Missouri group home progress note requirements

What the rule says

13 CSR 70-3.030(2)(A) — Administrative Actions for Improperly Paid, False, or Fraudulent Claims for MO HealthNet Services - definition of 'Adequate documentation'

“An adequate and complete patient record is a record which is legible, which is made contemporaneously with the delivery of the service”

What it asks a note to show

• First name, last name, and either middle initial or date of birth of the MO HealthNet participant
• An accurate, complete, and legible description of each service provided
• Name, title, and signature of the MO HealthNet-enrolled provider delivering the service
• The name of the referring entity, when applicable
• The date of service (month/day/year)
• For time-based services, the actual begin and end time taken to deliver the service (for example, 4:00-4:30 p.m.)
• The setting in which the service was rendered
• The plan of treatment, evaluation(s), test(s), findings, results, and prescription(s) as necessary
• The need for the service(s) in relationship to the participant's treatment plan
• The participant's progress toward the goals stated in the treatment plan (progress notes)
• For applicable programs, invoices, trip tickets/reports, activity log sheets, employee records (excluding health records), and staff training records
• Record must be legible and made contemporaneously with the delivery of the service

Checked against the source document on 14 October 2026. This is a summary to help you find the rule, not legal advice; your licensing specialist reads the rule itself.