{"id":"MO-027","kind":"order","level":"state","jurisdiction":"Missouri","state":"MO","metro":"","industry":"","agency":"","eco":"","issuer":"DHSS Section for Long-Term Care Regulation (implementing the Director\u0027s waiver orders of Apr. 14 and 15, 2020)","authority":"EO 20-02 and 20-04 waiver authority; 19 CSR 30-85","instrument":"DHSS waiver orders of April 14-15, 2020 and implementation notice of April 17, 2020","title":"State waiver implementation for intermediate and skilled nursing care facilities","dateIssued":"2020-04-17","effective":"2020-04-14","end":"Until May 15, 2020 \u0027unless otherwise modified\u0027; DHSS waivers were carried through the emergency (EO 20-19, EO 21-07, Ex. MO-019; EO 21-09)","startDate":"2020-04-14","endDate":"2020-05-15","quarters":["2020Q2","2020Q3","2020Q4","2021Q1","2021Q2","2021Q3"],"types":["HC","EMP"],"addressees":["intermediate care and skilled nursing facilities"],"clause":"19 CSR 30-85.042(9) shall be waived to the extent that the provisions require new and existing intermediate care and skilled nursing facilities to only care for the number of residents for which the facilities are licensed.... 19 CSR 30-85.042(11) shall be waived to the extent that the provisions require... regular daily visiting hours and allow relatives or guardians and clergy the ability to see critically ill residents at any time, if requested. Note: Facilities should continue to adhere to the March 13, 2020 guidelines issued by DHSS and CMS related to COVID-19 visitor restrictions.... 19 CSR 30-85.042(20) shall be waived to the extent that the provisions require... nursing assistants... [to complete] the sixteen (16)-hour orientation module","enforcement":"Waiver of licensing rules; facilities bound by the March 13, 2020 DHSS/CMS visitor restrictions","functions":["RS residential care admissions and capacity","VS visitation","HR nurse-aide training and licensing","IC infection control"],"notes":"Confirms the visitation restriction regime for licensed long-term care from March 13, 2020.","sourceUrl":"https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/pdf/19-csr-30-85-snf-icf-waiver-implementation.pdf","snapshot":"https://web.archive.org/web/20200418210214/https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/pdf/19-csr-30-85-snf-icf-waiver-implementation.pdf","fileExists":true,"fileBytes":763254,"grade":"primary","character":"","description":"","collection":"MO","url":"/library/MO-027","exhibitUrl":"/exhibit/MO-027","citation":"DHSS Section for Long-Term Care Regulation (implementing the Director\u0027s waiver orders of Apr. 14 and 15, 2020), DHSS waiver orders of April 14-15, 2020 and implementation notice of April 17, 2020 (Apr. 17, 2020) (Ex. MO-027)","stateName":"Missouri","related":["MO-019"]}