Division of Developmental Disabilities Guidelines

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

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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.

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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.

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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.

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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.)

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Drafts for Public Comment

  • There are no guidelines open for comment at this time.

The following Directive, appendices, and definitions are now open for 30-day public comment:

Comments can be emailed to Please include Directive 4.080 in the subject line.

The following draft division directive is open for comment:

Please send comments to by October 16, 2020.


Provider Bulletins 


Waiver Amendments and Renewals

The Division of DD is offering a 30 day Informal Comment Period for the draft waiver renewals of the Comprehensive and the Community Support waiver applications. The renewals will be effective July 1, 2021. Click to see the draft waiver renewal appendices.

During the 30 day informal public comment period, Division of DD will be hosting three virtual public comment forums:

  • Service Providers: Tuesday, July 21, 2020, 2:00 – 4:00 pm (CST) Click to register
  • Individuals & Families: Tuesday, July 21, 2020, 5:30 – 7:30 pm (CST) Click to register
  • Targeted Case Management Entities: Wednesday, July 22, 2020, 10:00 am – 12:00 pm (CST) Click to register

Comments may be sent to by the close of business day Monday, August 17, 2020.

Comprehensive Waiver Renewal

Community Support Waiver Renewal

  • There are no manuals open for comment