Filing Schedule for HMOs
Filing Type
Applications
- Statutory Authority: RSMo 354.405, 430
- Rule: 20 CSR 400-7.010 through 7.060, 7.080, 7.100, 7.120 & 130, 7.150 & 7.170; 20 CSR 400-8.100 & 200
- Due Date: Prior to use
- Filling Fee: $ 150
Policies
- Rule: 20 CSR 400-7.010 through 7.060, 7.080, 7.100, 7.120 & 130, 7.150 & 7.170; 20 CSR 400-8.100 & 200
- Filling Fee: $ 150
Certificates
- Rule: 20 CSR 400-7.010 through 7.060, 7.080, 7.100, 7.120 & 130, 7.150 & 7.170; 20 CSR 400-8.100 & 200
- Filling Fee: $ 150
Evidence of Coverage
- Rule: 20 CSR 400-8.100 & 200
- Filling Fee: $ 150
Riders
- Filling Fee: $ 150
Endorsements
- Filling Fee: $ 150
Inserts
- Filling Fee: $ 150
Substitutions
- Filling Fee: $ 150
Advertising Materials
- Filling Fee: $ 150
Schedules of Benefits
- Filling Fee: $—
Medicare or Medicaid Materials
- Filling Fee: $—
| Filing Type | Statutory Reference | Regulation | Due Date | Fee |
|---|---|---|---|---|
| Network Access Plans | RSMo 354.603 & 615 | 20 CSR 400-7.095 | March 1 | $ 150 |
| Requests for Service Area Expansion | RSMo 354.405 | 20 CSR 400-7.090 | Prior to use | $ 150 |
| Requests for Service Area Reduction | RSMo 354.405 | Prior to use | $ 150 | |
| Provider Selection Standards | RSMo 354.606 | 20 CSR 400-7.200 | March 1 | $ 150 |
| Provider Contracts | RSMo 354.405 | Prior to use | $ 150 | |
| Grievance Procedures | RSMo 376.1378 | Prior to use | $ 150 | |
| Report of Utilization Review Activities | RSMo 376.1359 | March 1 | $ 150 | |
| Disclosure of Financial Interests | RSMo 354.443 | Prior to use | $ 150 |
HMO Access Plan Instructions
For annual financial filings, see our Annual Reports Schedule.
All non-financial managed care filings should be addressed to the appropriate staff person at:
Life and Healthcare Section
Missouri Department of Commerce & Insurance
PO Box 690
Jefferson City, MO 65101
Contact the Life and Healthcare Section for additional information.