{"ref":"MO-HC-GOV-02","title":"Designated Manager, Administrative Supervisor, and Registered Nurse","category":"Governance","summary":"Names and qualifies the three roles Missouri requires of an in-home services provider: the designated manager MMAC approves, the administrative supervisor who supervises day-to-day service delivery, and the registered nurse responsible for clinical integrity. Sets out how the designated manager is hired, certified through MMAC and kept current, and what happens when a key person changes.","inShort":["Pat Sample is the designated manager MMAC approved. This person directs records, hiring, training and checking that services were delivered.","The administrative supervisor oversees your day-to-day work, reviews your visit records every month and evaluates you once a year at a participant's home.","The Agency's registered nurse, Robin Sample, RN, oversees training and clinical questions. Call (573) 555-0113 with nursing questions.","If any of these people change, the Agency tells MMAC right away.","Ask the office who to call if you are not sure who your supervisor is."],"primaryCitation":"19 CSR 15-7.021(14)","citations":["19 CSR 15-7.021(14)(A)-(D)","19 CSR 15-7.021(19)(A)","19 CSR 15-7.021(19)(B)","19 CSR 15-7.021(20)","19 CSR 15-7.021(21)","19 CSR 15-7.021(24)(B)6","13 CSR 70-91.010(3)(G)","13 CSR 70-91.010(3)(H)","13 CSR 70-91.010(3)(I)","13 CSR 70-91.010(3)(J)","MMAC In-Home Services Program Requirements 4.1, 4.1.1, 4.1.2, 4.7, 4.8","MMAC In-Home Services Assurances, items 13, 15, 23","MMAC In-Home Services Proposal for Contract, Section VI item 12 and Section VIII items 1 to 3","MO HealthNet Personal Care Provider Manual §§2.2, 2.3 (August 10, 2026)"],"federalCitations":[],"surveyorAsks":["Who is your designated manager? Show me the MMAC certificate and proof of the annual MMAC training.","Who is your administrative supervisor, and which qualification in 19 CSR 15-7.021(19)(B) does that person meet?"],"forms":[{"ref":"MO-HC-GOV-02-A","title":"Key Personnel Designation and Qualification Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (19 CSR 15-7.021(14))","5. Designated Manager","6. Administrative Supervisor","7. Registered Nurse","8. Hiring a Designated Manager","9. Continuing Education","10. Changes and Vacancies","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"mo-hca","state":"Missouri","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}