As of July 1, 2026, all “Change in Condition” (aka Resident Review) applications will follow the same process for submission as a “Change in Status”.
The Department of Mental Health (DMH) will no longer accept “Change in Condition” submissions directly. All requests must be submitted through the DHSS COMRU website (https://health.mo.gov/seniors/nursinghomes/) using the Level I/Level of Care online application. The option for submitting this application will be “Change in Status (MDS) / Change in Condition”. For questions regarding this change or when to submit a “Change in Condition”, please email DMHNotifications@dmh.mo.gov.