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HCBS Policy Manual 3.05 — Basic 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
- 1The individual providing the service must be an employee of the HCBS provider and cannot be an immediate family member of the participant (parent, sibling, child by blood/adoption/marriage, spouse, grandparent, or grandchild).(HCBS Policy Manual 3.05 — Basic Personal Care – State Plan (Agency Model))
- 2Basic PC services (or the combination of agency-model PC and CDS) shall not exceed 60% of the cost maximum, and total State Plan services shall not exceed 100% of the cost maximum without prior BFP approval.(HCBS Policy Manual 3.05 — Basic Personal Care – State Plan (Agency Model))
- 3Participants must be at least 18 years of age, in active Medicaid status, and meet nursing facility level of care to be eligible.(HCBS Policy Manual 3.05 — Basic Personal Care – State Plan (Agency Model))
- 4Agency Model Personal Care services must be authorized in 15-minute units and be consistent with and reasonable for the PC tasks to be completed.(HCBS Policy Manual 3.05 — Basic Personal Care – State Plan (Agency Model))
- 5Self-administration of medication is limited to assisting the participant to take/apply their own medication (per 19 CSR 30-83.010(46)); the aide handing the container/water is billable but not administration itself.(HCBS Policy Manual 3.05 — Basic Personal Care – State Plan (Agency Model))
Applies to: personal care
DSDS HCBS manual section 3.05 defining eligibility, 15-minute-unit authorization rules, cost-maximum limits, immediate-family restrictions, and allowable tasks for State Plan Agency-Model Basic Personal Care.
Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.