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.

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.
Provider Bulletins
  • Assistive Technology Service Procedure Code and Modifier Update Provider Bulletin is open for comment.  

    The Assistive Technology Waiver Service Procedure Code will have a new GT internal CIMOR modifier for Remote Supports and Personal Emergency Response System. 

    The Missouri Department of Mental Health, Division of Developmental Disabilities (Division), is inviting public comment on the Assistive Technology (AT) waiver service procedure code A9999 that will have an internal CIMOR modifier GT for Remote Supports (RS), Personal Emergency Response System (PERS) and Mobile Emergency Response System (MERS) services.  All other AT items/services will continue under the current code with no modifier.  
    Comments may be sent to by February 7, 2020.  

  • Individualized Skill Development Credentialing Requirement

    The Division is inviting public comment on Provider Bulletin Individualized Skill Development Credentialing Requirement.  The purpose of the provider bulletin is to outline the requirements necessary to obtain a credential for delivery of Individualized Skill Development services 

    Please send comments to by February 27, 2020.

  • In-Home Respite

    The Division is inviting public comment on Provider Bulletin In- Home Respite.  The purpose of the bulletin is to establish policy regarding the In-Home Respite Service.  

    Please send comments to by March 5, 2020.


Waiver Amendments and Renewals
  • There are no waiver amendments and renewals open for comment at this time.
  • There are no manuals open for comment