Access Crisis Intervention (ACI) serves adults and children experiencing a behavioral health crisis in Missouri 24/7 by: assessing and providing information; linking to services; resources and supports; and maintaining individuals in the least restrictive setting.
Information for the General Public
Missouri Coronavirus Information Hotline: 877-435-8411
The hotline will be operated by medical professionals and is available 24 hours a day, 7 days a week.
MO DHSS COVID-19 Community Testing: follow link for information
Community testing events serve the residents of the county where the event is being held. DHSS is partnering with local health departments and health care providers to offer these events, and different communities will be reached at different times. If you are not a resident of a county currently holding a community testing event, you can continue to check back with this page as new sites will be added as events are planned.
Disaster Distress Helpline Phone: 800-985-5990 Text: "TalkWithUs" to 66746
The toll-free Disaster Distress Helpline can provide immediate counseling to anyone who needs help dealing with the aftermath of a traumatic incident. This is a free, confidential, and multilingual crisis support service. Callers and texters are connected to trained and caring professionals from crisis counseling centers.
myStrength: follow link to register
Amidst the stress of the current coronavirus crisis, the Missouri Coalition for Community Behavioral Healthcare is offering the application myStrength. myStrength is a self-help resource that is available 24/7, is private and confidential, and provides information and inspiration on a multiple topics. myStrength offers content and resources on including coping skills during COVID-19, stress management, depression, anxiety, substance use disorders, chronic pain, sleep disturbance issues, and more.
Missourians in need can find essential services, such as nearly 240 food pantries, food banks, school meal programs for students, diaper banks, and more through the online Missouri Services Navigator system. There are currently over 2,000 services listed, with new services added daily. Searches can be keyword, location, and/or service. Every program and service contains a map of the location as well as contact information.
- Online Recovery Support
Due to the need for social distancing to reduce the spread of COVID-19 many people are unable to attend in-person support group meetings. For those in recovery continuing to stay connected to social support groups can be very important. Below are resources to connect to online support communities. Social distancing does not mean social isolation.
- 12 Steps.org: listing of online 12-step meetings on various platforms
- Al-Anon Electronic Meetings: this forum and recovery chat room for Narcotics Anonymous members features voice chat, Skype, and text chat meetings connecting people from around the world.
- Adult Children of Alcoholics: phone and online meetings.
- Alcoholics Anonymous: many AA meetings via telephone or online.
- Bridge Club Virtual Meetings: meetings that are specifically focused on women and LGBTQIA+ folks who are sober or interested in sobriety
- Center for Addiction: Online support community for parents and caregivers.
- Families Anonymous Virtual Meetings: online meetings for parents, grandparents, siblings, spouses, significant others, other family members and friends of those with a current, suspected or former drug problem.
- In the Rooms-Global Recovery Community: 130 weekly online meetings, 12 step, non 12-step, wellness, mental health
- Life Ring Recovery: listing of online meetings
- My Recovery: online 12-step meetings
- Narcotics Anonymous: many AA meetings via online
- NCADA: virtual community resources
- Refuge Recovery Online Meetings: listing of daily online meetings
- Recovery Dharma: daily video and phone meetings, meditation practice
- Smart Recovery: forums, tools, and discussion, many topics including Veteran specific
- SAMHSA Virtual Recovery Resources: resources that can be used to virtually support recovery from mental and/or substance use disorders, also provides resources to help local recovery programs create virtual meetings.
- Sober Grid: a free online social networking platform for people in recovery, available in mobile app stores
- The Temper: an online publication/site that explores life through the lens of sobriety, addiction, and recovery, includes links to resources
- Tips to Help Teens Cope During COVID-19
- WEconnect and Unity Recovery: four daily all-recovery meetings worldwide, open format and available to anyone in or seeking recovery, 8:00 AM, 11:00 AM, 2:00 PM, and 8:00 PM CST daily
- Domestic and Family Violence Prevention Resources
Hotlines, domestic violence programs, and rape crisis centers continue to provide services. People affected by sexual and domestic violence still can get access to the support of an advocate through a hotline call, during a sexual assault forensic exam, to seek a court-issued Order of Protection, and for help getting other crucial resources. Systems are being put in place to be able to provide remote advocacy as much as possible, using phone, text, telehealth, video and other strategies to connect with and support people who need help.
For immediate help in Missouri, click here or call the National Domestic Violence Hotline 1-800-799-7233 or the National Sexual Assault Hotline 1-800-656-4673.
- For the Deaf Crisis Line videophone call 321-800-3323 or text HAND to 839863
- National Domestic Violence Hotline: Call 1-800-799-7233 or 1-800-799-7233 for TTY. If you’re unable to speak safely, you can log onto thehotline.org or text LOVEIS to 22522
- National Resource Center on Domestic Violence
- National Center on Domestic Violence, Trauma, and Mental Health - Supporting Survivors’ Access to Substance Use Disorder and Mental Health Services During the COVID-19 Emergency
- Futures Without Violence, Health Resource Center on Domestic Violence - Updates and Information, COVID-19
- Futures Without Violence, Promising Futures Capacity Building Center – Calling All Family and Friends of Families Experiencing Violence at Home
- Futures Without Violence, Promising Futures Capacity Building Center (Spanish) - https://www.futureswithoutviolence.org/wp-content/uploads/Calling-All-Family-and-Friends-Un-Llamado-a-Familias-y_SP.pdf
- National Domestic Violence Hotline - Staying Safe During COVID-19
- Futures Without Violence, Health Resource Center on Domestic Violence - Updates and Information, COVID-19
- National Network to End Domestic Violence, WomensLaw.org – Frequently Asked Questions Involving Courts and COVID-19
- Phone and Telehealth Resources
Straight Talk - Straight Talk is providing additional data benefits due to COVID-19 to all existing customers with paid active service. Text COVID to 611611 to learn more about additional benefits available.
Lifeline Support for Affordable Communications - To help keep Americans connected during the coronavirus pandemic, the FCC has temporarily waived Lifeline usage requirements and general de-enrollment procedures until May 29, 2020. An FCC order, released on March 30, will help ensure that no current Lifeline subscribers are involuntarily removed from the Lifeline program during this time of national crisis. The order also extended a recent waiver of the program's recertification and reverification requirements to May 29, 2020, and directed the Lifeline program administrator to pause any involuntary de-enrollment of existing subscribers until that date.
DHSS Broadband Resources - Broadband access is more important than ever as Missourians have been instructed to stay home from work and school as a result of the COVID-19 pandemic. Accessibility is critical to meet our needs for education, telemedicine, telecommuting, and overall quality of life. In response to the quarantine, several broadband providers are temporarily offering free internet service, waiving disconnect and late fees, providing access to wi-fi hot spots and other measures to help people at home access the services they need.
SSM Virtual Health Visit - Consult an SSM Health provider online about most minor illnesses. $25 per visit, price subject to change.
Body U Initiative - This program offers screening for eating disorders, depression, and anxiety and then directs the individual to tailored online interventions aimed at promoting healthy behaviors and addressing these issues. Funded by the Missouri Eating Disorders Council and coordinated out of the Center for Healthy Weight and Wellness in the Department of Psychiatry at Washington University School of Medicine, this program is being offered to all residents of Missouri at no cost. Participation can begin by taking a short survey here. Questions about this program? Contact: firstname.lastname@example.org
Information for Providers
This section provides the most current DBH policy, information, and resources for our providers regarding COVID-19. This page will be continuously updated as federal and state guidance becomes available.
DBH COVID-19 Memos and Policy Guidance
- COVID-19 Memo #1 - Immediate Provider Guidance on Treatment and Recovery Support Services Impacted by COVID-19 Community Response: Second Revision
- COVID-19 Memo #2: REVISED Temporary Program Changes and Billing Guidance Related to COVID-19:Third Revision
- CPS Codes with CR Modifiers
- ADA Codes with CR Modifiers
- Memo for Office of Licensure and Certification Onsite Reviews: Suspending On-site Surveys for DMH OLC Due to COVID-19
- Memo - Adaptations in Monitoring Reviews - Virtual Reviews
- Integrated Care Units: Commonly Asked Questions - Virtual Reviews
- DBH COVID-19 Q&A
- DMH Management of COVID-19 Positive Patients - This is a policy that DMH has established for use in DBH and DD inpatient and residential facilities. The policy contains information for how DMH will manage COVID positive individuals within DMH facilities. This policy is being shared an FYI to community providers in case any of the information could be useful for reference. This is only for your information and as a potential resource. It is NOT policy that DMH expects providers to implement.
- COVID-19 CMS Expands Telehealth Press Release Final
- The forms below were developed by DBH, an initiative led by our CMD Angeline Stanislaus, for use at our state operated facilities. Those of you who have congregate, residential, or comparable environments may find some of this information helpful – you may modify for other populations or outpatient settings. This is not a directive for use, just a potential resource.
Program Specific Guidance
- ACT Guidance
- DM Guidance
- ERE & ACI Guidance
- HCH Guidance
- SUD Treatment, Medication for OUD, Drop-In Centers, & Shelter Guidance
- Federal and State Department Tools
Centers for Medicare and Medicaid Services
- Coronavirus Waivers and Flexibilities
- Additional Background: Sweeping Regulatory Changes to help U.S. Healthcare System Address COVID-19 Patient Surge
- COVID-19 PCR TESTING UPDATE FROM MISSOURI DHSS - DHSS notification to MO providers of changes in guidance due to expanded COVID-19 testing availability.
- Personal Protective Equipment (PPE)
- Expanding Access to PPE -In an effort to expand the PPE reserves and simplify the PPE process, MO has created a webpage dedicated to be a one-stop shop for all information related to PPE. The PPE webpage will provide Missouri’s latest information and resources in three categories including how to access PPE, guidance for use and optimization for maintaining your PPE supply for the duration of the COVID-19 epidemic.
- Information Regarding PPE for Professionals
- PPE Ordering Form
- MO Healthcare Coalition Region Map
- Waivers Related to Advanced Practice Registered Nurses
- Governor grants approval at the request of the Missouri Departments of Health and Senior Services and Commerce and Insurance in response to the COVID-19 crisis. DHSS news release.
- DHSS guidance and resources for businesses regarding: health and safety; financial relief and assistance; closures and layoffs; and regulatory changes and extensions.
- MO HealthNet and Child Care Subsidy benefits extended: DSS Response to COVID-19
- MO HealthNet Provider Hot Tips
- The MO HealthNet Division (MHD) has set up an email address for provider questions related to billing for COVID-19 testing, treatment, services provided via telehealth, etc. MO HealthNet will respond to these questions and track the inquiries to compile FAQ’s. Email: MHD.COVIDemail@example.com.
- Executive Order 20-04. Interpretation of EO 20-04 below.
- Executive Order 20-04 is in effect March 19, 2020 through May 15, 2020 unless extended.
- MO HealthNet coverage will be available to Missourians age 19-64 who test positive for COVID-19 and who report that they meet the income eligibility guidelines. To this end, the Family Support Division is:
- Suspending the need to evaluate income, resources, and assets for eligibility purposes.
- Suspending the need for MO HealthNet disability redeterminations.
- All MO HealthNet annual reviews are suspended through June 2020. No annual review forms will be sent out and there will not be an annual request for verification.
- Telehealth providers no longer need to be based in Missouri to be covered by MO HealthNet.
- The application fee, hardship waiver, or exemption reason is no longer needed for provider enrollment applications. Some screening requirements for providers during the enrollment process are waived, such as onsite visits.
U.S. Department of Justice, Drug Enforcement Administration, Diversion Control Divisions: COVID-19 Information Page
- The mission of Drug Enforcement Administrations (DEA), Diversion Control Division is to prevent, detect, and investigate the diversion of controlled pharmaceuticals and listed chemicals from legitimate sources while ensuring an adequate and uninterrupted supply for legitimate medical, commercial, and scientific needs. During this National Emergency the Diversion Control Division will continue to work with our Federal partners, DEA registrants, and their representative association to assure that there is an adequate supply of controlled substances in the United States. The DEA will also work to assure that patients will have access to controlled substances.
- National Guidelines for Behavioral Health Crisis Care – A Best Practice Toolkit Knowledge Informing Transformation
- Executive Summary - NASMHPD recommends focusing on the Executive Summary and using the longer paper when you want more detail.
- Provision of Methadone and Buprenorphine for the Treatment of Opioid Use Disorder in the COVID-19 Emergency
- Considerations for the Care and Treatment of Mental and Substance Use Disorders in the COVID-19 Epidemic: March 20, 2020
- Considerations for Crisis Centers and Clinicians in Managing the Treatment of Alcohol or Benzodiazepine Withdrawal during the COVID-19 Epidemic: March 19, 2020
- Considerations for Outpatient Mental and Substance Use Disorder Treatment Settings
- Covid19: Interim Considerations for State Psychiatric Hospitals
- Training and Technical Assistance Related to COVID-19
- DEA and SAMHSA Buprenorphine and Telemedicine COVID-19 Guidance
42 CFR Part 2
- SAMHSA COVID-19 Public Health Emergency Response and 42 CFR Part 2 Guidance. Summary of relevant regulatory changes-March 20, 2020:
- DEA waives requirement for first in-person visit to prescribe controlled substances (including buprenorphine). Service providers can use telemedicine (including with a smartphone). Link: https://www.deadiversion.usdoj.gov/coronavirus.html
- Opioid Treatment Programs (OTPs; methadone providers) granted permission to ALL STATES to give 28-day take home doses for stable clients, 14-day take home doses for newer or less stable clients. Link: https://www.samhsa.gov/sites/default/files/otp-guidance-20200316.pdf
- HHS waives HIPAA concerns related to communication on day-to-day devices; service providers can use regular phones for service delivery. Link: https://www.hhs.gov/hipaa/for-professionals/special-topics/emergency-pr…
- 42 CFR Part 2 regulations related to disclosing the identity of people receiving diagnoses or treatment for substance use disorders are suspended. Providers may share information about patients if it is in the interest of improving their care in the midst of this emergency without written patient consent. Link: https://www.samhsa.gov/sites/default/files/covid-19-42-cfr-part-2-guida…
MO Dept. of Economic Development:
Businesses have been encouraged to seek relief now. The federal Coronavirus Aid, Relief, and Economic Security (CARES) Act has a number of provisions to assist businesses and nonprofits impacted by COVID-19. The MO Dept. of Economic Development have provided links to the following resources:
- SBA Paycheck Protection Loans
- SBA Economic Injury Disaster Loans
- Counseling and Training
- IRS Employee Retention Credit
US Department of Agriculture
The USDA has many resources available for the development/enhancement of telecommunications infrastructure. Telecommunications and access to broadband is an ongoing issue for many. Please see below some USDA programs that may be of interest.
- Telecommunications Infrastructure Loans and Loan Guarantees provides financing for the construction, maintenance, improvement and expansion of telephone service and broadband in rural areas.
- Rural Broadband Access Loan & Loan Guarantee furnishes loans and loan guarantees to provide funds for the costs of construction, improvement, or acquisition of facilities and equipment needed to provide service at the broadband lending speed in eligible rural areas.
- Community Connect Grants program helps fund broadband deployment into rural communities where it is not yet economically viable for private sector providers to deliver service.
- The Distance Learning and Telemedicine program helps rural communities use the unique capabilities of telecommunications to connect to each other and to the world, overcoming the effects of remoteness and low population density.
- The Reconnect Loan and Grant Program furnishes loans and grants to provide funds for the costs of construction, improvement, or acquisition of facilities and equipment needed to provide broadband service in eligible rural areas.
Health Resources and Services Administration
The Health Resources and Services Administration (HRSA) has a website for providers who administer COVID-19 testing and treatment of the uninsured. Providers who have conducted COVID-19 testing or provided treatment for uninsured individuals with COVID-19 on or after February 4, 2020, can begin the process to file claims for reimbursement for testing and treating the uninsured. Providers can access the portal here.
Learn more about Telehealth from HHS: Get information to help you integrate telehealth, get up to speed on recent COVID-19 related policies, and learn what patients will need to use telehealth.
- Provider Training & Education Resources
Current provider training and education resources for the COVID-19 time frame.
National Council for Behavioral Health
- Read the new “Screening and Testing for COVID-19” guidelines developed by the National Council for Behavioral Health in partnership with the National Association of Addiction Treatment Providers.
- COVID-19 Guidance for Behavioral Health Residential Facilities: Guidance for infection control and COVID-19 prevention can be hard to find. The National Council’s COVID-19 Guidance for Behavioral Health Residential Facilities offers general guidance for residential programs on how to respond if a client develops symptoms of COVID-19, handle clients returning from the hospital and prepare for the return of health care personnel to work. Our new report also offers insights into work practice and work restrictions, as well as crisis strategies to mitigate staffing shortages.
- You are not alone. There are 3,325 member organizations that, like you, are working to keep their doors open, their staff safe and their communities healthy. To help you navigate this rapidly evolving situation, we are building a coronavirus resource directory and sharing tools and information to inform you every step of the way. National Council for Behavioral Health
- Financial Relief for Behavioral Health Organizations Available In Response to the Pandemic- follow the links in the news article for more information regarding the COVID-19 Economic Injury Disaster Loan or the Paycheck Protection Program.
- Financial Response Strategy for Behavioral Health Providers.
Health Affairs - The COVID-19 Pandemic: Practice and Policy Considerations for Patients with Opioid Use Disorder
- The COVID-19 crisis, paired with the unrelenting drug-related overdose epidemic, is likely to have profound impacts on people with opioid use disorder (OUD) and other drug use disorders.
SAMHSA/OCR Guidance for Telehealth SUD and MH Services Webinar
Clear and accurate information about confidentiality is important to ensure that patient privacy is protected. Individuals living with mental illness or substance use disorders may not seek care without guarantees of confidentiality and privacy protections. A recent survey completed by SAMHSA found that concerns about privacy and confidentiality among individuals with behavioral health needs is a primary reason for not receiving treatment. Clarifying privacy protections and promoting communication of patient records is critical for improving patients’ access to care and quality of treatment once in care.
- Describe how the privacy laws apply to telehealth
- Describe OCR and SAMHSA Guidance related to privacy issued in response to the need to rapidly expand telehealth services due to the COVID-19 pandemic
- Facilitate provider sharing to explore practical ideas and innovative approaches to protect patient privacy while providing SUD/Mental Health telehealth services
- Tips for telehealth providers: providers of SUD and mental health services are working rapidly to make sure their patients have access to the care they need during the COVID-19 pandemic. This includes working to recreate the treatment experience in a virtual setting through telehealth. As part of this rapid transition providers are concerned about maintaining patient privacy when sharing protected health information in accordance with federal health privacy laws. Telehealth and Privacy: Federal Guidance for SUD and Mental Health Treatment Providers
- Provider Funding Opportunities
- DOJ-BJA Adult Drug Court and Veterans Treatment Court Discretionary Grant Program: This program provides financial and technical assistance to states, state courts, local courts, units of local government, and federally recognized Indian tribal governments to implement and enhance the operations of adult drug courts and veterans treatment courts. Closing date: June 1, 2020
- EPA-Office of Children’s Health Protection: The purpose of the Children’s Healthy Learning Environments Grant Initiative is to provide capacity building to address children’s environmental health in school and childcare settings. The Children’s Healthy Learning Environments Grant Initiative provides funding directly to organizations to support school- and/or childcare center-based capacity building projects that help school communities understand and address local environmental and public health issues that affect children. Closing date: June 1, 2020
- HHS-SAMHSA Treatment, Recovery, and Workforce Support Grant: The Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Substance Abuse Treatment, is accepting applications for fiscal year (FY) 2020 Treatment, Recovery, and Workforce Support grants (Short Title: Workforce Support). The purpose of this program is to implement evidence-based programs to support individuals in substance use disorder treatment and recovery to live independently and participate in the workforce. Closing date: June 1, 2020
- USDA-NIFA: Community Food Projects (CFP) Competitive Grants Program: In FY 2020 and FY 2021, NIFA's CFP intends to solicit applications and fund two types of grants. The types are entitled (1) Community Food Projects (CFP) and (2) Planning Projects (PP). The purpose of the CFP is to support the development of projects with a one-time infusion of federal dollars to make such projects self-sustaining. Closing date: June 3, 2020
- DOT-FTA Helping Obtain Prosperity for Everyone (HOPE) Program FY2020 Notice of Funding: FTA announced the availability of $8.5 million in HOPE Program funds to improve transit services or facilities in areas of persistent poverty through planning, engineering, technical studies, or financial plans. Closing date: June 3, 2020
- Department of Justice, Bureau of Justice Innovative Prosecution Solutions for Combatting Violent Crime: The purpose of this program is to provide state, local, and tribal prosecutors with information, resources, and training and technical assistance (TTA) to develop effective strategies and programs to address and prosecute individuals who commit violent crime. Closing date: June 8, 2020
- HHS-SAMHSA State Opioid Response (SOR) Technical Assistance: The Substance Abuse and Mental Health Services Administration (SAMHSA) is accepting applications for the fiscal year (FY) 2020 State Opioid Response (SOR) Technical Assistance (TA) grant. This grant will be provided to a single entity who will serve as the central coordinating point for ensuring the requirements of this funding opportunity are met. Closing date: June 8, 2020
- DOJ-BJA Innovations in Community-Based Crime Reduction Program: The Innovations in Community-Based Crime Reduction (CBCR) Program supports Department of Justice priorities to reduce serious and violent crime, including gun violence; dismantle gang activity; and strengthen local capacity to combat drug abuse. Closing date: June 11, 2020
- HHS-HRSA Telehealth Network Grant Program: This notice announces the opportunity to apply for funding under the Telehealth Network Grant Program (TNGP). The funding opportunity is aimed towards promoting rural Tele-emergency services with an emphasis on tele-stroke, tele-behavioral health, and Tele-Emergency Medical Services (Tele-EMS). Closing date: June 15, 2020
- HHS-HRSA Rural Telementoring Training Center: This notice announces the opportunity to apply for funding under the Rural Telementoring Training Center (RTTC) Program. The purpose of this program is to train academic medical centers and other centers of excellence (COEs) to create or expand technology-enabled collaborative learning and capacity building models (such as Project ECHO, ECHO-like models, and other emerging models in the field). Closing date: June 16, 2020
- HHS-HRSA Telehealth Focused Rural Health Research Center Program: This notice announces the opportunity to apply for funding under the Telehealth Focused Rural Health Research Center (TF RHRC) Program. This NOFO will fund two Telehealth Focused Rural Health Research Centers, one evaluation-focused and one evidence-focused. Closing date: July 1, 2020
- INFINITE HERO FOUNDATION provides grants of up to $100,000 to nonprofit organizations offering innovative and effective programs or treatments to active duty service members, veterans, and/or military families for service-related mental and physical injuries. Grants must be applied directly to program costs and cannot be used for fundraising or administrative overhead. Deadlines: July 1, 2020 (letters of interest); invited grant applications must be submitted by Sep. 15, 2020.
- SDA-RD Distance Learning and Telemedicine Grant Program: The Distance Learning and Telemedicine program helps rural communities use the unique capabilities of telecommunications to connect to each other and to the world, overcoming the effects of remoteness and low population density. For example, this program can link teachers and medical service providers in one area to students and patients in another. Closing date: July 13, 2020
- Rural Communities Opioid Response Program-Planning - The Health Resources and Services Administration’s (HRSA) Federal Office of Rural Health Policy (FORHP) released a Notice of Funding Opportunity for the Rural Communities Opioid Response Program-Planning (RCORP-Planning). HRSA will award approximately 50 grants to rural communities to enhance capacity to address substance use disorder, including OUD. Successful RCORP-Planning award recipients will receive up to $200,000 over an 18-month period of performance to conduct a series of planning activities, engage multi-sector consortiums, and participate in the RCORP-Planning learning collaborative. While the focus of RCORP-Planning is primarily OUD, applicants may also choose to address an additional substance of concern in the target population based on identified needs. View the funding opportunity on grants.gov. Application Deadline: July 13, 2020