MO Health Risk Screening Tool (HRST) Process

What is Health Risk Screening Tool (HRST)?

Health Risk Screening Tool (HRST) logo

The Health Risk Screening Tool (HRST) is a tool used to provide early detection of health risks and destabilization.  The HRST tool is a component of the Missouri Division of Developmental Disabilities Health Risk Screening (HRS) Process that has been implemented statewide to support waiver participant health and welfare assurances.  

For 1:1 Support for new HRST Raters, please reach out to the following IntellectAbility team members:
Tammy Armstrong, HRST Service Team Manager
Ingrid Durbin, HRST Clinical Services Representative

For questions or feedback, please contact the Division at



HRST Frequently Asked Questions

Information for Individuals and Families

How Individuals, Family Members, and others Can Help Ensure Accurate Scoring of the HRST

Health Risk Screening Tool