Governance

Division of Developmental Disabilities Guidelines

Guidance on various topics from the Division of DD Directors Office.

Division of Developmental Disabilities Directives (Division Directives)

Instructions for DD employees and contracted TCM entities, when applicable. Directives must be in compliance with Missouri Revised Statutes, Code of State Regulations and Department Operating Regulations. For example, 3.020 - Service Monitoring and Service Monitoring Guide.

Division of Developmental Disabilities Policy and Procedure

The Division is currently developing an On-Line Policy and Procedure Manual. At this time, the following policies and procedures are being implemented:

Division of Developmental Disabilities Provider Bulletins

View the Provider Bulletins.

Division of Developmental Disabilities Memos

Department of Mental Health Operating Regulations (DORS)

These are regulations for all divisions of the Department of Mental Health and must comply with the Code of State Regulations. The DORs apply to state-operated facilities and programs. For example, DOR 2.205 is Abuse and Neglect Definitions, Investigation Procedures and Penalties in State Operated Facilities.

Code of State Regulations (CSR)

Regulations that accompany the established laws as set out in RSMo. In Missouri there are 22 Titles under the CSR and Department of Mental Health is Title 9. The CSR has more detail governing how the laws are implemented and requirements that must be met by the Division and providers.

Missouri Revised Statutes - (RSMo)

Established laws that are the basis for regulations. (For example, RSMo 630 denotes the chapter governing the Department of Mental Health; RSMo 633 denotes the chapter governing the Division of Developmental Disabilities.)

Home and Community-Based Services (HCBS) Transition Plan

Removal of Community Specialist (CS) and Individual Directed Goods and Services (IDGS)

Drafts for Public Comment

Guidelines

There are no guidelines open for comment at this time.

Directives

There are no directives open for comment at this time.

Provider Bulletins

There are no provider bulletins open for comment.

Regulations

DDD is seeking public comment on proposed changes to 9 CSR 45-3.070, Certification of Medication Aides Serving Persons with Developmental Disabilities. The purpose of the amendment is to update the approved manual for the Medication Aide Training Program, update the approved instruction format by adding an online component, update minor details of the certification process, update requirements for becoming an instructor, add additional certifications that medication aides can complete, update the title of the Department of Mental Health Division of Developmental Disabilities, and update general language for clarity and consistency.

Proposed changes are available in this document; proposed text to be removed is in [italics and brackets] and proposed text to be added is in bold.

Public comment on these proposed changes can be submitted between June 10, 2026 and July 10, 2026. Comment must be related to the proposed changes and submitted to Leslie DeGroat at Leslie.DeGroat@dmh.mo.gov.