PURPOSE: This rule incorporates the Medicare Conditions of Participation into the hospital regulations. PUBLISHER’S NOTE: The secretary of state has determined that publication of the entire text of the material that is incorporated by reference as a portion of this rule would be unduly cumbersome or expensive. This material as incorporated by reference in this rule shall be maintained by the agency at its headquarters and shall be made available to the public for inspection and copying at no more than the actual cost of reproduction. This note applies only to the reference material. The entire text of the rule is printed here. (1) State Licensure Requirements.

1. (A) This rule incorporates by reference 42 CFR Part 485 (2017), Medicare Conditions of Participation: Critical Access Hospitals, for Missouri licensed critical access hospitals. The Code of Federal Regulations is published by the U.S. Government and is available by calling toll-free (866) 512-1800 or going to https:// bookstore.gpo.gov/. The address is U.S. Government Publishing Office, U.S. Superintendent of Documents, Washington, DC 20402-0001. This rule incorporates later amendments and additions to 42 CFR Part 485 (2017). Missouri licensed critical access hospitals shall strictly meet the Medicare Conditions of Participation, and surveys performed for state licensure will be conducted per Medicare standards.
2. (B) This rule incorporates by reference 42 CFR Part 482 (2017), Medicare Conditions of Participation: Hospitals, for Missouri licensed hospitals. The Code of Federal Regulations is published by the U.S. Government and is available by calling toll-free (866) 512-1800 or going to https://bookstore. gpo.gov/. The address is U.S. Government Publishing Office, U.S. Superintendent of Documents, Washington, DC 20402-0001. This rule incorporates later amendments and additions to 42 CFR Part 482 (2017). Missouri licensed hospitals shall strictly meet the Medicare Conditions of Participation and surveys performed for state licensure will be conducted per Medicare standards.
3. (C) This rule incorporates by reference 42 CFR Part 482 (2017), Medicare Conditions of Participation: Psychiatric Hospitals, for Missouri licensed psychiatric hospitals. The Code of Federal Regulations is published by the U.S. Government and is available by calling toll-free (866) 512-1800 or going to https://bookstore. gpo.gov/. The address is U.S. Government Publishing Office, U.S. Superintendent of Documents, Washington, DC 20402-0001. This rule incorporates later amendments and additions to 42 CFR Part 482 (2017). Missouri licensed psychiatric hospitals shall strictly meet the Medicare Conditions of Participation and surveys performed for state licensure will be conducted per Medicare standards.
4. (D) This rule incorporates by reference 42 CFR Part 485, Subpart E (2022), Medicare Conditions of Participation: Rural Emergency Hospitals (REHs), as published by the U.S. Government Publishing Office, 732 N. Capitol St. NW, Washington, DC 20401-0001 and available by calling tollfree (866) 512-1800 or at its website at https://www.govinfo. gov/content/pkg/CFR-2022-title42-vol5/pdf/CFR-2022-title42- vol5.pdf. This rule incorporates later amendments and additions to 42 CFR Part 485 (2022). Missouri licensed hospitals shall strictly meet the Medicare Conditions of Participation, and surveys performed for state licensure will be conducted per Medicare standards. AUTHORITY: sections 197.005, 197.080, and 536.031, RSMo Supp. 2023.* Emergency rule filed Feb. 14, 2019, effective Feb. 24, 2019, expired Aug. 22, 2019. Original rule filed Feb. 14, 2019, effective July 30, 2019. Amended: Filed Aug. 28, 2023, effective March 30, 2024. *Original authority: 197.005, RSMo 2017, amended 2023; 197.080, RSMo 1953, amended 1993, 1995, 2013, 2017; and 536.031, RSMo 1975, amended 1976, 1989, 2004, 2016, 2018, 2019.