Missouri Register, Volume 41, No. 05, March 1, 2016, Pages 293-368

• Jurisdiction: Missouri
• Library: Missouri Register
• Published date: 01 March 2016
• Year: 2016

Volume 41, Number 5

Pages 293–368

March 1, 2016

MISSOURI

REGISTER

Jason Kander

Secretary of State

SALUS POPULI SUPREMA LEX ESTO

“The welfare of the people shall be the supreme law.”

The Missouri Register is an official publication of the state of Missouri, under the authority granted

to the secretary of state by sections 536.015, RSMo Supp. 2014 and 536.033, RSMo 2000.

Reproduction of rules is allowed; however, no reproduction shall bear the name Missouri Register or

“official” without the express permission of the secretary of state.

The Missouri Register is published semi-monthly by

SECRETARY OF STATE

Jason Kander

Administrative Rules Division

James C. Kirkpatrick State Information Center

600 W. Main

Jefferson City, MO 65101

(573) 751-4015

DIRECTOR

WAYLENE W. HILES

·

MANAGING EDITOR

CURTIS W. T REAT

·

EDITOR

AMANDA MCKAY

·

ASSOCIATE EDITOR

VONNE KILBOURN

·

ASSISTANT EDITOR

MARTY SPANN

·

PUBLICATION TECHNICIAN

JACQUELINE D. WHITE

·

ADMINISTRATIVE ASSISTANT

ALISHA DUDENHOEFFER

ISSN 0149-2942, USPS 320-630; periodical postage paid at Jefferson City, MO

Subscription fee: $56.00 per year

POSTMASTER: Send change of address notices and undelivered copies to:

MISSOURI REGISTER

Office of the Secretary of State

Administrative Rules Division

PO Box 1767

Jefferson City, MO 65102

The Missouri R egister and Code of State Regulations (CSR) are now available on the Internet. The Register address is

http://www.sos.mo.gov/adrules/moreg/moreg.asp and the CSR is http://www.sos.mo.gov/adrules/csr/csr.asp. These websites contain

rulemakings and regulations as they appear in the Registers and CSR. These websites do not contain the official copies of the Registers

and CSR. The official copies remain the paper copies published by the Office of the Secretary of State pursuant to sections 536.015

and 536.031, RSMo Supp. 2014. While every attempt has been made to ensure accuracy and reliability, the Registers and CSR are

presented, to the greatest extent practicable as they appear in the official publications. The Administrative Rules Division may be con-

tacted by email at rules@sos.mo.gov.

The secretary of state’s office makes every effort to provide program accessibility to all citizens without regard to disability. If you desire

this publication in alternate form because of a disability, please contact the Division of Administrative Rules, PO Box 1767, Jefferson

City, MO 65102, (573) 751-4015. Hearing impaired citizens should contact the director through Missouri relay, (800) 735-2966.

March 1, 2016

MISSOURI REGISTER

Vol. 41 No. 5 Pages 293–368

I

IN

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HIS I

ISSUE

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:

Register Register Code Code

Filing Deadlines Publication Date Publication Date Effective Date

November 2, 2015 December 1, 2015 December 31, 2015 January 30, 2016

November 16, 2015 December 15, 2015 December 31, 2015 January 30, 2016

December 1, 2015 January 4, 2016 January 30, 2016 February 29, 2016

December 15, 2015 January 15, 2016 January 30, 2016 February 29, 2016

January 4, 2016 February 1, 2016 February 29, 2016 March 30, 2016

January 15, 2016 February 16, 2016 February 29, 2016 March 30, 2016

February 1, 2016 March 1, 2016 March 31, 2016 April 30, 2016

February 16, 2016 March 15, 2016 March 31, 2016 April 30, 2016

March 1, 2016 April 1, 2016 April 30, 2016 May 30, 2016

March 15, 2016 April 15, 2016 April 30, 2016 May 30, 2016

April 1, 2016 May 2, 2016 May 31, 2016 June 30, 2016

April 15, 2016 May 16, 2016 May 31, 2016 June 30, 2016

May 2, 2016 June 1, 2016 June 30, 2016 July 30, 2016

May 16, 2016 June 15, 2016 June 30, 2016 July 30, 2016

June 1, 2016 July 1, 2016 July 31, 2016 August 30, 2016

June 15, 2016 July 15, 2016 July 31, 2016 August 30, 2016

July 1, 2016 August 1, 2016 August 31, 2016 September 30, 2016

July 15, 2016 August 15, 2016 August 31, 2016 September 30, 2016

August 1, 2016 September 1, 2016 September 30, 2016 October 30, 2016

August 15, 2016 September 15, 2016 September 30, 2016 October 30, 2016

Documents will be accepted for filing on all regular workdays from 8:00 a.m. until 5:00 p.m. We encourage early filings to facilitate the timely publication of the

Missouri Register. Orders of Rulemaking appearing in the Missouri Register will be published in the Code of State Regulations and become effective as listed in the

chart above. Advance notice of large volume filings will facilitate their timely publication. We reserve the right to change the schedule due to special circumstances.

Please check the latest publication to verify that no changes have been made in this schedule. To review the entire year’s schedule, please check out the website at

http://www.sos.mo.gov/adrules/pubsched.asp

EMERGENCY RULES

Department of Insurance, Financial Institutions

and Professional Registration

State Board of Pharmacy . . . . . . . . . . . . . . . . . . . . . . .297

EXECUTIVE ORDERS . . . . . . . . . . . . . . . . . . .299

PROPOSED RULES

Department of Agriculture

Animal Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .301

Department of Economic Development

Public Service Commission . . . . . . . . . . . . . . . . . . . . .305

Department of Elementary and Secondary Education

Division of Learning Services . . . . . . . . . . . . . . . . . . . .307

Department of Natural Resources

Clean Water Commission . . . . . . . . . . . . . . . . . . . . . .308

Department of Social Services

MO HealthNet Division . . . . . . . . . . . . . . . . . . . . . . .332

Department of Corrections

State Board of Probation and Parole . . . . . . . . . . . . . . . .335

Department of Insurance, Financial Institutions

and Professional Registration

Life, Annuities and Health . . . . . . . . . . . . . . . . . . . . . .336

State Board of Pharmacy . . . . . . . . . . . . . . . . . . . . . . .340

ORDERS OF RULEMAKING

Department of Social Services

Family Support Division . . . . . . . . . . . . . . . . . . . . . . .342

IN ADDITIONS

Department of Transportation

Missouri Highways and Transportation Commission . . . . .345

Department of Health and Senior Services

Missouri Health Facilities Review Committee . . . . . . . . .346

Department of Insurance, Financial Institutions and

Professional Registration

Applied Behavior Analysis Maximum Benefit . . . . . . . . .347

DISSOLUTIONS . . . . . . . . . . . . . . . . . . . . . . . . .348

SOURCE GUIDES

RULE CHANGES SINCE UPDATE . . . . . . . . . . . . . . . .355

EMERGENCY RULES IN EFFECT . . . . . . . . . . . . . . . .360

EXECUTIVE ORDERS . . . . . . . . . . . . . . . . . . . . . . . . .362

REGISTER INDEX . . . . . . . . . . . . . . . . . . . . . . . . . . .363