Supplemental Health Care Services Agency Info

As you may know, on August 28, 2022, Missouri Senate Bill (SB) 710 became law, giving the Department of Health and Senior Services (DHSS) the responsibility for the oversight of supplemental health care services agencies, including the registration and inspection process of such agencies and the investigation of complaints. DHSS has been accepting registration applications since October of 2023 and conducting unannounced inspections since October of 2024.

During the inspection process of a supplemental health care services agency, we inspect a sampling of temporary health care personnel files, contracts entered between the agency and health care facility, contracts entered between the agency the temporary health care personnel, and quarterly reporting surveys submitted by the agency. Please be aware of the below requirements of a supplemental health care services agency that our office inspects:

  • Pursuant to section 198.644. 1.(3) and (6), RSMo, each registered supplemental health care services agency is required, as a condition of registration, to meet the following criteria:
  • (3) Not restrict in any manner the employment opportunities of its health care personnel; and
  • (6) Refrain in any contract with any health care personnel or health care facility from requiring the payment of liquidated damages, employment fees, or other compensation should the health care personnel be hired as a permanent employee of a health care facility.
  • State regulation, 19 CSR 105.050, outlines the required documentation or information in health care personnel files reviewed during the inspections.
  • State regulation, 19 CSR 105.070, outlines the quarterly reporting requirements of the supplemental health care services agency that contracts with a health care facility that participates in Medicare or Medicaid.

For more information regarding the above requirements and our program, view the Missouri law and state regulations here: https://health.mo.gov/safety/shcsa/laws-and-regulation.html.

Please note that an individual or business who operates as a supplemental health care services agency without registering with the department is in direct violation of Missouri law. The registration status of an agency can be found on our public dashboard here: https://www.arcgis.com/apps/dashboards/06eee3aa727f4c4fa5e874590016ac5c.

If you have any questions or concerns, please contact Sally McKee, Regulatory Auditor Supervisor, by phone at (573) 291-8080 or email at sally.mckee@health.mo.gov.