Policy, Memos, and Bulletins

On this page you will find all current Division of Behavioral Health Policies, Memos, & Regulations.  The documents on this page are being evaluated.  Documents may be moved or archived.  For more information regarding where information has been moved please click here.

Administrative & General Operations

• Assessment Billing - No Recoupment After Eligibility Determination
• Community Support, Peer/Family Support, Wraparound Billing Associated with Transportation
• CIMOR User ID Suspension Policy
• Death Review Processes for Community Behavioral Health Providers and DBH Oversight (Client) 
• Deficit Reduction Act False Claims Act Policy
• Federal Funding Guidelines Regarding Marijuana
  • Clarification from SAMHSA re Federal Funding Guidelines - Marijuana
• Increase of the MO HealthNet Asset Limit - HB 1565
• ICD-10/DSM-5 Information Update on Diagnosis Codes
• Medicaid Eligibility Screening and "Sweep" Process
• Medicaid Eligibility - Transition from SOR/E-COVID Grants
• Missouri Behavioral Health Connect (MOConnect)
• Provisional Licensure, Approved Diagnosticians
• Qualified Addiction Professional - Language Matters
• Standard Means Test
• Specialized Deaf/HOH Programs - Communications 
• Subcontracting Responsibilities
• Treatment Plan Signature Requirements (July 26, 2021)
• Workforce Requirements/Staff Qualifications (September 27, 2021)

Telehealth

• Guidance and Clarification on the Definition and Use of Telemedicine and Audio-Only Services
• Telehealth and Sample Medications
• Telehealth Expansion of Services (February 5, 2020)
• Telehealth Services Expansion  

Certified Community Behavioral Health Organizations (CCBHO)

• CCBHC Health Screen Requirements 
• CCBHO Clinical Implications for Community Support, Peer Support, and Family Support Services in CPR and CSTAR Programs 
• CCBHC Clinical Implications for Assertive Community Treatment (ACT) and ACT/Transition Age Youth (TAY) 
• CCBHC Clinical Implications for Screening, Assessment and Treatment Planning in CPR, CSTAR, Outpatient Mental Health and Outpatient Substance Use Disorder Programs 
• CCBHC Clinical Implications for Outpatient Substance Use Treatment Programs
• CCBHC Criteria for Access to Care 
• CCBHC/O DCO Requirements for Crisis Behavioral Health Services

Children's Services

Adolescent/Youth

• Age Range Initiative Memo
  • Age Ranges
• Adolescent Assessments and the New CSTAR Assessment Requirements 
• Enhanced Residential Rate
  • Guidelines for Enhanced Residential Rate
• Family Networking Group
• Respite Care Reminder Letter
• Treatment for Consumers Aged 18 
• Youth Peer Support Billing
  • Youth Peer Support Billing Clarification (9/10/2021)
  • Youth Peer Support

DLA 20

• DLA 20© in DBH-Contracted Substance Abuse Treatment Programs 
• DLA-20© and Treatment Plan Reviews, Changes to Requirements for Adolescent CSTAR
• DLA-20© and Treatment Plan Reviews, Changes to Requirements for Adult CSTAR
• DLA-20© CIMOR Training
• DLA-20© Due Date Change
• CPR Policy Changes Regarding the DLA-20 and Guardians' Signatures on Key Documentation
• Using the DLA-20 to Establish Eligibility for Community Psychiatric Rehabilitation Programs

Mental Illness

CPR

• CPRP Assessment Process Q&A
• CPR Day Treatment Attendance Requirements 
• Drug Testing within Community Psychiatric Rehabilitation Programs 
• Medicaid Administrative Case Management - Outreach
• Reversal of Unbundling of the CPR Assessment and Treatment Plan
• Status Report Requirements - letter from the Director

Intensive CPR

• Intensive CPR for Adults in Non-Residential Settings
• Intensive CPR in Residential Settings

Specific Initiatives, Programs, & Services

Access Crisis Intervention (ACI)

• Access Crisis Intervention

Assertive Community Treatment (ACT)

• See ACT Information for Providers webpage

Dialectical Behavior Therapy (DBT)

• See DBT Information for Providers webpage

Disease Management

• Disease Management Policy and Procedure Manual 

Community Mental Health Center (CMHC) Healthcare Home (HCH)

• CMHC HCH Policy and Procedure Manual
  • CMHC HCH Care Management Monitoring Documentation Requirements

Emergency Room Enhancement (ERE)

• ERE Program Policy Manual

Integrated Treatment for Co-Occurring Disorders (ITCD)

• See ITCD Information for Providers webpage

Justice Involved Treatment

• Civil Involuntary Detention Orders: Addressing CIMOR and Clinical Utilization Review Issues
• Community Mental Health Treatment and Offenders with Serious Mental Illness Programs Memo
  • Community Mental Health Treatment and Offenders with Serious Mental Illness Programs Bulletin
  • CMHT OSMI Procedure Codes - updated
  • Peer Support Added to CMHT/OSMI Programs
• DOC Liaison and Communications 
• Designated DOC Liaisons and Communications 

SATOP

• SATOP Bulletin Missed Appointment Fee
• SATOP Comparable Programs
• SATOP Bulletin Qualified Substance Abuse Professional and SATOP Qualified Professional

State Opioid Response (SOR)

• GPRA Information for SOR Providers
• GPRA Follow-up Incentive and Group Education 
• SOR Funds Management Strategies and Policies
• STR/SOR and Medicaid Benefits

Substance Use

• ADA Early Intervention Services 
• ASI and New CSTAR Assessment Requirement 
  • New Assessment and Treatment Planning Process in the CSTAR Program 
• Billing Nursing Services for Follow-up Phone Contacts during Buprenorphine Home Inductions
• CSTAR Medically Monitored Inpatient Detoxification 
• Diagnostic Impression Definition 
• Extended Day Treatment (Nursing Services) 
• Individualized Packages – Clinical Utilization Review Processes
• Methadone Continuity of Care Between OTP and Agencies Providing Residential Support 
• Medications in Substance Use Disorder Treatment Programs
• Medication Assisted Treatment Certification Requirements
• Peer Support Services
• Services to Members of the Missouri National Guard 

DBH COVID-19 Memos & Policy Guidance

Memos

• Guidance and Clarification on COVID-19 Flexibilities
• CPS Codes with CR Modifiers
• ADA Codes with CR Modifiers
• Adaptations in Monitoring Reviews - Virtual Reviews Memo 
  • Integrated Care Units: Commonly Asked Questions - Virtual Reviews

Program Specific Guidance

• DM Guidance
• ERE & ACI Guidance
• HCH Guidance
• SUD Treatment, Medication for OUD, Drop-In Centers, & Shelter Guidance