Division of Developmental Disabilities Guidelines

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

Read More

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.

Read More

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.

Read More

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.

Read More

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.)

Read More

Drafts for Public Comment

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


Provider Bulletins 
  • Provider Bulletin #3 - Individual/Guardian Signatures on Individual Support Plans (ISPs) is open for 30 day comment.  The bulletin is being updated to align with the approved waiver application.  Comments may be sent to by April 5, 2024.  




Waiver Amendments and Renewals
  • There are no waiver amendments and renewals open for comment at this time.
State Plan Amendments
  • A 30 day Formal Comment Period is now open for the Developmental Disabilities (DD) Health Home State Plan Amendment (SPA). MO HealthNet will accept written public comments until January 12, 2024. To view the SPA and to learn how to submit comments, visit MO HealthNet Division's Alerts and Public Notice page.
  • There are no manuals open for comment.
  • There are no contracts open for comment.