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HCBS Policy Manual 3.10 — Advanced Personal Care – State Plan (Agency Model)
Missourisub_regulatoryDepartment of Health and Senior Services — Division of Senior and Disability Services (DSDS)
What this rule requires your agency to do
- 1Participants must be at least 18 years of age, meet nursing facility level of care, and be in active Medicaid status to be eligible for APC.(HCBS Policy Manual 3.10 — Advanced Personal Care – State Plan (Agency Model))
- 2APC tasks (e.g., aseptic dressings, bowel/bladder programs, catheter/ostomy hygiene, passive range of motion) must be performed only as ordered/directed by a licensed nurse or care plan where the task specifies.(HCBS Policy Manual 3.10 — Advanced Personal Care – State Plan (Agency Model))
- 3APC authorized with other State Plan HCBS and Aged and Disabled Waiver services shall not exceed 100% of the average statewide monthly nursing-facility cost without prior BFP approval.(HCBS Policy Manual 3.10 — Advanced Personal Care – State Plan (Agency Model))
- 4APC services must be authorized in 15-minute-unit increments, consistent with and reasonable for the APC tasks to be completed regularly.(HCBS Policy Manual 3.10 — Advanced Personal Care – State Plan (Agency Model))
- 5APC must be provided by an HCBS provider enrolled as a Personal Care-Agency Model provider, and the APC staff must be an employee of the provider and not an immediate family member of the participant.(HCBS Policy Manual 3.10 — Advanced Personal Care – State Plan (Agency Model))
Applies to: personal care
DSDS HCBS manual section 3.10 defining Advanced Personal Care eligibility, 15-minute-unit authorization, cost-cap rules, immediate-family restriction, and the specific medically-oriented APC tasks (aseptic dressings, catheter/ostomy hygiene, bowel/bladder programs, etc.).
Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.