Struck = removed from the bill ·
added = the amendment's new text.
SECOND2011H03.59H REGULARHB SESSION2011 [TRULYHouse AGREED_____________________________________________________ TOAmendment ANDNO.____ FINALLYOffered PASSED]By CONFERENCELaKeySha COMMITTEEBosley SUBSTITUTE79 FORAMEND SENATEHouse SUBSTITUTECommittee FORSubstitute SENATEfor COMMITTEEHouse SUBSTITUTEBill FORNo. HOUSE COMMITTEE SUBSTITUTE FOR HOUSE BILL NO.
20112011, 103RDPage GENERAL20, ASSEMBLY 2011H.07T 2026 AN ACT To appropriate money for the expenses, grants, refunds, and distributions of the Department of Social Services, and the several divisions and programs thereof, to be expended only as provided in Article IV, Section 2811.195, ofLine the13 Constitutionby ofinserting Missouri,immediately andthereafter to transfer money among certain funds for the periodfollowing: beginning July 1, 2026, and ending June 30, 2027.
Be4 it"Section enacted11.196. by the General Assembly of the state of Missouri, as follows:
ThereTo isthe appropriatedDepartment out of Social Services For the StateFamily Treasury,Support toDivision beFor expendedthe onlypurpose asof providedfunding a joint effort between a program in Articleany IV,city Sectionnot 28within ofa thecounty Constitutionthat ofbuilds Missouri,strong forfamilies theand purposevibrant ofcommunities fundingby eachproviding department,hope, division,comprehensive agency,services, fundand transfer,meaningful opportunities that exemplifies the cultural and programartistic describedtraditions hereinof forpeople in Africa, the itemCaribbean orand itemsthe stated,Americas and fora nocentury-old otherviable purposenon-profit whatsoever,entity chargeablelocated in a city not within a county that annually serves over one hundred thousand clients regionally assisting participants to thebecome fundsuccessful designatedemployees forand thethat periodserves beginningeconomically Julydisadvantaged 1,males 2026,and females to find jobs and endinghave Junethe 30,opportunity 2027,to asearn follows:livable wages From General Revenue Fund (1101)............$1,500,000";
PARTFurther 1amend Sectionsaid 11.000.bill by adjusting section and bill totals and intersectional references accordingly.
EachAction appropriationTaken___________________________________________ inDate this__________________ actPage shall consist of the item or items in each section of Part 1 of this1 act, for the amount and purpose and from the fund designated in each section of Part 1, as well as all additional clarifications of purpose in Part 2 of this act that make reference by section to said item or items in Part 1.
Any clarification of purpose in Part 2 shall state the section or sections in Part 1 to which it attaches and shall, together with the CCS SS SCS HCS HB 2011 2 language of said section(s) in Part 1, form the complete statement of purpose of the appropriation.
As such, the provisions of Part 2 of this act shall not be severed from Part 1, and if any clarification of purpose in Part 2 is for any reason held to be invalid, such decision shall invalidate all of the appropriations in this act of which said clarification of purpose is a part.
Part 3 of this act shall consist of guidance to the Department of Social Services in implementing the appropriations found in Part 1 and Part 2 of this act.
An appropriation may be comprised in whole or in part of a one-time amount, and such one-time amount shall be construed to be a component part of, and not in addition to, the stated appropriation amount.
Any amount of an appropriation identified as “one-time” in this act shall not be considered an addition to any ongoing core appropriation(s) in future fiscal periodsbeyondJune30,2027.Anyamountidentifiedasone-time may, however, be requested in any future fiscal period as a new decision item.
Section 11.005.
To the Department of Social Services For the Office of the Director For the Director's Office, provided three percent (3%) flexibility is allowed from this section to Section 11.910 Personal Service................................................................................................$182,958 Expense and Equipment................................................27,770.....................
From General Revenue Fund (1101)..............................................................................210,728 Personal Service..................................................................................................164,486 Expense and Equipment.................................................1,197.....................
From Department of Social Services Federal Fund (1610)............................................165,683 Personal Service From Child Support Enforcement Fund (1169)..................................44,008...........
Total (Not to exceed 2.93 F.T.E.).................................................................................$420,419 Section 11.007.
To the Department of Social Services For the Office of the Director For the Technology Unit Personal Service From General Revenue Fund (1101)..............................................................................$54,080 CCS SS SCS HCS HB 2011 3 From Department of Social Services Federal Fund (1610).......................162,239...
Total (Not to exceed 2.00 F.T.E.).................................................................................$216,319 Section 11.010.
To the Department of Social Services For the Office of the Director For receiving and expending grants, donations, contracts, and payments from private, federal, and other governmental agencies which may become available between sessionsoftheGeneralAssembly provided that the General Assembly shall be notified of the source of any new funds and the purpose for which they shall be expended, in writing, prior to the use of said funds From Department of Social Services Federal Fund (1610).......................................$2,000,000 From Family Services Donations Fund (1167)....................................33,999..........
Total...........................................................................................................................$2,033,999 Section 11.015.
To the Department of Social Services Funds are to be transferred out of the State Treasury to the OA Information Technology Federal Fund From Department of Social Services Federal Fund (1610).......................................$3,687,812 Section 11.020.
To the Department of Social Services For the Office of the Director For implementation on the citizen engagement platform of a Medicaid application providing transparency and two-way communication for efficient application processing and data collection as well as additional functionality necessary to improve efficiency in processing applications for assistance, provided the department shall procure services in compliance with Chapter 34, RSMo From General Revenue Fund (1101)............................................................................$400,000 From Department of Social Services Federal Fund (1610).....................3,600,000...
Total...........................................................................................................................$4,000,000 Section 11.025.
To the Department of Social Services For the Office of the Director For the Human Resources Center, provided three percent (3%) flexibility is allowed from this section to Section 11.910 Personal Service................................................................................................$396,374 Expense and Equipment....................................................9,919..................
From General Revenue Fund (1101)..............................................................................406,293 CCS SS SCS HCS HB 2011 4 Personal Service..................................................................................................215,737 Expense and Equipment...................................................28,596..................
From Department of Social Services Federal Fund (1610)............................................244,333 Personal Service From Temporary Assistance for Needy Families Federal Fund (1199)..............28,577 Total (Not to exceed 10.50 F.T.E.)...............................................................................$679,203 Section 11.030.
To the Department of Social Services For the Office of the Director For the State Technical Assistance Team (STAT) For the prevention and investigation of child abuse, child neglect, child sexual abuse, child exploitation/pornography or child fatality cases, as described in Sections 660.520 to 660.528, RSMo, and for administrative expenses, provided five percent (5%) flexibility is allowed between personal service and expense and equipment;
and further provided three percent (3%) flexibility is allowed from this section to Section 11.910 Personal Service.............................................................................................$1,737,248 Expense and Equipment..................................................223,786..................
From General Revenue Fund (1101)...........................................................................1,961,034 For the Critical Event Program Staff Personal Service From General Revenue Fund (1101).............................................334,412...............
Total (Not to exceed 33.50 F.T.E.)............................................................................$2,295,446 Section 11.035.
To the Department of Social Services For the Office of the Director For the Missouri Medicaid Audit and Compliance Unit, provided five percent (5%) flexibility is allowed between personal service and expense and equipment, and further provided three percent (3%) flexibility is allowed from this section to Section 11.910 Personal Service.............................................................................................$1,991,058 Expense and Equipment..................................................404,161..................
From General Revenue Fund (1101)...........................................................................2,395,219 Personal Service...............................................................................................2,469,670 CCS SS SCS HCS HB 2011 5 Expense and Equipment................................................900,493....................
From Department of Social Services Federal Fund (1610).........................................3,370,163 Expense and Equipment From Recovery Audit and Compliance Fund (1974) .......................................................82,087 Personal Service..................................................................................................342,361 Expense and Equipment................................................141,946....................
From Medicaid Provider Enrollment Fund (1990).........................................................484,307 For the purposes of expanding efforts to eliminate fraud, waste, and abusewithinbenefitprograms,includingMOHealthNet,through proactive measures utilizing data analytics, as well as in response to strategies identified through national efforts to enhance program integrity Personal Service..................................................................................................148,963 Expense and Equipment (including $25,957 one-time).....................51,312 From General Revenue Fund (1101)..............................................................................200,275 Personal Service..................................................................................................117,041 Expense and Equipment (including $20,395 one-time).....................40,318 From Department of Social Services Federal Fund (1610).....................157,359.....
Total (Not to exceed 94.05 F.T.E.)............................................................................$6,689,410 Section 11.040.
To the Department of Social Services For the Office of the Director For the Missouri Medicaid Audit and Compliance Unit For a case management, provider enrollment, and fraud abuse and detection system, provided three percent (3%) flexibility is allowed from this section to Section 11.910 Expense and Equipment From General Revenue Fund (1101).........................................................................$1,141,709 From Department of Social Services Federal Fund (1610)....................5,858,291....
Total...........................................................................................................................$7,000,000 Section 11.045.
To the Department of Social Services For the Office of the Director For the Missouri Medicaid Audit and Compliance Unit For the design, development, implementation, maintenance, and operation costs for a Medicaid provider enrollment system CCS SS SCS HCS HB 2011 6 Expense and Equipment From General Revenue Fund (1101).........................................................................$5,271,026 From Department of Social Services Federal Fund (1610)...................12,639,235....
Total.........................................................................................................................$17,910,261 Section 11.050.
To the Department of Social Services For the Office of the Director For the Missouri Medicaid Audit and Compliance Unit For recovery audit services Expense and Equipment From Recovery Audit and Compliance Fund (1974) ................................................$1,200,000 Section 11.052.
To the Department of Social Services For the Office of the Director For the Department of Social Services Systems Information Technology Operations and Procurement, for the purpose of providing technology and procurement operations and support for program- specific applications, business function security, project management, and agency-level Information Technology procurements for the purpose of providing efficiency and maintaining compliance with state and federal standards across the Social Services programs, provided fifty percent (50%) flexibility is allowed between personal service and expense and equipment Personal Service.............................................................................................$6,230,714 Expense and Equipment (including $40,365 one-time).................12,975,245 From General Revenue Fund (1101).........................................................................19,205,959 Personal Service...............................................................................................7,319,262 Expense and Equipment (including $54,027 one-time).................27,168,327 From Department of Social Services Federal Fund (1610).......................................34,487,589 Personal Service...............................................................................................2,357,176 Expense and Equipment...............................................6,373,546...................
From Temporary Assistance for Needy Families Federal Fund (1199)..........8,730,722 Total (Not to exceed 185.24 F.T.E.)........................................................................$62,424,270 Section 11.053.
To the Department of Social Services For the Office of the Director CCS SS SCS HCS HB 2011 7 In accordance with Executive Orders 26-02 and 26-03, funds are provided to the Division of Information Technology to establish a shared artificial intelligence (AI) development environment, including necessary tooling, platforms, and dedicated personnel.
This infrastructure shall serve as a foundational capability available to state agencies for the responsible and secure integration of AI into government operations.
Funding shall support workforce productivity tools and modernization efforts that reduce manual processes and improve the delivery of services to Missouri citizens From General Revenue Fund (1101).........................................................................$1,000,000 Section 11.055.
To the Department of Social Services For the Division of Finance and Administrative Services, provided three percent (3%) flexibility is allowed from this section to Section 11.910 Personal Service.............................................................................................$2,642,270 Expense and Equipment (including $17,289 one-time)...............381,091.....
From General Revenue Fund (1101)...........................................................................3,023,361 Personal Service...............................................................................................1,604,146 Expense and Equipment (including $23,148 one-time)...............307,464.....
From Department of Social Services Federal Fund (1610).........................................1,911,610 Personal Service......................................................................................................5,246 Expense and Equipment................................................317........................
From Department of Social Services Administrative Trust Fund (1545)...........................5,563 Personal Service....................................................................................................65,736 Expense and Equipment................................................750........................
From Child Support Enforcement Fund (1169)................................................................66,486 For the centralized inventory system, for reimbursable goods and services provided by the department, and for related equipment replacement and maintenance expenses From Department of Social Services Administrative Trust Fund (1545)....1,200,000 Total (Not to exceed 58.52 F.T.E.)............................................................................$6,207,020 Section 11.060.
To the Department of Social Services CCS SS SCS HCS HB 2011 8 For the Division of Finance and Administrative Services For the Child Welfare Eligibility Unit For administrative expenses, provided five percent (5%) flexibility is allowed between personal service and expense and equipment Personal Service................................................................................................$881,572 Expense and Equipment...................................................21,300..................
From General Revenue Fund (1101)..............................................................................902,872 Personal Service..................................................................................................779,815 Expense and Equipment...................................................18,964..................
From Department of Social Services Federal Fund (1610).......................798,779...
Total (Not to exceed 35.00 F.T.E.)............................................................................$1,701,651 Section 11.065.
To the Department of Social Services For the Division of Finance and Administrative Services For the Compliance Services Unit For administrative expenses Personal Service From General Revenue Fund (1101)............................................................................$218,288 From Victims of Crime Act Federal Fund (1146)..........................................................178,134 From Temporary Assistance for Needy Families Federal Fund (1199).........................255,985 From Department of Social Services Federal Fund (1610)............................................130,919 For contracted compliance monitoring and fiscal monitoring services Expense and Equipment From Department of Social Services Federal Fund (1610).........................................1,031,110 From Temporary Assistance for Needy Families Federal Fund (1199).............578,663 Total (Not to exceed 11.00 F.T.E.)............................................................................$2,393,099 Section 11.070.
To the Department of Social Services For the Division of Finance and Administrative Services For the payment of fees to contractors who engage in revenue maximization projects on behalf of the Department of Social Services and the General Assembly From Department of Social Services Federal Fund (1610)..........................................$450,000 From Temporary Assistance for Needy Families Federal Fund (1199).............150,000 Total..............................................................................................................................$600,000 Section 11.075.
To the Department of Social Services CCS SS SCS HCS HB 2011 9 For the Division of Finance and Administrative Services For the receipt and disbursement of refunds and incorrectly deposited receipts to allow the over-collection of accounts receivables to be paid back to the recipient, provided ten percent (10%) flexibility is allowed between federal and other funds within this section From Title XIX - Adult Expansion Federal Fund (1358).............................................$450,000 From FMAP Enhancement-Expansion Fund (2466)......................................................450,000 From Federal and Other Fund (1189)..........................................................................1,500,000 From Department of Social Services Federal Fund (1610).........................................5,025,000 From Temporary Assistance for Needy Families Federal Fund (1199)...........................27,000 From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163).......................................................................................10,250,000 From Third Party Liability Collections Fund (1120)......................................................369,000 From Victims of Crime Act Federal Fund (1146)..........................................................500,000 From Title XXI Children’s Health Insurance Program Federal Fund (1159)...............................................................................................................1,500,000 From Pharmacy Rebates Fund (1114)..............................................................................25,000 From Premium Fund (1885)........................................................................................5,500,000 From Department of Social Services Federal Stimulus Fund (2355).............................750,000 From Department of Social Services Federal Stimulus – 2021 Fund (2456)...........................................................200,000.....................................
Total.........................................................................................................................$26,546,000 Section 11.080.
To the Department of Social Services For the Division of Finance and Administrative Services For payments to counties and the City of St.
Louis for the care and maintenance of each delinquent or dependent child as provided in Section 211.156, RSMo, provided three percent (3%) flexibility is allowed from this section to Section 11.910 From General Revenue Fund (1101).........................................................................$1,324,062 Section 11.085.
To the Department of Social Services For the Division of Legal Services administrative expenses, provided three percent (3%) flexibility is allowed from this section to Section 11.910 Personal Service.............................................................................................$3,527,170 Expense and Equipment............................................146,300........................
From General Revenue Fund (1101)...........................................................................3,673,470 CCS SS SCS HCS HB 2011 10 Personal Service...............................................................................................2,100,033 Expense and Equipment..................................................141,064..................
From Department of Social Services Federal Fund (1610).........................................2,241,097 Personal Service..................................................................................................749,526 Expense and Equipment..................................................230,773..................
From Temporary Assistance for Needy Families Federal Fund (1199).........................980,299 Personal Service..................................................................................................719,349 Expense and Equipment...................................................91,158..................
From Third Party Liability Collections Fund (1120)......................................................810,507 Personal Service From Child Support Enforcement Fund (1169)...................................178,880.........
Total (Not to exceed 115.04 F.T.E.)..........................................................................$7,884,253 Section 11.090.
To the Department of Social Services For the Division of Legal Services For permanency attorneys and permanency attorney contracted services, including reunification, guardianship, adoption, or termination of parental rights, for children in the care, custody, or involved with the Children’s Division, provided twenty five percent (25%) flexibility is allowed from expense and equipment to personal service, and further provided fifty percent (50%) flexibility is allowed from personal service to expense and equipment, and further provided ten percent (10%) flexibility is allowed between Sections 11.090, 11.425, 11.435, 11.445, 11.455, 11.460, 11.485, 11.495, and 11.500 Personal Service.............................................................................................$4,349,951 Expense and Equipment................................................1,386,211..................
From General Revenue Fund (1101)...........................................................................5,736,162 Personal Service...............................................................................................2,052,820 Expense and Equipment..................................................915,506..................
From Department of Social Services Federal Fund (1610).........................................2,968,326 Personal Service From Temporary Assistance for Needy Families Federal Fund (1199).........................252,379 Personal Service CCS SS SCS HCS HB 2011 11 From Third Party Liability Collections Fund (1120)........................................................67,045 Personal Service From Child Support Enforcement Fund (1169)................................................................14,061 For Title IV-E reimbursements to counties, the City of St.
Louis, and other organizations who receive public dollars for the legal representation of parents and children in juvenile or family courts From Department of Social Services Federal Fund (1610)............................................600,000 For non-recurring adoption or legal guardianship expenses related to permanency, including but not limited to:
reasonable and necessary adoption fees, court costs, attorney fees and other expenses which are directly related to the legal adoption or legal guardianship From General Revenue Fund (1101)...........................................................................2,019,345 From Department of Social Services Federal Fund (1610)............................................826,778 From Temporary Assistance for Needy Families Federal Fund (1199).........................208,177 For a program to provide legal representation for parents of children who are the subject of child abuse and neglect investigations under Chapter 210 and potential court proceedings under Chapter 211 From Department of Social Services Federal Fund (1610)..................150,000........
Total (Not to exceed 80.00 F.T.E.)..........................................................................$12,842,273 Section 11.095.
To the Department of Social Services For the Division of Legal Services For a not-for-profit organization to provide legal assistance for kinship placements with non-contested guardianship cases in a county with more than seven hundred thousand but fewer than eight hundred thousand inhabitants, and a county with more than two hundred thirty thousand but fewer than two hundred sixty thousand inhabitants, and a county with more than one hundred thousandbutfewerthanonehundredtwentythousandinhabitants and with a county seat with more than four thousand but fewer than six thousand inhabitants, and a county with more than one hundred thousand but fewer than one hundred twenty thousand inhabitants, and with a county seat with more than nine thousand but fewer than eleven thousand inhabitants, and in a county with CCS SS SCS HCS HB 2011 12 more than twenty-two thousand but fewer than twenty-five thousand inhabitants and with a county seat with more than nine thousand but fewer than twelve thousand five hundred inhabitants, and in a county with more than one hundred fifty thousand but fewer than two hundred thousand inhabitants, and in a county with more than forty thousand but fewer than fifty thousand inhabitants and with a county seat with more than ten thousand but fewer than fourteen thousand inhabitants, and in a county with more than seventy thousand but fewer than eighty thousand inhabitants, and in a county with more than fourteen thousand but fewer than fifteen thousand seven hundred inhabitants and with a county seat with more than three thousand but fewer than four thousand five hundred fifty inhabitants, to help children remain safely with kinship caregivers and prevent the need for foster care placement From General Revenue Fund (1101)............................................................................$200,000 Section 11.096.
To the Department of Social Services For the Division of Legal Services For a 501(c)(3) non-profit organization, founded in 1989 and located in a city with more than one hundred sixty thousand but fewer than two hundred thousand inhabitants, whose mission is to recruit, train and support community volunteers who assist the court in protecting the best interests of abused and neglected children in Southwest Missouri, for the purpose of program expansion and services into surrounding counties From Department of Social Services Federal Fund (1610) (one-time) ........................$200,000 Section 11.100.
To the Department of Social Services For the Family Support Division, provided three percent (3%) flexibility is allowed from this section to Section 11.910 Personal Service.............................................................................................$2,697,796 Expense and Equipment.............................................70,690........................
From General Revenue Fund (1101)...........................................................................2,768,486 Personal Service...............................................................................................3,361,874 Expense and Equipment...........................................5,511,919.......................
From Department of Social Services Federal Fund (1610).........................................8,873,793 CCS SS SCS HCS HB 2011 13 Personal Service....................................................................................................51,137 Expense and Equipment..................................................501,513..................
From Temporary Assistance for Needy Families Federal Fund (1199).........................552,650 Personal Service From Child Support Enforcement Fund (1169)....................................657,029........
Total (Not to exceed 109.80 F.T.E.)........................................................................$12,851,958 Section 11.104.
To the Department of Social Services For the Family Support Division For the income maintenance Quality Assurance Team Personal Service................................................................................................$266,614 Expense and Equipment....................................................4,916..................
From General Revenue Fund (1101)..............................................................................271,530 Personal Service..................................................................................................799,841 Expense and Equipment...................................................14,749..................
From Department of Social Services Federal Fund (1610)........................814,590..
Total (Not to exceed 23.00 F.T.E.)............................................................................$1,086,120 Section 11.105.
To the Department of Social Services For the Family Support Division For the income maintenance field staff and operations, provided three percent (3%) flexibility is allowed from this section to Section 11.910 Personal Service...........................................................................................$36,426,688 Expense and Equipment................................................7,700,582..................
From General Revenue Fund (1101).........................................................................44,127,270 Personal Service.............................................................................................34,614,212 Expense and Equipment...............................................14,039,027..................
From Department of Social Services Federal Fund (1610).......................................48,653,239 Personal Service..................................................................................................434,233 Expense and Equipment...................................................95,138..................
From Temporary Assistance for Needy Families Federal Fund (1199).........................529,371 Personal Service...............................................................................................1,037,345 Expense and Equipment...................................................27,924..................
From Health Initiatives Fund (1275).........................................1,065,269.................
Total (Not to exceed 1,556.23 F.T.E.).....................................................................$94,375,149 CCS SS SCS HCS HB 2011 14 Section 11.106.
To the Department of Social Services For the Family Support Division For the Medical Review Team (MRT) For administrative expenses Personal Service From General Revenue Fund (1101)............................................................................$226,254 From Department of Social Services Federal Fund (1610)....................678,763......
Total (Not to exceed 21.00 F.T.E.)...............................................................................$905,017 Section 11.107.
To the Department of Social Services For the Family Support Division For contracted services to support Medicaid eligibility renewal processing and the development of training materials to support ongoing operations Expense and Equipment From General Revenue Fund (1101).........................................................................$2,310,000 From Department of Social Services Federal Fund (1610)..................6,930,000......
Total...........................................................................................................................$9,240,000 Section 11.110.
To the Department of Social Services For the Family Support Division For the Income Maintenance (IM) Call Center For state operated and contracted call center administrative and operational expenses, provided ten percent (10%) flexibility is allowed between subsections within this section For Medicaid and Children’s Health Insurance Program (CHIP) eligibility Personal Service................................................................................................$920,389 Expense and Equipment............................................1,544,470......................
From General Revenue Fund (1101)...........................................................................2,464,859 Personal Service...............................................................................................2,768,127 Expense and Equipment............................................4,632,904......................
From Department of Social Services Federal Fund (1610).........................................7,401,031 For Adult Expansion Group (AEG) eligibility, as described in Section 36(c) of Article IV of the Missouri Constitution Personal Service..................................................................................................315,567 CCS SS SCS HCS HB 2011 15 Expense and Equipment .................................................540,473..................
From General Revenue Fund (1101)..............................................................................856,040 Personal Service..................................................................................................965,469 Expense and Equipment................................................1,621,418..................
From Department of Social Services Federal Fund (1610).........................................2,586,887 For Supplemental Nutrition Assistance Program (SNAP) eligibility Personal Service...............................................................................................7,399,089 Expense and Equipment................................................5,258,611..................
From General Revenue Fund (1101).........................................................................12,657,700 Personal Service...............................................................................................4,866,640 Expense and Equipment................................................2,505,605..................
From Department of Social Services Federal Fund (1610).........................................7,372,245 For Temporary Assistance eligibility Personal Service..................................................................................................552,291 Expense and Equipment..................................................245,951..................
From Temporary Assistance for Needy Families Federal Fund (1199).............798,242 Total (Not to exceed 438.00 F.T.E.)........................................................................$34,137,004 Section 11.115.
To the Department of Social Services For the Family Support Division For public acute care hospital partnerships to assist with eligibility determinations for Medicaid and CHIP From General Revenue Fund (1101)...........................................................................$ 312,500 From Department of Social Services Federal Fund (1610).......................937,500...
Total...........................................................................................................................$1,250,000 Section 11.120.
To the Department of Social Services For the Family Support Division For income maintenance and child support staff training, provided three percent (3%) flexibility is allowed from this section to Section 11.910 Expense and Equipment From General Revenue Fund (1101)............................................................................$118,118 From Department of Social Services Federal Fund (1610)........................97,674...
Total..............................................................................................................................$215,792 CCS SS SCS HCS HB 2011 16 Section 11.125.
To the Department of Social Services For the Family Support Division For a non-profit organization established in 2018 to provide benefits and services as provided by the Refugee Act of 1980 as amended;
whose mission and vision is promoting the well-being and inclusionofrefugeesbyresourcingandcoordinatingresettlement programs across the state;
and subcontracts or partners with local refugee resettlement programs throughout the state to ensure access to resources needed to help populations serviced rebuild their lives From Department of Social Services Federal Fund (1610).....................................$37,904,538 Section 11.130.
To the Department of Social Services For the Family Support Division For the Electronic Benefit Transfers (EBT) system Expense and Equipment From General Revenue Fund (1101).........................................................................$1,086,957 From Department of Social Services Federal Fund (1610)............................................482,970 From Temporary Assistance for Needy Families Federal Fund (1199).............100,000 Total...........................................................................................................................$1,669,927 Section 11.135.
To the Department of Social Services For the Family Support Division For the Summer Electronic Benefit Transfer (EBT) program For administrative expenses Personal Service................................................................................................$171,367 Expense and Equipment...................................................11,543..................
From General Revenue Fund (1101)..............................................................................182,910 Personal Service..................................................................................................171,367 Expense and Equipment...................................................11,543..................
From Department of Social Services Federal Fund (1610).......................182,910...
Total (Not to exceed 6.00 F.T.E.).................................................................................$365,820 Section 11.140.
To the Department of Social Services For the Family Support Division For the Summer Electronic Benefit Transfer (EBT) program For contracted vendor costs and outreach costs Expense and Equipment CCS SS SCS HCS HB 2011 17 From General Revenue Fund (1101).........................................................................$4,987,620 From Department of Social Services Federal Fund (1610).................4,987,620.......
Total...........................................................................................................................$9,975,240 Section 11.141.
To the Department of Social Services Funds are to be transferred out of the State Treasury to the General Revenue Fund From Department of Social Services Federal Fund (1610) (one-time) .....................$1,357,677 Section 11.145.
To the Department of Social Services For the Family Support Division For the Missouri SuN Bucks Summer Electronic Benefit Transfer (EBT) program benefit disbursements From Department of Social Services Federal Fund (1610).....................................$51,500,000 Section 11.150.
To the Department of Social Services For the Family Support Division For the receipt of funds from the Polk County and Bolivar Charitable Trust for the exclusive benefit and use of the Polk County Office From Family Services Donations Fund (1167)...............................................................$10,000 Section 11.155.
To the Department of Social Services For the Family Support Division For contractor, hardware, and other costs associated with planning, development, and implementation of a Family Assistance Management Information System (FAMIS), provided, three percent (3%) flexibility is allowed from this section to Section 11.910 Expense and Equipment From General Revenue Fund (1101)............................................................................$571,908 From Department of Social Services Federal Fund (1610)..............................................73,422 From Temporary Assistance for Needy Families Federal Fund (1199)........400,000 Total...........................................................................................................................$1,045,330 Section 11.160.
To the Department of Social Services For the Family Support Division For Missouri Eligibility Determination and Enrollment System (MEDES), provided ten percent (10%) flexibility is allowed between Sections 11.160 and 11.165, and further provided three CCS SS SCS HCS HB 2011 18 percent (3%) flexibility is allowed from this section to Section 11.910 For the design, development, implementation, maintenance and operation costs of the Medicaid and Children’s Health Insurance Program (CHIP) eligibility categories under the Modified Adjusted Gross Income (MAGI) based methodology Expense and Equipment, excluding employee administrative costs From General Revenue Fund (1101).........................................................................$2,179,105 From Department of Social Services Federal Fund (1610).......................................25,179,260 From Temporary Assistance for Needy Families Federal Fund (1199)......................1,300,007 From Health Initiatives Fund (1275)...........................................................................1,000,004 Forthedesign,development,andimplementationcostsforSupplemental Nutrition Assistance Program (SNAP) Expense and Equipment, excluding employee administrative costs From General Revenue Fund (1101)...........................................................................6,093,538 From Department of Social Services Federal Fund (1610).........................................7,652,690 From Temporary Assistance for Needy Families Federal Fund (1199)......................2,000,000 For the design, development, and implementation costs for Temporary Assistance (TA) Expense and Equipment, excluding employee administrative costs From Temporary Assistance for Needy Families Federal Fund (1199).........................200,000 For the expenses for the independent verification and validation (IV&V) services Expense and Equipment, excluding employee administrative costs From General Revenue Fund (1101)..............................................................................352,983 From Department of Social Services Federal Fund (1610)............................................970,537 For the expenses related to the enterprise content management (ECM) system Expense and Equipment, excluding employee administrative costs From General Revenue Fund (1101)..............................................................................453,867 CCS SS SCS HCS HB 2011 19 From Department of Social Services Federal Fund (1610).........................................2,227,500 For the expenses related to the project management office (PMO) Expense and Equipment From General Revenue Fund (1101)...........................................................................1,359,631 From Department of Social Services Federal Fund (1610)....................2,661,566....
Total.........................................................................................................................$53,630,688 Section 11.165.
To the Department of Social Services For the Family Support Division For third party eligibility verification services:
in order to improve the accuracy of Medicaid, SNAP and TANF eligibility determinations and redeterminations, increase operational efficiencies, achieve cost savings, and minimize fraud, the Missouri Department of Social Services shall obtain real-time employment and income data (up-to-date, non-modeled employment and income data provided by employers and/or payroll providers) from a payroll data provider, as defined by the Fair Credit Reporting Act, 15 U.S.C.
s.1681 et seq., provided the term "payroll data provider" means payroll providers, wage verification companies, and other commercial or non- commercial entities that collect and maintain data regarding employment and wages;
and further provided the contractors shall also, on a monthly basis, identify participants of covered programswhohavedied,movedoutof state,or been incarcerated longer than 90 days, provided ten percent (10%) flexibility is allowed between Sections 11.160 and 11.165 Expense and Equipment From General Revenue Fund (1101).........................................................................$5,336,379 From Department of Social Services Federal Fund (1610).........................................9,462,396 From Temporary Assistance for Needy Families Federal Fund (1199)...........217,878 Total.........................................................................................................................$15,016,653 Section 11.170.
To the Department of Social Services For the Family Support Division For income maintenance eligibility system updates and additional resources to implement Public Law No.
119-21 From General Revenue Fund (1101).......................................................................$17,246,497 From Department of Social Services Federal Fund (1610)...................32,346,763....
CCS SS SCS HCS HB 2011 20 Total.........................................................................................................................$49,593,260 Section 11.175.
To the Department of Social Services For the Family Support Division For the Food Nutrition Program From Department of Social Services Federal Fund (1610).......................................$7,031,849 Section 11.180.
To the Department of Social Services For the Family Support Division For a public school located in a city with more than one thousand nine hundred but fewer than two thousand one hundred fifty inhabitants and located in a county with more than twenty-two thousand but fewer than twenty-five thousand inhabitants and with a county seat with more than five hundred but fewer than nine hundred, a public school located in a city with more than twelve thousand five hundred but fewer than fourteen thousand inhabitants and located in a county with more than fifty thousand but fewer than sixty thousand inhabitants and with a county seat with more than twelve thousand six hundred but fewer than fifteen thousand inhabitants, a public school located in a city with more than seven thousand but fewer than eight thousand inhabitants and that is the county seat of a county with more than fifteen thousand seven hundred but fewer than seventeen thousand six hundred inhabitants, a publicschoollocatedinacity with more than four thousand nine hundred but fewer than five thousand six hundred inhabitants and that is the county seat of a county with more than twelve thousand five hundred but fewer than fourteen thousand inhabitants, and a public school located in a city with more than twelve thousand five hundred but fewer than fourteen thousand inhabitants and located in a county with more than fifty thousand but fewer than sixty thousand inhabitants and with a county seat with more than ten thousand but fewer than twelve thousand six hundred inhabitants, for a model that uses integrated student support in collaboration with local communities to address barriers to student success From Temporary Assistance for Needy Families Federal Fund (1199)....................$1,000,000 For a nonprofit organization located in a city with more than four hundred thousand inhabitants and located in more than one CCS SS SCS HCS HB 2011 21 county that provides programs and services including math, science,andcomputer tutoring;jobskillstraining;transportation;
food and clothing programs;
and sports programs From General Revenue Fund (1101) (one-time) ............................................................500,000 For Missouri Work Programs For a century-old viable non-profit entity located in a city not within a county that annually serves over one hundred thousand clients regionally assisting participants to become successful employees and that serves economically disadvantaged males and females to find jobs and have the opportunity to earn livable wages From Temporary Assistance for Needy Families Federal Fund (1199)......................1,000,000 For a program in a city with more than four hundred thousand inhabitants and located in more than one county to teach parenting curriculum and other skills to men, along with assisting them in finding employment, health care, dealing with civil and criminal charges and cases and other social services thus allowing them to develop healthy and supportive relationships with their kids and families From Temporary Assistance for Needy Families Federal Fund (1199) (one-time)..............................................................................................................50,000 For the purpose of funding a program in a city not within a county to foster healthy relationships by strengthening families and reducing the rates of absentee fathers through employment placement, job readiness, and employer retention skills From Temporary Assistance for Needy Families Federal Fund (1199).......1,000,000 Total...........................................................................................................................$3,350,000 Section 11.181.
To the Department of Social Services For the Family Support Division For a not-for-profit organization located in a city not within a county that has been in operation for over 100 years and provides children and family services From Temporary Assistance for Needy Families Federal Fund (1199)....................$1,000,000 Section 11.185.
To the Department of Social Services For the Family Support Division CCS SS SCS HCS HB 2011 22 For a nonprofit organization located in a city with more than four hundred thousand inhabitants and located in more than one county that provides job training in pet grooming to help break generational poverty, including the expansion of such services to additional locations From General Revenue Fund (1101) (one-time) ..........................................................$995,354 From Temporary Assistance for Needy Families Federal Fund (1199)........600,000 Total...........................................................................................................................$1,595,354 Section 11.187.
To the Department of Social Services For the Family Support Division For a program in any county with more than seventy thousand but fewer than eighty thousand inhabitants that is a national service initiativeandisthemostsuccessfulmentoringprogramforyoung people of color from its inception, was to provide scholarships to needy and talented students from grades 6–12, and to inform young people of the professions and other career options From General Revenue Fund (1101) (one-time) ............................................................$25,000 Section 11.190.
To the Department of Social Services For the Family Support Division For a nonprofit organization located in any county with more than one million inhabitants that provides youth and their family with mentorship as well as virtual or in-person educational opportunities relating to college preparedness, workforce development, and character preparation to foster academic success From Temporary Assistance for Needy Families Federal Fund (1199)....................$1,080,500 Section 11.191.
To the Department of Social Services For the Family Support Division For a non-profit organization located in a county with more than one million inhabitants that is driven by the goal to make the world a better place for all youth, strives to build productive relationships and make a positive impact in all pursuits From General Revenue Fund (1101) (one-time) ..........................................................$100,000 Section 11.195.
To the Department of Social Services For the Family Support Division CCS SS SCS HCS HB 2011 23 For the Temporary Assistance for Needy Families (TANF) benefits and Temporary Assistance (TA) Diversion transitional benefits From General Revenue Fund (1101).........................................................................$2,946,121 From Temporary Assistance for Needy Families Federal Fund (1199)....................11,718,245 For the purpose of funding a joint effort between a program in any city not within a county that builds strong families and vibrant communities by providing hope, comprehensive services, and meaningful opportunities that exemplifies the cultural and artistic traditions of people in Africa, the Caribbean and the Americas and a century-old viable non-profit entity located in a city not within a county that annually serves over one hundred thousand clients regionally assisting participants to become successful employees and that serves economically disadvantaged males and females to find jobs and have the opportunity to earn livable wages From Temporary Assistance for Needy Families Federal Fund (1199).........................250,000 For a nonprofit organization headquartered in a city with more than one hundred sixty thousand but fewer than two hundred thousand inhabitants whose mission is to feed the world through children's feeding initiatives, community outreaches, disaster response, and strategic program partners From General Revenue Fund (1101) (one-time) ............................750,000..............
Total.........................................................................................................................$15,664,366 Section 11.200.
To the Department of Social Services For the Family Support Division For a healthy marriage and fatherhood initiative From Temporary Assistance for Needy Families Federal Fund (1199)....................$1,250,000 Section 11.201.
To the Department of Social Services For the Family Support Division For a non-profit organization, founded in 1977 and located in a city with more than eight thousand but fewer than nine thousand inhabitants and located in a county with more than one million inhabitants, whose mission is to empower children, parents and families during and after divorce through counseling, education, and support to ensure successful outcomes, improve emotional CCS SS SCS HCS HB 2011 24 and family stability, and promote opportunities to achieve goals and transition into healthy and productive adults From Temporary Assistance for Needy Families Federal Fund (1199) (one-time)..........................................................................................................$100,000 Section 11.205.
To the Department of Social Services For the Family Support Division For supplemental payments to aged or disabled persons From General Revenue Fund (1101)................................................................................$6,120 Section 11.210.
To the Department of Social Services For the Family Support Division For nursing care payments to aged, blind, or disabled persons, and for personal funds to recipients of Supplemental Nursing Care payments as required by Section 208.030, RSMo, provided thirty-five percent (35%) flexibility is allowed from Section 11.210 to 11.745 From General Revenue Fund (1101).......................................................................$22,344,440 Section 11.215.
To the Department of Social Services For the Family Support Division ForBlindPensionandsupplementalpaymentstoblindpersons,provided that the Department of Social Services, whenever it calculates a new estimated rate or rates for the Blind Pension and/or supplemental payments to blind persons for the upcoming fiscal year, shall transmit the new estimated rate or rates, as well as the accompanying assumptions and calculations used to create the new estimated rate or rates, to the following organizations:
Missouri Council for the Blind, National Federation of the Blind of Missouri, and the State Rehabilitation Council From Blind Pension Fund (1621) ............................................................................$38,838,112 Section 11.220.
To the Department of Social Services For the Family Support Division For the administration of blind services, provided three percent (3%) flexibility is allowed from this section to Section 11.910 Personal Service.............................................................................................$1,093,800 Expense and Equipment............................................114,927........................
From General Revenue Fund (1101)...........................................................................1,208,727 CCS SS SCS HCS HB 2011 25 Personal Service...............................................................................................4,113,351 Expense and Equipment..................................................754,915..................
From Department of Social Services Federal Fund (1610).....................4,868,266...
Total (Not to exceed 102.69 F.T.E.)..........................................................................$6,076,993 Section 11.225.
To the Department of Social Services For the Family Support Division For services for the visually impaired, provided three percent (3%) flexibility is allowed from this section to Section 11.910 From General Revenue Fund (1101).........................................................................$1,298,211 From Department of Social Services Federal Fund (1610).........................................5,657,946 From Family Services Donations Fund (1167).................................................................99,995 From Blindness Education, Screening and Treatment Program Fund (1892).................................................................349,325...............................
Total...........................................................................................................................$7,405,477 Section 11.230.
To the Department of Social Services For the Family Support Division For business enterprise programs for the blind From Department of Social Services Federal Fund (1610).....................................$44,603,034 Section 11.232.
To the Department of Social Services For the Family Support Division For a professional women's soccer team located in a city with more than four hundred thousand inhabitants and located in more than one county to provide youth soccer clubs and programs From General Revenue Fund (1101) (one-time) ............................................................$20,000 Section 11.235.
To the Department of Social Services For the Family Support Division For the Child Support Enforcement field staff and operations, provided three percent (3%) flexibility is allowed from this section to Section 11.910 Personal Service.............................................................................................$3,681,668 Expense and Equipment................................................2,587,989..................
From General Revenue Fund (1101)...........................................................................6,269,657 Personal Service.............................................................................................19,803,965 CCS SS SCS HCS HB 2011 26 Expense and Equipment................................................5,684,247..................
From Department of Social Services Federal Fund (1610).......................................25,488,212 Personal Service...............................................................................................2,457,642 Expense and Equipment................................................2,146,390..................
From Child Support Enforcement Fund (1169)..................................4,604,032........
Total (Not to exceed 584.04 F.T.E.)........................................................................$36,361,901 Section 11.236.
To the Department of Social Services For the Family Support Division For a not-for-profit organization which was founded in 2008 and located in any city with more than one hundred twenty-five thousand but fewer than one hundred sixty thousand inhabitants provided the funds are used for responsible fatherhood services and healthy marriage activities, including but not limited to the collection of child support checks, and provided the Department of Social Services shall apply for any waivers necessary to allow the non- profit organization to expend these funds From Child Support Enforcement Fund (1169)............................................................$500,000 Section 11.240.
To the Department of Social Services For the Family Support Division For the Child Support Enforcement Call Center For state operated call center administrative and operational expenses Personal Service................................................................................................$887,742 Expense and Equipment..................................................614,885..................
From General Revenue Fund (1101)...........................................................................1,502,627 Personal Service...............................................................................................1,694,015 Expense and Equipment................................................1,297,503..................
From Department of Social Services Federal Fund (1610).........................................2,991,518 Personal Service..................................................................................................129,519 Expense and Equipment...................................................95,844..................
From Child Support Enforcement Fund (1169)....................................225,363........
Total (Not to exceed 67.20 F.T.E.)............................................................................$4,719,508 Section 11.245.
To the Department of Social Services For the Family Support Division For the Family Support Payment Center CCS SS SCS HCS HB 2011 27 Personal Service..................................................................................................$72,799 Expense and Equipment...............................................3,470,006...................
From Department of Social Services Federal Fund (1610).........................................3,542,805 Personal Service....................................................................................................35,931 Expense and Equipment...............................................1,462,900...................
From Child Support Enforcement Fund (1169)................................1,498,831..........
Total (Not to exceed 2.62 F.T.E.)..............................................................................$5,041,636 Section 11.250.
To the Department of Social Services For the Family Support Division For reimbursements to counties and the City of St.
Louis and contractual agreements with local governments providing child support services, provided three percent (3%) flexibility is allowed from this section to Section 11.910 From General Revenue Fund (1101).........................................................................$1,840,491 From Department of Social Services Federal Fund (1610).......................................13,386,582 From Child Support Enforcement Fund (1169).................................800,212...........
Total.........................................................................................................................$16,027,285 Section 11.252.
To the Department of Social Services For the Family Support Division For a 501(c)(3) non-profit corporation formed in 2010, and located in a city with more than one hundred sixty thousand but fewer than two hundred thousand inhabitants to assist at-risk or foster care youth ranging in ages from 16 to 24 years old through its positive youth development programs and by helping them identify and apply their unique strengths in order to experience a successful, self-sufficient transition into adulthood From Temporary Assistance for Needy Families Federal Fund (1199).......................$150,000 Section 11.253.
To the Department of Social Services For the Family Support Division For a 501 (c)(3) organization incorporated in 1971 located in a city with more than four hundred thousand inhabitants and located in more than one county that offers residential support to men over 21 yearsoldastheyworktorebuildtheirlivesfromalcoholanddrug use From General Revenue Fund (1101) (one-time) ..........................................................$500,000 CCS SS SCS HCS HB 2011 28 Section 11.255.
To the Department of Social Services For the Family Support Division For reimbursements to the federal government for federal Temporary Assistance for Needy Families payments, refunds of bonds, refunds of support payments or overpayments, and distributions to families From Department of Social Services Federal Fund (1610).....................................$29,000,000 From Debt Offset Escrow Fund (1753).......................................................................6,000,000 Forthepurposeoffundingaprogramlocatedinacitynotwithinacounty that assists individuals with limited opportunities to self- sufficiency by breaking down barriers to self-sufficiency, assisting survivors of domestic violence while fostering healthy co-parenting relationships, reducing the rates of absentee fathers, child development and strengthening families, all while creating a safer and more inclusive community From Temporary Assistance for Needy Families Federal Fund (1199) (one-time).......................................................250,000...................................
Total.........................................................................................................................$35,250,000 Section 11.259.
To the Department of Social Services For the Family Support Division For a nonprofit organization located in any county with more than four hundred thousand but fewer than five hundred thousand inhabitants whose mission is to provide school districts' student personnel with suicide prevention skills and awareness, training on social media harassment and bullying interventions, and mental health therapy resources From Temporary Assistance for Needy Families Federal Fund (1199) (one-time)..........................................................................................................$200,000 Section 11.260.
To the Department of Social Services For the Family Support Division Funds are to be transferred out of the State Treasury to the Department of Social Services Federal Fund From Debt Offset Escrow Fund (1753)........................................................................$955,000 CCS SS SCS HCS HB 2011 29 Funds are to be transferred out of the State Treasury to the Child Support Enforcement Fund From Debt Offset Escrow Fund (1753).....................................245,000...................
Total...........................................................................................................................$1,200,000 Section 11.265.
To the Department of Social Services For the Family Support Division For the Office of Workforce and Community Initiatives For administrative expenses Personal Service From General Revenue Fund (1101)............................................................................$176,390 From Department of Social Services Federal Fund (1610).........................................1,927,955 From Temporary Assistance for Needy Families Federal Fund (1199)......1,068,061 Total (Not to exceed 48.00 F.T.E.)............................................................................$3,172,406 Section 11.266.
To the Department of Social Services For the Family Support Division For a not-for-profit organization located in a city not within a county dedicated to educating, strengthening, and empowering women and children affected by domestic violence From Temporary Assistance for Needy Families Federal Fund (1199) (one-time)..........................................................................................................$500,000 Section 11.267.
To the Department of Social Services For the Family Support Division For a 501(c)(3) non-profit corporation with more than 30 employees, formed in 1969, and located in a city with more than one hundred sixty thousand but fewer than two hundred thousand inhabitants for training, resources, and support to equip volunteers to tutor and support student learning in public elementary schools From Temporary Assistance for Needy Families Federal Fund (1199) (one-time)..........................................................................................................$150,000 Section 11.268.
To the Department of Social Services For the Family Support Division For a non-profit organization located in any county with more than one million inhabitants that assists abused and neglected women and teens with support resources and community education to help CCS SS SCS HCS HB 2011 30 them out of abusive environments and promote a positive and productive future From General Revenue Fund (1101) (one-time) ..........................................................$200,000 Section 11.270.
To the Department of Social Services For the Family Support Division For grants and contracts to Community Partnerships and other community initiatives and related expenses, provided three percent (3%) flexibility is allowed from this section to Section 11.910 From General Revenue Fund (1101).........................................................................$1,132,328 From Department of Social Services Federal Fund (1610)..............................................78,307 From Temporary Assistance for Needy Families Federal Fund (1199)......................7,025,492 For the Missouri Mentoring Partnership From Department of Social Services Federal Fund (1610)............................................935,000 For a program for adolescents with the goal of preventing teen pregnancies From Temporary Assistance for Needy Families Federal Fund (1199)........400,000 Total...........................................................................................................................$9,571,127 Section 11.271.
To the Department of Social Services For the Family Support Division For a not-for-profit located in a county with more than one million inhabitants which focuses on at risk and under-represented youth and young adults provided the funding is used for personal and professional skills development, peer-mentoring services, and training young adults to become mentor leaders From General Revenue Fund (1101) (one-time) ............................................................$70,000 Section 11.275.
To the Department of Social Services For the Family Support Division For the Missouri Work Assistance Program Unit For Work Assistance Programs From General Revenue Fund (1101).........................................................................$1,855,554 From Temporary Assistance for Needy Families Federal Fund (1199)....................12,017,755 For the Missouri SkillUp Program CCS SS SCS HCS HB 2011 31 From Department of Social Services Federal Fund (1610).........................................4,672,471 From Temporary Assistance for Needy Families Federal Fund (1199)......................5,469,104 For the attendance of Supplemental Nutrition Assistance Program recipients at adult high schools as designated by the Department of Elementary and Secondary Education From Department of Social Services Federal Fund (1610).........................................5,100,000 For the attendance of low-income individuals at adult high schools as designated by the Department of Elementary and Secondary Education From General Revenue Fund (1101)...........................................................................2,000,000 From Temporary Assistance for Needy Families Federal Fund (1199)......................6,400,000 For child care at adult high school locations From General Revenue Fund (1101)...........................................................................1,510,000 For Jobs for America’s Graduates From Temporary Assistance for Needy Families Federal Fund (1199)......................4,500,000 For a comprehensive counseling and solution generation service that focuses on a multi-year journey for high school students from initial training to full-time employment with pre-identified entry leveljobsthatdrivetheprogram’strainingwhileearningadegree relating to information technology, provided that the service is designed to assist with environmental hurdles and with students receiving accredited course credit from institutions for higher education in the state of Missouri, and further provided that the service includes a multi-year, wrap around support infrastructure for each student that extends from the student’s acceptance into the program through full time employment and continues until the student completes a degree, if so requested by the program participant, also known as HyperCare From General Revenue Fund (1101)...........................................................................1,250,000 From Temporary Assistance for Needy Families Federal Fund (1199).......1,750,000 Total.........................................................................................................................$46,524,884 Section 11.280.
To the Department of Social Services For the Family Support Division CCS SS SCS HCS HB 2011 32 For a healthy marriage and fatherhood initiative delivered by a Missouri nonprofit corporation at multiple locations throughout the state of Missouri with a primary office located in a city with more than one hundred sixty thousand but fewer than two hundred thousand inhabitants From Temporary Assistance for Needy Families Federal Fund (1199).......................$500,000 Section 11.285.
To the Department of Social Services For the Family Support Division For support to Food Banks’ effort to provide services and food to low- income individuals From Temporary Assistance for Needy Families Federal Fund (1199)..................$10,000,000 For an evidence-based program through a school-based early warning and response system that improves student attendance, behavior, and course performance in reading and math by identifying the root causes for student absenteeism, classroom disruption, and course failure From Temporary Assistance for Needy Families Federal Fund (1199)......................1,500,000 For after school support programs From Temporary Assistance for Needy Families Federal Fund (1199)......................1,000,000 For out of school support programs From Temporary Assistance for Needy Families Federal Fund (1199)......................2,000,000 For a nonprofit organization serving youth for over twenty years that enables young people to reach their full potential as productive, caring, responsible citizens by providing a club experience, including after school and summer programs that assures success located in any city with more than sixteen thousand but fewer than eighteen thousand inhabitants and that is the county seat of a county with more than forty thousand but fewer than fifty thousand inhabitants From General Revenue Fund (1101) (one-time) .........................................................3,500,000 For a century-old viable non-profit entity located in a city not within a county that annually serves over one hundred thousand clients regionally in efforts to deescalate violence and offer conflict mediation and connects neighborhood residents with the CCS SS SCS HCS HB 2011 33 necessary viable resources and services, in an effort to reduce crime, violence, and to improve the quality of life From Temporary Assistance for Needy Families Federal Fund (1199) (one-time)......................................................1,000,000.................................
Total.........................................................................................................................$19,000,000 Section 11.286.
To the Department of Social Services For the Family Support Division For a nonprofit organization founded in 2016 located in a city with more than four hundred thousand inhabitants and located in more than one county, that is providing access to fresh, affordable and healthy foods to over 250,000 local residents experiencing food insecurity From Temporary Assistance for Needy Families Federal Fund (1199).......................$250,000 Section 11.290.
To the Department of Social Services For the Family Support Division For out of school enrichment initiatives Program Distribution From Temporary Assistance for Needy Families Federal Fund (1199)....................$7,000,000 Section 11.295.
To the Department of Social Services For the Family Support Division For alternatives to abortion services, including the provision of diapers and other infant hygiene products to women who qualify for alternative to abortion services, provided that if the Department grants or allocates funds to certain not-for-profit organizations or regions of the state that are unused or anticipated to be unused, thentheDepartmentshallredistributesuchfundstoothernot-for- profit organizations or regions of the state to ensure that all the funds appropriated are available to serve women who qualify for alternatives to abortion services, and further provided that the Department shall not limit the amount that can be expended per client From General Revenue Fund (1101).........................................................................$2,033,561 From Department of Social Services Federal Fund (1610)..............................................50,000 From Temporary Assistance for Needy Families Federal Fund (1199)....................10,300,000 CCS SS SCS HCS HB 2011 34 For the alternatives to abortion public awareness program, including assistance to contractors and subcontractors with the Department for alternatives to abortion services, to help alternatives to abortion agencies reach pregnant women at risk for having abortions when such agencies are blocked or in any other way suppressedbyanysearchengine,socialmediaplatform,ordigital advertising network From General Revenue Fund (1101)........................................550,000....................
Total.........................................................................................................................$12,933,561 Section 11.297.
To the Department of Social Services For the Family Support Division For funding a multi-model, on-demand, micro-transit provision and/or coordination in rural and suburban markets to enhance access to health services (including, without limitation, mental, physical, dental health services and pharmaceutical services);
workforce development training, to include educational opportunities, apprenticeship programs, internships and other related workforce programs and for mobility coordination, primarily for individuals in areas of the state under-served by existing public transit services and routes From General Revenue Fund (1101) (one-time) .......................................................$1,000,000 Section 11.300.
To the Department of Social Services For the Family Support Division For grants to organizations that promote and facilitate adoptions, maternity homes, diaper banks, and organizations providing material support and other assistance to individuals facing an unintended pregnancy to help those individuals give birth to their unborn children From General Revenue Fund (1101).........................................................................$1,500,000 Section 11.305.
To the Department of Social Services For the Family Support Division For a grant to an organization located in a city with more than thirty-six thousand five hundred but fewer than forty thousand inhabitants that promotes and facilitates adoptions, maternity homes, material support and other assistance to individuals facing an CCS SS SCS HCS HB 2011 35 unintended pregnancy to help those individuals give birth to their unborn children From Temporary Assistance for Needy Families Federal Fund (1199) (including $125,000 one-time)..........................................................................$625,000 Section 11.311.
To the Department of Social Services For the Family Support Division For a not-for-profit located in a city not within a county and founded in 1981, whose mission is to offer hope, empowerment, compassion, hospitality and a chance for independence, to provide substance abuse treatment support, family support services, access to healthy foods and adequate shelter From Opioid Addiction Treatment and Recovery Fund (1705)...................................$500,000 Section 11.320.
To the Department of Social Services For the Family Support Division For community services programs provided by Community Action Agencies or other not-for-profit organizations under the provisions of the Community Services Block Grant From Department of Social Services Federal Fund (1610).....................................$23,437,056 Section 11.330.
To the Department of Social Services For the Family Support Division For the Food Distribution Program, the receipt and disbursement of Donated Food Program payments and for the Local Food Purchase Assistance Cooperative Program From Department of Social Services Federal Fund (1610).......................................$6,777,682 Section 11.331.
To the Department of Social Services For the Family Support Division For a transitional housing facility project for the homeless that is expected to house between 15 and 20 people, and would include laundry, internet, showers, a communal living space, and a kitchen for the residents in any county with more than two hundred thousand but fewer than two hundred thirty thousand inhabitants From General Revenue Fund (1101) (one-time) .......................................................$1,000,000 Section 11.335.
To the Department of Social Services CCS SS SCS HCS HB 2011 36 For the Family Support Division For the Low-Income Home Energy Assistance Program, provided the eligible household income does not exceed one hundred and fifty percent (150%) of the federal poverty level or sixty percent (60%) of the state median income (SMI) From Department of Social Services Federal Fund (1610).....................................$93,620,002 Section 11.340.
To the Department of Social Services For the Family Support Division For grants to not-for profit organizations for services and programs to assist victims of domestic violence, provided three percent (3%) flexibility is allowed from this section to Section 11.910 From General Revenue Fund (1101) (including $1,000,000 one-time) ....................$5,000,000 From Department of Social Services Federal Fund (1610).........................................3,000,000 From Temporary Assistance for Needy Families Federal Fund (1199)......................1,600,000 For emergency shelter services to assist victims of domestic violence From Temporary Assistance for Needy Families Federal Fund (1199).............562,137 Total.........................................................................................................................$10,162,137 Section 11.345.
To the Department of Social Services For the Family Support Division For the Victims of Crime Act (VOCA) Unit For the administrative expenses of the Victims of Crime Act program Personal Service From General Revenue Fund (1101)..............................................................................$27,827 Personal Service..................................................................................................286,501 Expense and Equipment..................................................100,049..................
From Victims of Crime Act Federal Fund (1146)..........................................................386,550 For training and technical assistance expenses for the Victims of Crime Act program Expense and Equipment From Victims of Crime Act Federal Fund (1146)................................500,000........
Total (Not to exceed 5.00 F.T.E.).................................................................................$914,377 Section 11.350.
To the Department of Social Services For the Family Support Division CCS SS SCS HCS HB 2011 37 For the Office of Workforce & Community Initiatives For the Victims of Crime Act (VOCA) Unit For grants to not-for-profit organizations for services and programs to assist victims of crime From Victims of Crime Act Federal Fund (1146)...................................................$33,864,755 From Missouri State Capitol Commission Capitol Preservation Fund (1202) (one-time)....................................................9,000,000.........................
Total.........................................................................................................................$42,864,755 Section 11.355.
To the Department of Social Services For the Family Support Division For grants to not-for-profit organizations for services and programs to assist victims of sexual assault, provided three percent (3%) flexibility is allowed from this section to Section 11.910 From General Revenue Fund (1101).........................................................................$1,750,000 Section 11.360.
To the Department of Social Services For the Children’s Division administrative expenses, provided three percent (3%) flexibility is allowed from this section to Section 11.910 Personal Service.............................................................................................$1,999,971 Expense and Equipment................................................1,738,275..................
From General Revenue Fund (1101)...........................................................................3,738,246 Personal Service...............................................................................................1,915,795 Expense and Equipment................................................1,031,094..................
From Department of Social Services Federal Fund (1610).........................................2,946,889 Personal Service From Temporary Assistance for Needy Families Federal Fund (1199).........................944,470 Expense and Equipment From Third Party Liability Collections Fund (1120)............................55,944.........
Total (Not to exceed 75.43 F.T.E.)............................................................................$7,685,549 Section 11.365.
To the Department of Social Services For the Children’s Division For the Residential Program Unit Personal Service.............................................................................................$1,399,932 CCS SS SCS HCS HB 2011 38 Expense and Equipment..................................................158,212..................
From General Revenue Fund (1101)...........................................................................1,558,144 Personal Service..................................................................................................573,659 Expense and Equipment...................................................22,589..................
From Department of Social Services Federal Fund (1610).......................596,248...
Total (Not to exceed 33.00 F.T.E.)............................................................................$2,154,392 Section 11.370.
To the Department of Social Services For the Children’s Division For the Child Abuse and Neglect Hotline Unit For administrative expenses, provided five percent (5%) flexibility is allowed between personal service and expense and equipment Personal Service.............................................................................................$5,467,887 Expense and Equipment..................................................163,666..................
From General Revenue Fund (1101) (Not to exceed 89.00 F.T.E.) ..........................$5,631,553 Section 11.375.
To the Department of Social Services For the Children’s Division, provided five percent (5%) flexibility is allowed between personal service and expense and equipment, and further provided five percent (5%) flexibility is allowed from Section 11.375 to 11.370, and further provided that fifty percent (50%) flexibility is allowed between Sections 11.375, 11.395, and 11.400, and further provided three percent (3%) flexibility is allowed from this section to Section 11.910 For the Children’s Division field staff and operations administrative expenses Personal Service...........................................................................................$45,168,617 Expense and Equipment................................................2,098,188..................
From General Revenue Fund (1101).........................................................................47,266,805 Personal Service.............................................................................................42,952,511 Expense and Equipment................................................3,192,497..................
From Department of Social Services Federal Fund (1610).......................................46,145,008 Personal Service.............................................................................................14,812,919 Expense and Equipment................................................1,818,397..................
From Temporary Assistance for Needy Families Federal Fund (1199)....................16,631,316 Personal Service....................................................................................................97,411 CCS SS SCS HCS HB 2011 39 Expense and Equipment...................................................35,558..................
From Health Initiatives Fund (1275)..............................................................................132,969 For recruitment and retention services From General Revenue Fund (1101)..............................................................................613,496 From Department of Social Services Federal Fund (1610)............................................550,504 For the expansion of a foster care portal software that can be accessed by children’s division caseworkers, licensed foster families, foster care licensure applicants, parents or guardians of children in foster care, and other key parties to ensure streamlined communication and information sharing From General Revenue Fund (1101).............................................750,000...............
Total (Not to exceed 1,781.86 F.T.E.)...................................................................$112,090,098 Section 11.380.
To the Department of Social Services For the Children's Division For Psychotropic Medication Reviews For administration to monitor and track prescribed and administered psychotropic medications to children in the custody of the Children's Division, assist in the collection of medical records, ensure informed consent of family members, provide secondary reviews to prevent excessive dosages, and administer pre-service and annual training to foster care case management staff and resource providers Personal Service................................................................................................$250,134 Expense and Equipment...................................................45,768..................
From General Revenue Fund (1101)..............................................................................295,902 Personal Service....................................................................................................72,014 Expense and Equipment...................................................13,177..................
From Department of Social Services Federal Fund (1610)..............................................85,191 Personal Service....................................................................................................36,007 Expense and Equipment....................................................6,588..................
From Temporary Assistance for Needy Families Federal Fund (1199)..............42,595 Total (Not to exceed 6.00 F.T.E.).................................................................................$423,688 Section 11.385.
To the Department of Social Services For the Children's Division CCS SS SCS HCS HB 2011 40 For tuition assistance Expense and Equipment From General Revenue Fund (1101)..............................................................................$77,000 Expense and Equipment From Department of Social Services Federal Fund (1610).......................231,000...
Total..............................................................................................................................$308,000 Section 11.390.
To the Department of Social Services For the Children’s Division For diligent search for relative placements Personal Service................................................................................................$749,220 Expense and Equipment..................................................150,906..................
From General Revenue Fund (1101)..............................................................................900,126 Personal Service..................................................................................................301,607 Expense and Equipment...................................................74,559..................
From Department of Social Services Federal Fund (1610).......................376,166...
Total (Not to exceed 24.00 F.T.E.)............................................................................$1,276,292 Section 11.395.
To the Department of Social Services For the Children’s Division For administrative expenses of the Family Centered Services (FCS) program, provided five percent (5%) flexibility is allowed betweenpersonalserviceandexpenseandequipment,andfurther provided fifty percent (50%) flexibility is allowed between Sections 11.375, 11.395, and 11.400 Personal Service.............................................................................................$2,697,320 Expense and Equipment..................................................170,859..................
From General Revenue Fund (1101)...........................................................................2,868,179 Personal Service..................................................................................................805,879 Expense and Equipment...................................................65,681..................
From Department of Social Services Federal Fund (1610).......................871,560...
For grants to nonprofit organizations for statewide prevention and education efforts concerning human trafficking through a program that reaches public and charter schools Expense and Equipment CCS SS SCS HCS HB 2011 41 From General Revenue Fund (1101) (one-time) ...............................150,000...........
Total (Not to exceed 20.00 F.T.E.)............................................................................$3,889,739 Section 11.400.
To the Department of Social Services For the Children’s Division For the Team Decision Making (TDM) administrative expenses, provided five percent (5%) flexibility is allowed between personal service and expense and equipment, and further provided fifty percent (50%) flexibility is allowed between Sections 11.375, 11.395, and 11.400 Personal Service.............................................................................................$2,730,173 Expense and Equipment................................................174,962....................
From General Revenue Fund (1101)...........................................................................2,905,135 Personal Service..................................................................................................842,595 Expense and Equipment..................................................65,695...................
From Department of Social Services Federal Fund (1610).....................908,290.....
Total (Not to exceed 20.00 F.T.E.)............................................................................$3,813,425 Section 11.405.
To the Department of Social Services For the Children’s Division For the development and integration of a new comprehensive child welfare information system From General Revenue Fund (1101) (one-time) .......................................................$6,345,000 From Department of Social Services Federal Fund (1610) (including $4,545,000 one-time).......................................................................................6,545,000 From Budget Stabilization Fund (1522).....................................4,888,153................
Total.........................................................................................................................$17,778,153 Section 11.410.
To the Department of Social Services For the Children’s Division For the Children's Division staff training, provided three percent (3%) flexibility is allowed from this section to Section 11.910 For administrative staff expenses Personal Service..................................................................................................$55,294 Expense and Equipment..................................................12,531...................
From General Revenue Fund (1101)................................................................................67,825 Personal Service....................................................................................................55,295 CCS SS SCS HCS HB 2011 42 Expense and Equipment...................................................12,531..................
From Department of Social Services Federal Fund (1610)..............................................67,826 Personal Service....................................................................................................12,288 Expense and Equipment....................................................2,786..................
From Temporary Assistance for Needy Families Federal Fund (1199)...........................15,074 For contracted training expenses Expense and Equipment From General Revenue Fund (1101)...........................................................................1,087,513 From Department of Social Services Federal Fund (1610).......................590,243...
Total (Not to exceed 2.00 F.T.E.)..............................................................................$1,828,481 Section 11.415.
To the Department of Social Services For the Children’s Division For a statewide specialist focused on prevention and response to sex traffickingandsexualexploitationofchildrenandforservicesfor child victims, provided five percent (5%) flexibility is allowed between personal services and expense and equipment Personal Service..................................................................................................$63,586 Expense and Equipment....................................................7,053..................
From General Revenue Fund (1101)................................................................................70,639 Personal Service....................................................................................................37,345 Expense and Equipment....................................................4,141..................
From Department of Social Services Federal Fund (1610)........................41,486...
Total (Not to exceed 1.00 F.T.E.).................................................................................$112,125 Section 11.420.
To the Department of Social Services For the Children’s Division For the Birth Match Program as set forth in Section, 210.156 RSMo.
Personal Service From Temporary Assistance for Needy Families Federal Fund (1199).......................$110,755 Program Distribution From Temporary Assistance for Needy Families Federal Fund (1199).............258,065 Total (Not to exceed 2.00 F.T.E.).................................................................................$368,820 Section 11.421.
To the Department of Social Services For the Children’s Division CCS SS SCS HCS HB 2011 43 For foster care treatment costs in an outdoor learning foster care program that is licensed or accredited for treatment programming with the reimbursement rate for this service determinedby a cost study for payment in addition to other service rates for the foster child, provided that such reimbursement rate shall not exceed the appropriation authority, and further provided that no funds shall be expended to any vendor who fails to report a crime as required by law and/or failed to remove an employee from duties related to the treatment program upon becoming aware of a charge or indictment From General Revenue Fund (1101)............................................................................$183,385 From Department of Social Services Federal Fund (1610).......................316,615...
Total..............................................................................................................................$500,000 Section 11.425.
To the Department of Social Services For the Children’s Division, provided ten percent (10%) flexibility is allowed between Sections 11.090, 11.425, 11.435, 11.445, 11.455, 11.460, 11.485, 11.495, and 11.500, and further provided three percent (3%) flexibility is allowed from this section to Section 11.910 For children’s treatment services including, but not limited to, home based services, day treatment services, preventive services, family reunification services, or intensive in-home services From General Revenue Fund (1101).......................................................................$15,268,036 From Department of Social Services Federal Fund (1610).......................................15,796,892 From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163)..............................................................................................50,000 From Temporary Assistance for Needy Families Federal Fund (1199).........................425,286 For crisis care From General Revenue Fund (1101) ..........................................2,316,000................
Total.........................................................................................................................$33,856,214 Section 11.430.
To the Department of Social Services For the Children’s Division For court ordered drug testing Expense and Equipment From General Revenue Fund (1101)............................................................................$578,763 From Department of Social Services Federal Fund (1610).......................118,924...
CCS SS SCS HCS HB 2011 44 Total..............................................................................................................................$697,687 Section 11.435.
To the Department of Social Services For the Children’s Division For foster care placement special expenses, respite services, and transportation expenses;
expenses related to training of foster parents, provided ten percent (10%) flexibility is allowed between Sections 11.090, 11.425, 11.435, 11.445, 11.455, 11.460, 11.485, 11.495, and 11.500 From General Revenue Fund (1101).........................................................................$3,559,911 From Department of Social Services Federal Fund (1610)............................................952,323 From Temporary Assistance for Needy Families Federal Fund (1199)......................1,052,169 For awards to licensed community-based foster care and adoption recruitment programs From Foster Care and Adoptive Parents Recruitment and Retention Fund (1979)............................................................15,000.....................................
Total...........................................................................................................................$5,579,403 Section 11.440.
To the Department of Social Services For the Children's Division For a 501(c)(3) not-for-profit corporation with more than 25 employees, formed in 1991, with multiple office locations, and a principal office located in a city with more than one hundred twenty-five thousand but fewer than one hundred sixty thousand inhabitants that primarily provides licensing, training, and advocacy of foster parents, and operates a foster care neighborhood From General Revenue Fund (1101) (including $500,000 one-time)..........................$750,000 Section 11.445.
To the Department of Social Services For the Children’s Division For foster care maintenance payments, provided ten percent (10%) flexibility is allowed between Sections 11.090, 11.425, 11.435, 11.445, 11.455, 11.460, 11.485, 11.495, and 11.500 From General Revenue Fund (1101).......................................................................$53,077,630 From Department of Social Services Federal Fund (1610).......................................20,500,957 From Temporary Assistance for Needy Families Federal Fund (1199)....................20,314,073 From Alternative Care Trust Fund (1905)................................2,000,000..................
Total.........................................................................................................................$95,892,660 CCS SS SCS HCS HB 2011 45 Section 11.450.
To the Department of Social Services For the Children’s Division For room and board expenses for children placed in a Therapeutic Foster Care (TFC) home setting From General Revenue Fund (1101).........................................................................$3,566,746 From Department of Social Services Federal Fund (1610).................1,902,621.......
Total...........................................................................................................................$5,469,367 Section 11.455.
To the Department of Social Services For the Children’s Division ForroomandboardexpensesforchildrenplacedinQualifiedResidential Treatment Program designated facilities, provided twenty percent (20%) flexibility is allowed between subsections within this section, and further provided ten percent (10%) flexibility is allowed between Sections 11.090, 11.425, 11.435, 11.445, 11.455, 11.460, 11.485, 11.495, and 11.500, and further provided ten percent (10%) flexibility is allowed between Sections 11.455, 11.460, and 11.755 For placements in a Qualified Residential Treatment Program/non- Institution for Mental Disease (QRTP/non-IMD) designated facilities From General Revenue Fund (1101).......................................................................$16,431,325 From Department of Social Services Federal Fund (1610).........................................5,840,312 For placements in Qualified Residential Treatment Programs/Institution for Mental Disease (QRTP/IMD) designated facilities From General Revenue Fund (1101)...........................................................................5,028,471 From Department of Social Services Federal Fund (1610)..................841,752........
Total.........................................................................................................................$28,141,860 Section 11.460.
To the Department of Social Services For the Children’s Division For residential treatment placements and therapeutic treatment services;
and for the diversion of children from inpatient psychiatric treatment and services provided through comprehensive, expedited permanency systems of care for children and families, provided five percent (5%) flexibility is allowed between Sections 11.090, 11.425, 11.435, 11.445, 11.455, 11.460, 11.485, CCS SS SCS HCS HB 2011 46 11.495, and 11.500, and further provided ten percent (10%) flexibility is allowed between Sections 11.455, 11.460, and 11.755 From General Revenue Fund (1101).......................................................................$22,594,667 From Department of Social Services Federal Fund (1610).........................................7,310,026 From Temporary Assistance for Needy Families Federal Fund (1199).........13,351,973 Total.........................................................................................................................$43,256,666 Section 11.465.
To the Department of Social Services For the Children’s Division For contractual payments for expenses related to training of foster parents From General Revenue Fund (1101)............................................................................$603,513 From Department of Social Services Federal Fund (1610).....................372,934.....
Total..............................................................................................................................$976,447 Section 11.470.
To the Department of Social Services For the Children’s Division For foster parent support Expense and Equipment From General Revenue Fund (1101).........................................................................$2,208,037 From Department of Social Services Federal Fund (1610)....................1,246,315....
Total...........................................................................................................................$3,454,352 Section 11.475.
To the Department of Social Services For the Children’s Division For costs associated with attending post-secondary education including, but not limited to tuition, books, fees, room and board for current or former foster youth, provided three percent (3%) flexibility is allowed from this section to Section 11.910 From General Revenue Fund (1101)............................................................................$188,848 From Department of Social Services Federal Fund (1610).........................................1,050,000 From Temporary Assistance for Needy Families Federal Fund (1199)...........450,000 Total...........................................................................................................................$1,688,848 Section 11.480.
To the Department of Social Services For the Children’s Division For comprehensive case management contracts through community based organizations as described in Section 210.112, RSMo;
the CCS SS SCS HCS HB 2011 47 purpose of these contracts shall be to provide a system of care for children living in foster care, independent living, or residential care settings;
services eligible under this provision may include, but are not limited to, case management, foster care, residential treatment, intensive in-home services, family reunification services, and specialized recruitment and training of foster care families, provided three percent (3%) flexibility is allowed from this section to Section 11.910 From General Revenue Fund (1101).......................................................................$35,251,584 From Department of Social Services Federal Fund (1610)...............27,685,931........
Total.........................................................................................................................$62,937,515 Section 11.485.
To the Department of Social Services For the Children’s Division For adoption subsidy payments, provided ten percent (10%) flexibility is allowed between subsections within this section, and further provided five percent (5%) flexibility is allowed between Sections 11.090, 11.425, 11.435, 11.445, 11.455, 11.460, 11.485, 11.495, and 11.500 From General Revenue Fund (1101).......................................................................$54,682,297 From Department of Social Services Federal Fund (1610).......................................52,523,879 From Temporary Assistance for Needy Families Federal Fund (1199)....................14,439,396 For guardianship subsidy payments, provided ten percent (10%) flexibility is allowed between subsections within thissection,and further provided five percent (5%) flexibility is allowed between Sections 11.090, 11.425, 11.435, 11.445, 11.455, 11.460, 11.485, 11.495, and 11.500 From General Revenue Fund (1101).........................................................................19,947,541 From Department of Social Services Federal Fund (1610).......................................15,798,651 From Temporary Assistance for Needy Families Federal Fund (1199).....11,860,598 Total.......................................................................................................................$169,252,362 Section 11.490.
To the Department of Social Services For the Children’s Division For kinship navigator services Program Distribution From Department of Social Services Federal Fund (1610)..........................................$372,318 CCS SS SCS HCS HB 2011 48 Section 11.495.
To the Department of Social Services For the Children's Division, provided five percent (5%) flexibility is allowed between Sections 11.090, 11.425, 11.435, 11.445, 11.455, 11.460, 11.485, 11.495, and 11.500 For Family Resource Centers From General Revenue Fund (1101).......................................................................$10,403,564 From Department of Social Services Federal Fund (1610).......................................14,383,316 From Temporary Assistance for Needy Families Federal Fund (1199).........................989,075 For additional Behavioral Intervention Services in areas of need From Department of Social Services Federal Fund (1610).....................900,000.....
Total.........................................................................................................................$26,675,955 Section 11.500.
To the Department of Social Services For the Children’s Division For independent living placements and transitional living services, provided five percent (5%) flexibility is allowed between Sections 11.090, 11.425, 11.435, 11.445, 11.455, 11.460, 11.485, 11.495, and 11.500 From General Revenue Fund (1101).........................................................................$1,947,584 From Department of Social Services Federal Fund (1610)...................4,171,219.....
Total...........................................................................................................................$6,118,803 Section 11.505.
To the Department of Social Services For the Children’s Division For Regional Child Assessment Centers, provided three percent (3%) flexibility is allowed from this section to Section 11.910 From General Revenue Fund (1101).........................................................................$2,249,475 From Department of Social Services Federal Fund (1610).........................................1,700,000 From Health Initiatives Fund (1275)........................................501,048....................
Total...........................................................................................................................$4,450,523 Section 11.510.
To the Department of Social Services For the Children’s Division For Regional Child Assessment Centers For services and programs administered through the statewide association of Regional Child Assessment Centers aimed at preventing and combating the commercial sexual exploitation of children CCS SS SCS HCS HB 2011 49 From General Revenue Fund (1101)............................................................................$500,000 Section 11.515.
To the Department of Social Services For the Children’s Division For residential placement payments to counties for children in the custody of juvenile courts From Department of Social Services Federal Fund (1610)..........................................$175,000 Section 11.520.
To the Department of Social Services For the Children’s Division For Court Appointed Special Advocate (CASA) IV-E allowable training costs From Department of Social Services Federal Fund (1610)..........................................$150,000 Section 11.525.
To the Department of Social Services For the Children’s Division FortheChildAbuseandNeglectPreventionGrantandChildren’sJustice Act Grant From Department of Social Services Federal Fund (1610).......................................$1,251,341 Section 11.530.
To the Department of Social Services For the Children's Division For payments to one or more contractors to assist the Division with application and administration of benefits on behalf of a child or youth and to establish and administer accounts for a child or youth which include but not limited to a special needs trust, a pooled special needs trust, an ABLE account, or any other trust account From General Revenue Fund (1101).........................................................................$1,356,992 From Department of Social Services Federal Fund (1610)..................507,008........
Total...........................................................................................................................$1,864,000 Section 11.535.
To the Department of Social Services For the Children’s Division For transactions involving personal funds of children to:
transfer funds to accounts set up for the child;
to make payments directly to the child;
to return the funds to the corresponding funding agency;
to fund "Unmet needs", needs for which the division is not required CCS SS SCS HCS HB 2011 50 by law to provide financial support;
or dispose of the funds as otherwise required by law From Alternative Care Trust Fund (1905)...............................................................$12,000,000 Section 11.540.
To the Department of Social Services For the Division of Youth Services For the Central Office and regional offices, provided three percent (3%) flexibility is allowed from this section to Section 11.910 Personal Service.............................................................................................$1,104,048 Expense and Equipment...................................................81,097..................
From General Revenue Fund (1101)...........................................................................1,185,145 Personal Service..................................................................................................262,539 Expense and Equipment...................................................13,855..................
From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163)............................................................................................276,394 Personal Service..................................................................................................984,541 Expense and Equipment...................................................86,779..................
From Temporary Assistance for Needy Families Federal Fund (1199)......................1,071,320 Expense and Equipment From Youth Services Treatment Fund (1843)........................................999..........
Total (Not to exceed 39.30 F.T.E.)............................................................................$2,533,858 Section 11.545.
To the Department of Social Services For the Division of Youth Services For treatment services, including foster care and contractual payments, provided up to $500,000 can be used for juvenile court diversion, provided ten percent (10%) flexibility is allowed between federal funds, and further provided five percent (5%) flexibility is allowed between personal service and expense and equipment, and further provided three percent (3%) flexibility is allowed from this section to Section 11.910 Personal Service...........................................................................................$25,775,382 Expense and Equipment................................................1,095,642..................
From General Revenue Fund (1101).........................................................................26,871,024 Personal Service...............................................................................................5,257,097 CCS SS SCS HCS HB 2011 51 Expense and Equipment................................................3,065,899..................
From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163).........................................................................................8,322,996 Personal Service...............................................................................................1,149,407 Expense and Equipment................................................1,125,033..................
From Department of Social Services Federal Fund (1610).........................................2,274,440 Personal Service.............................................................................................13,190,742 Expense and Equipment................................................1,514,715..................
From Temporary Assistance for Needy Families Federal Fund (1199)....................14,705,457 Personal Service...............................................................................................3,999,304 Expense and Equipment................................................3,854,832..................
From Department of Social Services Educational Improvement Fund (1620)...............................................................................................................7,854,136 Personal Service..................................................................................................178,072 Expense and Equipment....................................................9,106..................
From Health Initiatives Fund (1275)..............................................................................187,178 Expense and Equipment From Youth Services Products Fund (1764) ......................................................................5,000 For overtime to non-exempt state employees and/or for paying otherwise authorized personal service expenditures in lieu of such overtime payments;
non-exempt state employees identified by Section 105.935, RSMo, will be paid first with any remaining funds to be used to pay overtime to any other state employees From General Revenue Fund (1101)...........................................................................1,133,414 For payment distribution of Social Security benefits received on behalf of youth in care From Division of Youth Services Child Benefits Fund (1727)...................200,000.
Total (Not to exceed 1,016.38 F.T.E.).....................................................................$61,553,645 Section 11.550.
To the Department of Social Services For the Division of Youth Services CCS SS SCS HCS HB 2011 52 For incentive payments to counties for community-based treatment programs for youth, provided three percent (3%) flexibility is allowed from this section to Section 11.910 From General Revenue Fund (1101).........................................................................$3,479,486 From Gaming Commission Fund (1286)...........................................500,000...........
Total...........................................................................................................................$3,979,486 Section 11.600.
To the Department of Social Services For the MO HealthNet Division For administrative services, provided three percent (3%) flexibility is allowed from this section to Section 11.910 Personal Service.............................................................................................$5,035,508 Expense and Equipment................................................6,452,304..................
From General Revenue Fund (1101).........................................................................11,487,812 Personal Service...............................................................................................8,983,345 Expense and Equipment...............................................14,312,317..................
From Department of Social Services Federal Fund (1610).......................................23,295,662 Personal Service..................................................................................................555,338 Expense and Equipment...................................................55,553..................
From Pharmacy Rebates Fund (1114)............................................................................610,891 Personal Service..................................................................................................528,593 Expense and Equipment................................................5,988,041..................
From Third Party Liability Collections Fund (1120)...................................................6,516,634 Personal Service..................................................................................................135,943 Expense and Equipment..................................................232,708..................
From Federal Reimbursement Allowance Fund (1142).................................................368,651 Personal Service....................................................................................................34,086 Expense and Equipment......................................................356..................
From Pharmacy Reimbursement Allowance Fund (1144)...............................................34,442 Personal Service..................................................................................................113,122 Expense and Equipment...................................................10,281..................
From Nursing Facility Quality of Care Fund (1271)......................................................123,403 Personal Service..................................................................................................566,877 CCS SS SCS HCS HB 2011 53 Expense and Equipment...................................................41,385..................
From Health Initiatives Fund (1275)..............................................................................608,262 Personal Service....................................................................................................57,920 Expense and Equipment..................................................425,372..................
From Ground Emergency Medical Transportation Fund (1422)....................................483,292 Expense and Equipment From Life Sciences Research Trust Fund (1763)...............................................................3,000 Personal Service From Missouri Rx Plan Fund (1779)..............................................................................443,129 Personal Service....................................................................................................23,682 Expense and Equipment..................................................878,466..................
From Ambulance Service Reimbursement Allowance Fund (1958)...................902,148 Total (Not to exceed 239.70 F.T.E.)........................................................................$44,877,326 Section 11.605.
To the Department of Social Services For the MO HealthNet Division For clinical services management relatedto the administration of the MO HealthNet Pharmacy fee-for-service and managed care programs and administration of the Missouri Rx Plan, provided three percent (3%) flexibility is allowed from this section to Section 11.910 Expense and Equipment From General Revenue Fund (1101)............................................................................$450,191 From Department of Social Services Federal Fund (1610).........................................2,214,032 From Pharmacy Rebates Fund (1114)............................................................................497,648 From Third Party Liability Collections Fund (1120)......................................................924,911 From Missouri Rx Plan Fund (1779).............................................62,947................
Total...........................................................................................................................$4,149,729 Section 11.610.
To the Department of Social Services For the MO HealthNet Division For MO HealthNet Transformation initiatives Personal Service................................................................................................$447,214 Expense and Equipment................................................1,460,009..................
From General Revenue Fund (1101)...........................................................................1,907,223 CCS SS SCS HCS HB 2011 54 Personal Service..................................................................................................449,717 Expense and Equipment................................................6,064,965..................
From Department of Social Services Federal Fund (1610).........................................6,514,682 For costs to assess existing health data systems and establish a unified, statewide health data standard and governance approach to support data sharing and modernization efforts across state health agencies Expense and Equipment From General Revenue Fund (1101) (one-time) .........................................................1,495,000 For purposes of a NEMT program redesign, including analysis and implementation support, to ensure efficiency and accountability in the operations of NEMT, and for the purposes of a rapid response review of the Medicaid program for Fraud, Waste and Abuse current state and recommendations Personal Service....................................................................................................55,419 Expense and Equipment (including $1,652,789 one-time)................1,659,128 From General Revenue Fund (1101)...........................................................................1,714,547 Personal Service....................................................................................................43,543 Expense and Equipment (including $1,652,192 one-time)................1,657,173 From Department of Social Services Federal Fund (1610).....................1,700,716...
Total (Not to exceed 14.00 F.T.E.)..........................................................................$13,332,168 Section 11.615.
To the Department of Social Services For the MO HealthNet Division For the Rural Health Transformation Program, provided twenty five percent (25%) flexibility is allowed between subsections within this section For the Rural Health Transformation Office For Administrative Expenses Personal Service.............................................................................................$1,095,992 Expense and Equipment..................................................209,074...................
From Rural Health Transformation Fund (1125).........................................................1,305,066 For Regional Coordinating Networks and Local Community Hubs Program Distribution From Rural Health Transformation Fund (1125).......................................................46,200,267 CCS SS SCS HCS HB 2011 55 For Alternative Payment Models and Shared-Savings Models Program Distribution From Rural Health Transformation Fund (1125).......................................................22,520,316 For digital backbone to create statewide interoperability Program Distribution From Rural Health Transformation Fund (1125).......................................................62,494,555 For Rural Health Workforce Programs Program Distribution From Rural Health Transformation Fund (1125).......................................................17,877,529 For continuing medical education of physicians that will be required to obtain one (1) hour of nutritional training from 20 CSR 2150- 2.125 Program Distribution From Rural Health Transformation Fund (1125).........................................................1,000,000 For Provider Transformation Program Distribution From Rural Health Transformation Fund (1125)...........................64,879,085............
Total (Not to exceed 13.46 F.T.E.)........................................................................$216,276,818 Section 11.620.
To the Department of Social Services For the MO HealthNet Division FortheMOHealthNetDataManagementOfficeadministrativeexpenses Personal Service................................................................................................$225,394 Expense and Equipment................................................9,541......................
From General Revenue Fund (1101)..............................................................................234,935 Personal Service..................................................................................................453,477 Expense and Equipment...............................................23,632.....................
From Department of Social Services Federal Fund (1610)....................477,109......
Total (Not to exceed 10.00 F.T.E.)...............................................................................$712,044 Section 11.625.
To the Department of Social Services For the MO HealthNet Division For fees associated with third-party collections and other revenue maximization cost avoidance fees Expense and Equipment CCS SS SCS HCS HB 2011 56 From Department of Social Services Federal Fund (1610).....................................$12,200,000 From Third Party Liability Collections Fund (1120)...................12,200,000..............
Total.........................................................................................................................$24,400,000 Section 11.629.
To the Department of Social Services For the MO HealthNet Division For contracted staff to support the procurement, implementation, and oversight of modular Medicaid enterprise systems, including planning, procurement, transition, and vendor management activities Personal Service..................................................................................................$79,984 Expense and Equipment.............................................10,380........................
From General Revenue Fund (1101)................................................................................90,364 Personal Service..................................................................................................466,825 Expense and Equipment.............................................24,220........................
From Department of Social Services Federal Fund (1610)..................491,045........
Total (Not to exceed 8.00 F.T.E.).................................................................................$581,409 Section 11.630.
To the Department of Social Services For the MO HealthNet Division For the Missouri Medicaid Information System (MMIS) For the operation of the information systems, provided ten percent (10%) flexibility is allowed between subsections within thissection,and further provided three percent (3%) flexibility is allowed from this section to Section 11.910 Expense and Equipment From General Revenue Fund (1101) (including $125,000 one-time).......................$1,125,000 From Department of Social Services Federal Fund (1610) (including $375,000 one-time).........................................................................1,375,000 From Uncompensated Care Fund (1108)........................................................................430,000 From Health Initiatives Fund (1275)...........................................................................1,591,687 For the operation of the Business Intelligence Solution – Enterprise Data Warehouse (BIS-EDW) Expense and Equipment From General Revenue Fund (1101)...........................................................................1,991,593 From Department of Social Services Federal Fund (1610).........................................7,770,710 CCS SS SCS HCS HB 2011 57 For the operation of the Beneficiary Support and Premiums Collections Solution and Services (BSPC) – Enrollment Broker and the procurement of a MMIS Enrollment Broker Solution Expense and Equipment From General Revenue Fund (1101)...........................................................................4,812,763 From Department of Social Services Federal Fund (1610).........................................8,934,245 For the operation of the Clinical Management Services and Pharmacy Claims and Prior Authorization (CMSP) and the procurement of a MMIS Prior Authorization Solution and Interoperability Rule Expense and Equipment From General Revenue Fund (1101)...........................................................................6,517,762 From Department of Social Services Federal Fund (1610).......................................25,657,641 For the operation of the pharmacy system and support services - Pharmacy Solution Expense and Equipment From General Revenue Fund (1101)...........................................................................1,477,652 From Department of Social Services Federal Fund (1610).......................................12,567,081 For the operation of the Managed Care Contract Management Tool Expense and Equipment From General Revenue Fund (1101)..............................................................................688,826 From Department of Social Services Federal Fund (1610).........................................5,833,540 For the MMIS Fiscal Agent Contract and the procurement of a MMIS Core Claims Solution Expense and Equipment From General Revenue Fund (1101).........................................................................27,493,017 From Department of Social Services Federal Fund (1610).......................................85,755,382 For the operation of the MMIS EVV Aggregator Solution (EAS) and the procurement of a MMIS EVV Solution Expense and Equipment From General Revenue Fund (1101)...........................................................................1,841,186 From Department of Social Services Federal Fund (1610).........................................7,835,958 For transition services related to the procurement of MMIS solutions Expense and Equipment From General Revenue Fund (1101)...........................................................................2,442,192 CCS SS SCS HCS HB 2011 58 From Department of Social Services Federal Fund (1610)...............21,979,722........
Total.......................................................................................................................$228,120,957 Section 11.635.
To the Department of Social Services For the MO HealthNet Division For the purpose of supporting the transformation of any or all of the state's existing Health Information Exchanges into a Health Data Utility by providing funds to enhance the existing HIE infrastructure for the purpose of data analysis focused on supporting MO HealthNet.
Data analytics provided through the HIE(s) shall provide analysis to MO HealthNet and members focused on enhancing care delivery and system efficiency in the MO HealthNet program and improving health care delivery and outcomes in under-served communities.
All HIEs shall be required to maintain strict compliance with all patient privacy protections under HIPAA and any other applicable state or federal laws From General Revenue Fund (1101).........................................................................$5,000,000 From Department of Social Services Federal Fund (1610)...............45,000,000........
Total.........................................................................................................................$50,000,000 Section 11.640.
To the Department of Social Services For the MO HealthNet Division For the Money Follows the Person Program From Department of Social Services Federal Fund (1610).......................................$1,532,549 Section 11.700.
To the Department of Social Services For the MO HealthNet Division, provided three percent (3%) flexibility is allowed from this section to Section 11.910 For pharmaceutical payments under the MO HealthNet fee-for-service program, professional fees for pharmacists, and for a comprehensive chronic care risk management program, provided ten percent (10%) flexibility is allowed between this subsection and Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840 From General Revenue Fund (1101).....................................................................$112,672,971 From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163).....................................................................................904,447,912 CCS SS SCS HCS HB 2011 59 From Pharmacy Rebates Fund (1114).....................................................................260,835,622 From Third Party Liability Collections Fund (1120)...................................................4,217,574 From Pharmacy Reimbursement Allowance Fund (1144)........................................35,376,122 From Health Initiatives Fund (1275)...........................................................................3,543,350 From Premium Fund (1885)........................................................................................3,800,000 For Medicare Part D Clawback payments, provided ten percent (10%) flexibility is allowed between this subsection and Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840 From General Revenue Fund (1101)...................................................................
393,562,240 Total....................................................................................................................$1,718,455,791 Section 11.705.
To the Department of Social Services For the MO HealthNet Division For the purpose of funding pharmaceutical payments under the Missouri Rx Plan authorized by Sections 208.780 through 208.798, RSMo From General Revenue Fund (1101).........................................................................$5,186,226 From Missouri Rx Plan Fund (1779)......................................1,188,774....................
Total...........................................................................................................................$6,375,000 Section 11.710.
To the Department of Social Services For the MO HealthNet Division For Pharmacy Reimbursement Allowance payments as provided by law From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163).......................................................................................$8,390,850 From Pharmacy Reimbursement Allowance Fund (1144)......................4,609,150..
Total.........................................................................................................................$13,000,000 Section 11.715.
To the Department of Social Services For the MO HealthNet Division For physician services and related services including, but not limited to, clinic and podiatry services, telemedicine services, physician sponsored services and fees, laboratory and x-ray services, asthma related services, diabetes prevention and obesity related services, services provided by chiropractic physicians, and family planning services under the MO HealthNet fee-for-service program, and for a comprehensive chronic care risk management program, and Major Medical Prior Authorization, provided ten CCS SS SCS HCS HB 2011 60 percent (10%) flexibility is allowed between this subsection and Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840 From General Revenue Fund (1101).....................................................................$215,794,227 From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163).....................................................................................405,519,822 From Pharmacy Reimbursement Allowance Fund (1144)...............................................10,000 From Health Initiatives Fund (1275)...........................................................................1,427,081 From Third Party Liability Collections Fund (1120)......................................................241,046 For payment of physician and related services to Certified Community Behavioral Health Organizations (CCBHO), provided that Applied Behavioral Analysis (ABA) services are included in the CCBHO Prospective Payment System From General Revenue Fund (1101).........................................................................50,329,761 From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163)...........................................56,716,924............................
Total.......................................................................................................................$730,038,861 Section 11.720.
To the Department of Social Services For the MO HealthNet Division For the Program for All-Inclusive Care for the Elderly (PACE), provided ten percent (10%) flexibility is allowed between this subsection and Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840 From General Revenue Fund (1101).........................................................................$5,566,850 From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163).............................................9,871,070...........................
Total.........................................................................................................................$15,437,920 Section 11.725.
To the Department of Social Services For the MO HealthNet Division For dental services under the MO HealthNet fee-for-service program, including adult dental procedure codes (Tier 1-6), provided ten percent (10%) flexibility is allowed between this subsection and Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, CCS SS SCS HCS HB 2011 61 11.765, 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840 From General Revenue Fund (1101).........................................................................$5,541,033 From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163).........................................................................................9,950,833 From Health Initiatives Fund (1275)......................................71,162.......................
Total.........................................................................................................................$15,563,028 Section 11.730.
To the Department of Social Services For the MO HealthNet Division For payments to third-party insurers, employers, or policy holders for health insurance, provided ten percent (10%) flexibility is allowed between this subsection and Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840, and further provided three percent (3%) flexibility is allowed from this section to Section 11.910 From General Revenue Fund (1101).....................................................................$136,900,455 From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163).................................................................................
270,491,167 Total.......................................................................................................................$407,391,622 Section 11.735.
To the Department of Social Services For the MO HealthNet Division For funding long-term care services For care in nursing facilities under the MO HealthNet fee-for-service program and for contracted services to develop model policies and practices that improve the quality of life for long-term care residents, provided ten percent (10%) flexibility is allowed between this subsection and Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840, and further provided five percent (5%) flexibility is allowed from this subsection to the value based incentive payments to nursing facilities subsection within this section From General Revenue Fund (1101).....................................................................$340,909,914 From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163).....................................................................................760,903,092 From Uncompensated Care Fund (1108)...................................................................58,516,478 CCS SS SCS HCS HB 2011 62 From Third Party Liability Collections Fund (1120)...................................................6,992,981 From Nursing Facility Reimbursement Allowance Fund (1196)................................9,500,000 For value-based incentive payments to nursing facilities From General Revenue Fund (1101).........................................................................12,330,612 From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163).......................................................................................22,447,591 For home health for the elderly under the MO HealthNet fee-for-service program, provided ten percent (10%) flexibility is allowed between this subsection and Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840 From General Revenue Fund (1101)..............................................................................834,886 From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163).........................................................................................2,052,783 From Health Initiatives Fund (1275).....................................159,305.......................
Total....................................................................................................................$1,214,647,642 Section 11.740.
To the Department of Social Services For the MO HealthNet Division For funding long-term care services For Nursing Facility Reimbursement Allowance payments as provided by law From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163)...................................................................................$240,741,466 From Nursing Facility Reimbursement Allowance Fund (1196)........................
132,240,896 Total.......................................................................................................................$372,982,362 Section 11.745.
To the Department of Social Services For the MO HealthNet Division For rehabilitative and preventative care services ordered by a physician and delivered by an Assisted Living Facility, provided one hundred percent (100%) flexibility is allowed between funds From General Revenue Fund (1101).......................................................................................$1 From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163)....................................................1............................
Total.........................................................................................................................................$2 CCS SS SCS HCS HB 2011 63 Section 11.750.
To the Department of Social Services For the MO HealthNet Division For publicly funded long-term care services and support contracts and funding supplemental payments for care in nursing facilities under the nursing facility upper payment limit From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163).......................................................................................$7,068,173 From Long Term Support UPL Fund (1724).................................3,882,595.............
Total.........................................................................................................................$10,950,768 Section 11.755.
To the Department of Social Services For the MO HealthNet Division For all other non-institutional services including, but not limited to, rehabilitation, optometry, audiology, ambulance, non-emergency medical transportation, durable medical equipment, and eyeglasses under the MO HealthNet fee-for-service program, and for rehabilitation services provided by residential treatment facilities as authorized by the Children’s Division for children in the care and custody of the Children’s Division, provided ten percent (10%) flexibility is allowed between this subsection and Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840, and further provided five percent (5%) flexibility is allowed between Sections 11.455, 11.460, and 11.755 From General Revenue Fund (1101) (including $601,942 one-time)...................$144,819,437 From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163) (including $1,095,821 one-time)................................266,965,185 From Nursing Facility Reimbursement Allowance Fund (1196)................................1,414,043 From Health Initiatives Fund (1275)..............................................................................194,881 From Ambulance Service Reimbursement Allowance Fund (1958).........................10,491,302 For non-emergency medical transportation, provided ten percent (10%) flexibility is allowed between this subsection and Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840 From General Revenue Fund (1101).........................................................................20,488,557 From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163).......................................................................................37,775,900 CCS SS SCS HCS HB 2011 64 For the federal share of MO HealthNet reimbursable non-emergency medical transportation for public entities From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163)...................................................2,555,469.....................
Total.......................................................................................................................$484,704,774 Section 11.760.
To the Department of Social Services For the MO HealthNet Division For payments to providers of ground emergency medical transportation From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163).....................................................................................$40,659,479 From Ground Emergency Medical Transportation Fund (1422)....................22,533,055 Total.........................................................................................................................$63,192,534 Section 11.765.
To the Department of Social Services For the MO HealthNet Division For complex rehabilitation technology items classified within the Medicare program as of January 1, 2014 as durable medical equipment that are individually configured for individuals to meet their specific and unique medical, physical, and functional needs and capacities for basic activities of daily living and instrumental activities of daily living identified as medically necessary to prevent hospitalization and/or institutionalization of a complex needs patient;
such items shall include, but not be limited to, complex rehabilitation power wheelchairs, highly configurable manual wheelchairs, adaptive seating and positioning systems, and other specialized equipment such as standing frames and gait trainers, provided ten percent (10%) flexibility is allowed between this section and Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840, and further provided three percent (3%) flexibility is allowed from this section to Section 11.910 From General Revenue Fund (1101).........................................................................$4,343,425 From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163)...................................................8,587,237.....................
Total.........................................................................................................................$12,930,662 Section 11.770.
To the Department of Social Services CCS SS SCS HCS HB 2011 65 For the MO HealthNet Division For payment to comprehensive prepaid health care plans for the general plan as provided by federal or state law or for payments to programs authorized by the Frail Elderly Demonstration Project Waiver as provided by the Omnibus Budget Reconciliation Act of 1990 (P.L.101-508, Section 4744) and by Section 208.152 (16), RSMo, provided that the department shall implement programs or measures to achieve cost-savings through emergency room services reform, and further provided that MO HealthNet eligibles described in Section 501(a)(1)(D) of Title V of the Social Security Act may voluntarily enroll in the Managed Care Program, and further provided that the Department shall direct its contracted actuary to develop an Aged, Blind, and Disabled rate cell inside the MO HealthNet Managed Care program to reflect the cost of those members choosing to be enrolled in a managed care plan, and further provided ten percent (10%) flexibility is allowed between this subsection and Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840 From General Revenue Fund (1101) (including $883,681 one-time)...................$494,178,723 From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163) (including $1,608,723 one-time).............................1,852,370,489 From Uncompensated Care Fund (1108)...................................................................33,848,436 From Health Initiatives Fund (1275).........................................................................18,590,380 From Federal Reimbursement Allowance Fund (1142)..........................................318,659,260 From Healthy Families Trust Fund (1625)................................................................14,435,373 From Life Sciences Research Trust Fund (1763)......................................................26,697,272 From Premium Fund (1885)........................................................................................9,259,854 From Ambulance Service Reimbursement Allowance Fund (1958)...........................2,892,711 From Department of Social Services Intergovernmental Transfer Fund (1139).............................................................................................................34,807,441 For supplemental payments to Tier 1 Safety Net Hospitals, or to any affiliated physician group that provides physicians for any Tier 1 Safety Net Hospital, for physician and other healthcare professional services as approved by the Centers for Medicare and Medicaid Services From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163).......................................................................................44,621,663 CCS SS SCS HCS HB 2011 66 From Department of Social Services Intergovernmental Transfer Fund (1139).............................................................................................................24,510,978 For payments to providers of public ground emergency medical transportation, pursuant to Sections 208.1030 and 208.1032 RSMo, when providing services to persons paid for under this section From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163).......................................................................................33,337,870 From Ground Emergency Medical Transportation Fund (1422).............18,828,147..
Total....................................................................................................................$2,927,038,597 Section 11.771.
To the Department of Social Services For the MO HealthNet Division For a mobile MRI and trailer for a hospital located in any city with more than sixteen thousand but fewer than eighteen thousand inhabitants and located in more than one county From General Revenue Fund (1101) (one-time) .......................................................$1,500,000 Section 11.775.
To the Department of Social Services For the MO HealthNet Division For payment to a comprehensive prepaid health care plan for the specialty plan as provided by federal or state law or for payments to programs authorized by the Frail Elderly Demonstration Project Waiver as provided by the Omnibus Budget Reconciliation Act of 1990 (P.L.
101-508, Section 4744) and by Section 208.152 (16), RSMo, and further provided ten percent (10%) flexibility is allowed between this section and Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840 From General Revenue Fund (1101).....................................................................$130,098,206 From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163).....................................................................................286,192,727 From Federal Reimbursement Allowance Fund (1142)............................................45,994,611 From Ambulance Service Reimbursement Allowance Fund (1958)..............................300,000 From Department of Social Services Intergovernmental Transfer Fund (1139)...............................................................................................................6,221,543 For payments to providers of public ground emergency medical transportation, pursuant to Sections 208.1030 and 208.1032 CCS SS SCS HCS HB 2011 67 RSMo, when providing services to persons paid for under this section From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163).........................................................................................2,261,087 From Ground Emergency Medical Transportation Fund (1422)...............1,276,988.
Total.......................................................................................................................$472,345,162 Section 11.780.
To the Department of Social Services For the MO HealthNet Division For hospital care under the MO HealthNet fee-for-service program, graduate medical education, and for a comprehensive chronic care risk management program, provided that the MO HealthNet Division shall track payments to out-of-state hospitals by location, and further provided the department seek a waiver of the institutions for mental disease (IMD) exclusion for inpatient mental health treatment for MO HealthNet participants in psychiatric hospitals pursuant to Section 12003 of the 21st Century Cures Act with the state share through the federal reimbursement allowance;
and further provided ten percent (10%) flexibility is allowed between this subsection and Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840 From General Revenue Fund (1101).......................................................................$26,705,177 From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163).....................................................................................354,053,962 From Federal Reimbursement Allowance Fund (1142)..........................................119,171,256 From Pharmacy Reimbursement Allowance Fund (1144)...............................................15,709 For rate increases for inpatient hospital psychiatric care From General Revenue Fund (1101)...........................................................................8,363,750 From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163).......................................................................................16,136,250 From Federal Reimbursement Allowance Fund (1142).................................................500,000 For Safety Net Payments From Healthy Families Trust Fund (1625)..............................30,365,444..................
Total.......................................................................................................................$555,311,548 Section 11.785.
To the Department of Social Services CCS SS SCS HCS HB 2011 68 For the MO HealthNet Division For the Transformation of Rural Community Health (ToRCH) Rural Hospital Health Hub From General Revenue Fund (1101).........................................................................$3,750,000 From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163).........................................................................................7,500,000 From Federal Reimbursement Allowance Fund (1142).........................3,750,000....
Total.........................................................................................................................$15,000,000 Section 11.790.
To the Department of Social Services For the MO HealthNet Division For payments to Tier 1 Safety Net Hospitals for enhanced rates to providers and to plan and develop a regional Barriers to Care proposal while maximizing eligible costs for federal Medicaid funds, utilizing current state and local funding sources as match for services that are not currently matched with federal Medicaid payments From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163).....................................................................................$12,613,590 From Department of Social Services Intergovernmental Transfer Fund (1139)............................................................1,709,202..................................
Total.........................................................................................................................$14,322,792 Section 11.795.
To the Department of Social Services For the MO HealthNet Division, For indirect medical education (IME) payments to public acute care safety net hospitals who serve as the primary teaching hospitals for the state’s two public medical schools, University of Missouri-Columbia School of Medicine and University of Missouri-Kansas City School of Medicine;
payments from this section are for the difference between IME payments paid under the Diagnosis-Related Group (DRG) methodology and 100% of allowable funds From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163).....................................................................................$12,721,240 From Department of Social Services Intergovernmental Transfer Fund (1139)............................................................6,987,862..................................
Total.........................................................................................................................$19,709,102 CCS SS SCS HCS HB 2011 69 Section 11.800.
To the Department of Social Services For the MO HealthNet Division provided three percent (3%) flexibility is allowed from this section to Section 11.910 For Federally Qualified Health Centers (FQHCs) For grants to Federally Qualified Health Centers From General Revenue Fund (1101)............................................................................$257,732 Section 11.805.
To the Department of Social Services For the MO HealthNet Division For Federally Qualified Health Centers (FQHCs) For a grant program for a substance abuse prevention network for a FQHC located in a county with more than two hundred sixty thousand but fewer than three hundred thousand inhabitants From General Revenue Fund (1101).........................................................................$1,000,000 From Department of Social Services Federal Fund (1610)............................................250,000 From Opioid Addiction Treatment and Recovery Fund (1705)..................................1,100,000 For a grant program for a substance abuse prevention network From General Revenue Fund (1101)...........................................................................1,000,000 From Department of Social Services Federal Fund (1610)............................................250,000 From Opioid Addiction Treatment and Recovery Fund (1705)...............2,100,000..
Total...........................................................................................................................$5,700,000 Section 11.810.
To the Department of Social Services For the MO HealthNet Division For payments to technical assistance contractors under Section 330(l) or 330(m) of the Public Health Services Act to assist FQHCs with outreach and engagement of Medicaid beneficiaries assigned to FQHCs, to address gaps in preventive services and management of chronic conditions, and for incentive payments From General Revenue Fund (1101).........................................................................$1,918,645 From Department of Social Services Federal Fund (1610).................1,918,645.......
Total...........................................................................................................................$3,837,290 Section 11.815.
To the Department of Social Services For the MO HealthNet Division For health homes, provided ten percent (10%) flexibility is allowed between this subsection and Sections 11.700, 11.715, 11.720, CCS SS SCS HCS HB 2011 70 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840 From General Revenue Fund (1101).........................................................................$4,270,273 From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163).......................................................................................21,978,561 From Federal Reimbursement Allowance Fund (1142).......................7,893,011......
Total.........................................................................................................................$34,141,845 Section 11.820.
To the Department of Social Services For the MO HealthNet Division For payments to hospitals under the Federal Reimbursement Allowance Program including state costs to pay for an independent audit of Disproportionate Share Hospital payments as required by the Centers for Medicare and Medicaid Services, for the expenses of the Poison Control Center in order to provide services to all hospitals within the state ForacontinuationoftheservicesprovidedthroughMedicaidEmergency Psychiatric Demonstration as required by Section 208.152(16), RSMo From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163)...................................................................................$648,177,591 From Federal Reimbursement Allowance Fund (1142)......................................
377,298,284 Total....................................................................................................................$1,025,475,875 Section 11.825.
To the Department of Social Services For the MO HealthNet Division For funding programs to enhance access to care for uninsured children using fee-for-service, prepaid health plans, or other alternative service delivery and reimbursement methodology approved by the director of the Department of Social Services, provided that familiesofchildrenreceivingservicesunderthissectionshallpay the following premiums to be eligible to receive such services:
zero percent on the amount of a family's income which is less than or equal to 150 percent of the federal poverty level;
four percent on the amount of a family's income which is less than or equal to 185 percent of the federal poverty level but greater than 150 percent of the federal poverty level;
eight percent on the amount of a family's income which is less than or equal to 225 percent of the federal poverty level but greater than 185 percent CCS SS SCS HCS HB 2011 71 of the federal poverty level;
fourteen percent on the amount of a family's income which is less than or equal to 300 percent of the federal poverty level but greater than 225 percent of the federal poverty level not to exceed five percent of total income;
families with an annual income of more than 300 percent of the federal poverty level are ineligible for this program, provided ten percent (10%) flexibility is allowed between this section and Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840 From General Revenue Fund (1101).....................................................................$118,789,914 From Title XXI Children’s Health Insurance Program Federal Fund (1159)...........................................................................................................439,596,328 From Department of Social Services Intergovernmental Transfer Fund (1139)...............................................................................................................6,089,434 From Federal Reimbursement Allowance Fund (1142)............................................16,430,704 For payments to providers of public ground emergency medical transportation, pursuant to Sections 208.1030 and 208.1032 RSMo, when providing services to persons paid for under this section From Title XXI Children’s Health Insurance Program Federal Fund (1159)...............................................................................................................2,459,831 From Ground Emergency Medical Transportation Fund (1422)................831,401..
Total.......................................................................................................................$584,197,612 Section 11.830.
To the Department of Social Services For the MO HealthNet Division For the Show-Me Healthy Babies Program authorized by Section 208.662,RSMo,providedtenpercent(10%)flexibilityisallowed between this subsection and Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840, and further provided three percent (3%) flexibility is allowed from this section to Section 11.910 From General Revenue Fund (1101).......................................................................$22,309,571 From Title XXI Children’s Health Insurance Program Federal Fund (1159)...........................................................................................................117,166,237 From Department of Social Services Intergovernmental Transfer Fund (1139)...............................................................................................................1,279,507 CCS SS SCS HCS HB 2011 72 From Federal Reimbursement Allowance Fund (1142).......................7,467,000......
Total.......................................................................................................................$148,222,315 Section 11.835.
To the Department of Social Services For the MO HealthNet Division For MO HealthNet services for the Department of Elementary and Secondary Education under the MO HealthNet fee-for-service program From General Revenue Fund (1101)............................................................................$242,525 From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163).................................................................................
120,090,322 Total.......................................................................................................................$120,332,847 Section 11.840.
To the Department of Social Services For the MO HealthNet Division For medical benefits for blind individuals ineligible for MO HealthNet coverage who receive the Missouri Blind Pension cash grant, provided that individuals under this section shall pay the following premiums to be eligible to receive such services:
zero percent on the amount of a family'sincome which is less than 150 percent of the federal poverty level;
four percent on the amount of a family's income which is less than 185 percent of the federal poverty level but greater than or equal to 150 percent of the federal poverty level;
eight percent of the amount on a family's income which is less than 225 percent of the federal poverty level but greater than or equal to 185 percent of the federal poverty level;
fourteen percent on the amount of a family's income which is less than 300 percent of the federal poverty level but greater than or equal to 225 percent of the federal poverty level not to exceed five percent of total income;
families with an annual income equal to or greater than 300 percent of the federal poverty level are ineligible for this program, and further provided ten percent (10%) flexibility is allowed between this subsection and Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780, 11.815, 11.825, 11.830, and 11.840, and further provided three percent (3%) flexibility is allowed from this section to Section 11.910 From General Revenue Fund (1101).......................................................................$24,444,104 CCS SS SCS HCS HB 2011 73 Section 11.845.
To the Department of Social Services For the MO HealthNet Division For program distributions related to Section 36(c) of Article IV of the Missouri Constitution From General Revenue Fund (1101) (including $337,760 one-time)...................$395,298,492 From Title XIX - Adult Expansion Federal Fund (1358) (including $3,039,841 one-time)................................................................................4,249,826,500 From Pharmacy Reimbursement Allowance Fund (1144)..........................................2,146,956 From Nursing Facility Reimbursement Allowance Fund (1196)................................2,146,151 From Ambulance Service Reimbursement Allowance Fund (1958)..............................565,267 From Federal Reimbursement Allowance Fund (1142)............................................62,936,427 From Department of Social Services Intergovernmental Transfer Fund (1139)...............................................................................................................8,801,437 For supplemental payments to Tier 1 Safety Net Hospitals, or to any affiliated physician group that provides physicians for any Tier 1 Safety Net Hospital, for physician and other healthcare professional services as approved by the Centers for Medicare and Medicaid Services From Title XIX - Adult Expansion Federal Fund (1358)..........................................43,697,736 From Department of Social Services Intergovernmental Transfer Fund (1139)...............................................................................................................4,855,304 For payments to the Department of Mental Health for Community Psychiatric Rehabilitation (CPR) services, Comprehensive Substance Abuse Treatment and Rehabilitation (CSTAR) services, Targeted Case Management (TCM) for behavioral health services, and Certified Community Behavioral Health Organizations (CCBHO) for MO HealthNet participants and the uninsured From Title XIX - Adult Expansion Federal Fund (1358)........................................362,039,310 From Department of Social Services Intergovernmental Transfer Fund (1139).............................................................................................................40,226,590 For payments to providers of public ground emergency medical transportation, pursuant to Sections 208.1030 and 208.1032 RSMo, when providing services to persons paid for under this section From Title XIX - Adult Expansion Federal Fund (1358)..........................................20,956,916 CCS SS SCS HCS HB 2011 74 From Ground Emergency Medical Transportation Fund (1422)...............2,328,546.
Total....................................................................................................................$5,195,825,632 Section 11.850.
To the Department of Social Services Funds are to be transferred out of the State Treasury to the General Revenue Fund for the purpose of providing the state match for Medicaid payments From Department of Social Services Intergovernmental Transfer Fund (1139).........................................................................................................$122,616,197 Section 11.855.
To the Department of Social Services For the MO HealthNet Division For payments to the Department of Mental Health for Community Psychiatric Rehabilitation (CPR) services, Comprehensive Substance Abuse Treatment and Rehabilitation (CSTAR) services, Targeted Case Management (TCM) for behavioral health services, and Certified Community Behavioral Health Organizations (CCBHO) for MO HealthNet participants and the uninsured From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163)...................................................................................$628,579,055 From Department of Social Services Intergovernmental Transfer Fund (1139).......................................................................................................
305,093,236 Total.......................................................................................................................$933,672,291 Section 11.860.
To the Department of Social Services For the MO HealthNet Division For family planning and family planning-related services, pregnancy testing, sexually transmitted disease testing and treatment, including pap tests and pelvic exams, and follow-up services, provided that none of the funds appropriated herein may be paid, granted to, or expended to directly or indirectly fund procedures or administrative functions of any clinic, physician's office, or any other place or facility in which abortions are performed or induced other than a hospital, or any affiliate of any such clinic, physician's office, or place or facility in which abortions are performed or induced other than a hospital, or for performing, inducing, or assisting in the performance or inducing of an abortion which is not necessary to save the life of the mother, for CCS SS SCS HCS HB 2011 75 encouraging a patient to have an abortion or referring a patient for an abortion which is not necessary to save the life of the mother, or developing or dispensing drugs, chemicals, or devices intended to be used to induce an abortion which is not necessary to save the life of the mother.
Such services shall be available to uninsured women who are at least eighteen (18) to fifty-five (55) years of age with a family Modified Adjusted Gross Income for the household size that does not exceed two hundred and one percent (201%) of the Federal Poverty Level (FPL) and who is a legal resident of the state From General Revenue Fund (1101) (including $1,208,096 one-time) ....................$1,871,711 From Title XIX Department of Social Services Medicaid Assistance Federal Fund (1163).............................................1,208,096...........................
Total...........................................................................................................................$3,079,807 Section 11.865.
To the Department of Social Services Funds are to be transferred out of the State Treasury to the Pharmacy Reimbursement Allowance Fund From General Revenue Fund (1101).......................................................................$38,737,111 Section 11.870.
To the Department of Social Services Funds are to be transferred out of the State Treasury to the General Revenue Fund From Pharmacy Reimbursement Allowance Fund (1144)......................................$38,737,111 Section 11.875.
To the Department of Social Services Funds are to be transferred out of the State Treasury to the Ambulance Service Reimbursement Allowance Fund From General Revenue Fund (1101).......................................................................$20,837,332 Section 11.880.
To the Department of Social Services Funds are to be transferred out of the State Treasury to the General Revenue Fund From Ambulance Service Reimbursement Allowance Fund (1958).......................$20,837,332 Section 11.885.
To the Department of Social Services FundsaretobetransferredoutoftheStateTreasurytotheFederal Reimbursement Allowance Fund From General Revenue Fund (1101).....................................................................$718,701,378 CCS SS SCS HCS HB 2011 76 Section 11.890.
To the Department of Social Services Funds are to be transferred out of the State Treasury to the General Revenue Fund From Federal Reimbursement Allowance Fund (1142)........................................$718,701,378 Section 11.895.
To the Department of Social Services Funds are to be transferred out of the State Treasury to the Nursing Facility Reimbursement Allowance Fund From General Revenue Fund (1101).....................................................................$210,950,510 Section 11.900.
To the Department of Social Services Funds are to be transferred out of the State Treasury to the General Revenue Fund From Nursing Facility Reimbursement Allowance Fund (1196)..........................$210,950,510 Section 11.905.
To the Department of Social Services Funds are to be transferred out of the State Treasury to the NursingFacilityQualityofCareFundinaccordancewithSection 198.418.1, RSMo, to be used by the Department of Health and Senior Services for conducting inspections and surveys and providing training and technical assistance to facilities licensed under the provisions of Chapter 198 From Nursing Facility Reimbursement Allowance Fund (1196)..............................$1,500,000 Section 11.910.
To the Department of Social Services Funds are to be transferred out of the State Treasury, for the payment of claims, premiums, and expenses as provided by Section 105.711 through 105.726, RSMo, to the State Legal Expense Fund From General Revenue Fund (1101).......................................................................................$1 PART 2 Section 11.2005.
To the Department of Social Services In reference to Section 11.080 of Part 1 of this act:
Nofundsshallbeexpendedinfurtheranceofreimbursementrates greater than $17 per day.
CCS SS SCS HCS HB 2011 77 Section 11.2010.
To the Department of Social Services In reference to Section 11.160 of Part 1 of this act:
No funds shall be expended in furtherance of contract rates greater than the rate in effect on January 1, 2025.
Section 11.2015.
To the Department of Social Services In reference to Section 11.215 of Part 1 of this act:
No funds shall be expended in furtherance of Blind Pension rates greater than $949 per month and $794 per month for Supplemental Aid to the Blind.
Section 11.2017.
To the Department of Social Services In reference to Section 11.421 of Part 1 of this act:
No funds shall be expended in furtherance of outdoor learning foster care program provider rates greater than $258 per day.
Section 11.2020.
To the Department of Social Services In reference to Sections 11.425, 11.435, 11.445, 11.450, 11.455, 11.460, 11.480, 11.485, 11.495, 11.545, 11.765, 11.775, 11.780 and 11.815 of Part 1 of this act:
No funds shall be expended in furtherance of provider rates greater than the rate in effect on January 1, 2025.
Section 11.2025.
To the Department of Social Services In reference to Sections 11.450, 11.755 and 11.775 of Part 1 of this act:
No funds shall be expended in furtherance of Therapeutic Foster Care provider rates greater than:
$173.08 per day for Level 1, $262.02 per day for Level II.
Section 11.2030.
To the Department of Social Services In reference to Sections 11.455, 11.755 and 11.775 of Part 1 of this act:
No funds shall be expended in furtherance of QRTP/non-IMD and QRTP/IMD rates greater than:
$194.47 per day for Level II, $239.16 per day for Level III, $253.80 per day for Level IV.
Section 11.2035.
To the Department of Social Services CCS SS SCS HCS HB 2011 78 In reference to Sections 11.455, 11.460, 11.755 and 11.775 of Part 1 of this act:
Expenses for children placed in a residential treatment facility shall be covered for placements ordered by the court and not recommended by an independent assessor.
Section 11.2040.
To the Department of Social Services In reference to Sections 11.455, 11.460, 11.755, 11.775 and 11.780 of Part 1 of this act:
Provided that funding may be expended for the purposes of transitioning children in the Children’s Division custody from a current stay or preventing a stay in:
1) an out of state placement, 2) a hospital boarding arrangement, or 3) hotel boarding arrangement.
Section 11.2045.
To the Department of Social Services In reference to Sections 11.440 and 11.780 of Part 1 of this act:
No funds shall be expended in furtherance of Psychiatric ResidentialTreatmentFacility(PRTF)providerratesgreaterthan $471.46 per day.
Section 11.2050.
To the Department of Social Services In reference to Section 11.715 of Part 1 of this act:
No funds shall be expended in furtherance of physician provider rates greater than the rate in effect on January 1, 2024, except rates for Certified Community Behavioral Health Clinics, for which no funds shall be expended infurtherance of actuarial rates greater than those approved by the Department of Mental Health, and further excepting rates for autism services, for which no funds shall be expended in furtherance of autism rates paid by the Department of Mental Health on January 1, 2025, and further excepting independent lab rates, for which no funds shall be expended in furtherance of 90% of the calendar year 2023 Medicare allowed rate, and further excepting ophthalmologist rates, for which no funds shall be expended in furtherance of 85% of the calendar year 2023 Medicare allowed rate, and further excepting anesthesia rates for dental services, for which no funds shall be expended greater than 63% of the Medicare conversion CCS SS SCS HCS HB 2011 79 factor for anesthesia services for dental procedures performed in medical surgical centers.
Section 11.2055.
To the Department of Social Services In reference to Section 11.725 of Part 1 of this act:
No funds shall be expended in furtherance of dental provider rates greater than the rate in effect on January 1, 2025, except for dental anesthesia codes, for which no funds shall be expended in furtherance of 80% of the 50th percentile of the comparable Usual Customary and Reasonable (UCR) rates on January 1, 2024, and further excepting dentist extraction rates, for which no funds shall be expended in furtherance of dentist extraction codes to 38.5% of the 50th percentile of the comparable UCR rates on January 1, 2024.
Section 11.2060.
To the Department of Social Services In reference to Sections 11.735 and 11.740 of Part 1 of this act:
No funds shall be expended in furtherance of nursing facility provider rates greater than the rebased rate, in the aggregate, determinedbytheFY2022nursingfacilitycostreports,excepting case mix index adjustments and value based payment adjustments.
No funds shall be expended in furtherance of home health provider rates greater than $12.42 per visit of the rate in effect on January 1, 2024.
No funds shall be expended for Certified Nursing Assistant (CNA) training reimbursement greater than $1,500 per enrollee.
Section 11.2065.
To the Department of Social Services In reference to Section 11.755 of Part 1 of this act:
No funds shall be expended in furtherance of rehabilitation and specialty provider rates greater than the rate in effect on January 1, 2025, except providers of non-emergency medical transportation for MO HealthNet and Department of Mental Health for which no funds shall be expended in furtherance of provider rates greater than the lower bound actuarial soundness rate, and further excepting providers of hospice care, for which no funds shall be expended in furtherance of provider rates greater than 2.8% for routine home care, continuous care, inpatient respite care, and general inpatient care greater than the CCS SS SCS HCS HB 2011 80 blended rate in effect on January 1, 2025, and for which no funds shall be expended in furtherance of rates no greater than 95% of the nursing facility per diem rate for room and board for services provided in a nursing facility, and further excepting air ambulance provider rates for whom no funds shall be expended in furtherance of provider rates greater than 90% of the Medicare calendar year 2024 rate from the rate in effect on December 30, 2023.
Section 11.2070.
To the Department of Social Services In reference to Sections 11.770 and 11.775 of Part 1 of this act:
No funds shall be expended in furtherance of managed care contract rates greater than the lower bound actuarial soundness rate.
Section 11.2075.
To the Department of Social Services In reference to Sections 11.780 and 11.820 in Part 1 of this act:
Provided that in-patient Medicaid psychiatric free-standing hospitals have a minimum rate equivalent to the state fiscal year 2025 weighted average daily rate of $1,194.22.
Section 11.2080.
To the Department of Social Services In reference to Sections 11.780 and 11.820 of Part 1 of this act:
No funds shall be expended for out-of-state payments.
Section 11.2085.