3. Funding Sources Social Services Block Grant/General Revenue SSBG/GR or Title XX a mix of federal and state funds appropriated by the legislature administered through the Department of Health and Senior Services, Division of Senior and Disability Services (DHSS/DSDS) Medicaid Title XIX Federal funds administered through the Department of Social Services, MO HealthNet Division (DSS/MHD)

4. MHD – DSDS - MMAC DSS MHD: Department of Social Services, MO HealthNet Division single state Medicaid agency ultimately responsible for the program DSS MMAC: Department of Social Services, Missouri Medicaid Audit and Compliance Unit contract with entities enroll entities in Medicaid programs monitor the program

5. DHSS DSDS: Department of Health and Senior Services, Division of Senior and Disability Services eligibility for services authorization of services

6. Medicaid Provider SSBG/GR Contracted Provider SSBG/GR Proposal

7. Proposal for Participation Agreement Proposals are accepted at any time Current proposal outline is available at http://mmac.mo.gov/providers/provider- enrollment/home-and-community-based- services/contract-proposal-information/

8. Proposal Submission Requirements 1. Current fiscal year proposal outline; 2. Same order as the outline; 3. Each policy/procedure on separate pages; 4. Corresponding headings and numbering as the proposal outline; 5. Policies/procedures signed by an authorized representative of agency (printed and signed)

9. Tips/Suggestions Use correct legal name Insurance quote Dont use another agencys material Carefully review all federal and state regulations governing the program (state statutes, Code of State Regulations, Medicaid Manuals and the Program Requirements)