PURPOSE: This rule establishes fees paid by Vocational Rehabilitation, Office of Adult Learning and Rehabilitation Services, Department of Elementary and Secondary Education for services for individuals with disabilities pursuant to the Rehabilitation Act of 1973 as amended and 34 CFR section 361.50(c).

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. (1) Certain fees may be paid by Vocational Rehabilitation (VR). However, if the usual and customary fee charged for the service is less than an amount listed, the usual and customary fee is the maximum that will be paid. No additional moneys can be collected from the applicant or eligible individual. The fees are as follows:

   1. (A) Hospitalization Fees: Daily per diem rate established by Missouri Medicaid;
   2. (B) Surgical and Medical Fees: Medicare formula for surgery and related services as approved by the assistant commissioner of VR, or if the service is not covered by Medicare, then the rate will be the usual and customary fee as approved by the assistant commissioner of VR;
   3. (C) Psychological Diagnostic Fees: Usual and customary fees as approved by the assistant commissioner of VR;
   4. (D) Dental Fees: Medicare rates as approved by the assistant commissioner of VR, or if the service is not covered by Medicare, then the rate will be the usual and customary fee as approved by the assistant commissioner of VR;
   5. (E) Community Rehabilitation and Supported Employment Programs: Evaluation of a cost analysis report for each program with the fees approved by the assistant commissioner of VR; and/or
   6. (F) Interpreter Services: Usual and customary fees approved by the assistant commissioner of VR.
2. (2) The maximum fee which may be paid by VR for any services or entity not listed above is the usual and customary fee for said service or entity as approved by the assistant commissioner of VR.
3. (3) 34 CFR section 361.50(c) is hereby incorporated by reference and made part of this rule as published by the U.S. Government Publishing Office, 732 North Capitol Street NW, Washington, DC 20401-0001, in June 2023. Copies of this regulation can also be obtained from the Department of Elementary and Secondary Education, Office of Adult Learning and Rehabilitation Services, 205 Jefferson Street, PO Box 480, Jefferson City, MO 65102-0480 and at https://dese.mo.gov/governmental-affairs/ dese-administrative-rules/incorporated-reference-materials. This rule does not incorporate any subsequent amendments or additions.

AUTHORITY: sections 161.092, 178.600, 178.610, and 178.620, RSMo 2016.* This rule previously filed as 5 CSR 90-5.410. Original rule filed Dec. 17, 1999, effective Aug. 30, 2000. Amended: Filed March 27, 2003, effective Oct. 30, 2003. Moved to 5 CSR 20-500.220, effective Aug. 16, 2011. Amended: Filed June 15, 2023, effective Jan. 30, 2024. *Original authority: 161.092, RSMo 1963, amended 1973, 2002, 2003, 2013, 2014; 178.600, RSMo 1963; 178.610, RSMo 1963; and 178.620, RSMo 1963.