Supplemental Health Care Service “Staffing” Agencies Regulation

Any registered supplemental health care services agency that contracts with a health care facility participating in Medicare or Medicaid is required to submit quarterly reports to the department that contain the following information:

  • A detailed list of each health care facility participating in Medicare or Medicaid with whom the agency has contracted over the prior quarter;
  • A detailed list of the average “hourly” amount charged by the agency to the health care facility over the prior quarter, broken down by health care facility and each individual health care personnel category within each job classification (including but not limited to nursing, therapy, dietary/nutrition, lab, and radiology); and
  • A detailed list of the average “hourly” amount paid by the agency to health care personnel over the prior quarter, broken down by health care facility and each individual health care personnel category within each job classification, including but not limited to nursing, therapy, dietary/nutrition, lab, and radiology.

Pursuant to section 198.644, RSMo, the department is required to prepare an annual report of aggregate data received from the agencies without including information specific to any one agency. This report summarizes data received by the department in 2024, which was the first full year the department received reports.

The 2024 report can be found here: https://health.mo.gov/safety/shcsa/annual-report.html.