material Incorporated by Reference: None | Link to Missouri Register: Missouri Register | Missouri Register Publication Date: 12/02/2024 |
| 22 CSR 10-3.055 Health Savings Account Plan Benefit Provisions and Covered Charges |
Revises coverage of virtual visits and non-network payments. | Fiscal Note: None | Material Incorporated by Reference: None | Link to Missouri Register: Missouri Register | Missouri Register Publication Date: 12/02/2024 |
| 22 CSR 10-3.057 Medical Plan Benefit Provisions and Covered Charges |
Revises the availability of transition of care and coverage of eyeglasses and contact lenses. | Fiscal Note: None | Material Incorporated by Reference: None | Link to Missouri Register: Missouri Register | Missouri Register Publication Date: 12/02/2024 |
| 22 CSR 10-3.058 PPO 750 Plan Benefit Provisions and Covered Charges |
Clarifies how non-network plan payments are processed. | Fiscal Note: None | Material Incorporated by Reference: None | Link to Missouri Register: Missouri Register | Missouri Register Publication Date: 12/02/2024 |
| 22 CSR 10-3.059 PPO 1250 Plan Benefit Provisions and Covered Charges |
Clarifies how non-network plan payments are processed. | Fiscal Note: None | Material Incorporated by Reference: None | Link to Missouri Register: Missouri Register | Missouri Register Publication Date: 12/02/2024 |
| 22 CSR 10-3.075 Review and Appeals Procedure |
Adds an occurrence in which MCHCP may allow one (1) additional reinstatement and revises the timeframe in which MCHCP may approve an appeal where a subscriber missed a deadline. | Fiscal Note: None | Material Incorporated by Reference: None | Link to Missouri Register: Missouri Register | Missouri Register Publication Date: 12/02/2024 |
| 22 CSR 10-3.090 Pharmacy Benefit Summary |
Corrects the omission of the maximum amount Health Savings Account members will pay for non-preferred formulary drugs and approved excluded drugs. | Fiscal Note: None | Material Incorporated by Reference: None | Link to Missouri Register: Missouri Register | Missouri Register Publication Date: 12/01/2021 |
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