Resources

The Franklin County SB40 Resource Board of Directors has voted to provide Service Coordination for Non-Medicaid (MO Healthnet) consumers in an effort to assist all persons with developmental disabilities.

Legislation

The Franklin County SB40 Resource Board was formed under the Senate Bill 40 (SB40) legislation in Franklin County in 1987. Under this legislation, money generated through a county tax is designated to provide services for persons with developmental disabilities. A developmental disability is a condition such as intellectual disabilities, Cerebral Palsy, Epilepsy, Autism or a similar condition diagnosed before the age of 22. A board appointed by the County Commission is responsible for overall operations. The Franklin County SB40 Resource Board works closely with the Missouri Department of Mental Health, the Missouri Department of Elementary and Secondary Education, and Missouri First Steps.

Medicaid

Targeted Case Management (TCM) for persons with developmental disabilities has been a MO HealthNet (Medicaid) service program in Missouri since January, 1991. The term ‘targeted’ means that the case management services under this program are not available to all MO HealthNet eligible people—only to those who are eligible for the services of the Missouri Division of DD (Division of DD) (42 CFR 440.169 (b)).

Only the staff of the Division of DD’s Regional Offices and certain other entities specified by the Division’s Director are eligible to provide the services to ensure case managers have appropriate education and specialized experience.

Case management services are broadly defined in 42 CFR 440.169 as services furnished to assist individuals in gaining access to needed medical, social, educational and other services. In order to receive case management services, the individual must be MO HealthNet eligible under the State plan and must either reside in a community setting or be in the process of transitioning to a community setting, in accordance with 42 CFR 441.18.

Case management is also referred to as Targeted Case Management (TCM) in referring to Division of DD support coordination. Missouri Division of DD has used the term “service coordination” for many years to refer to case management. The Division is changing the term service coordination to support coordination, as the latter more accurately reflects the role and function of this position. The principal service under this TCM program is referred to as support coordination or case management.

Agendas

October 13, 2025 Board Agenda

Board Meetings are open to the public and take place on the second Monday of the month. The board may at anytime vote to hold a special meeting.

Please note that board meetings are held in person at: 1308 N. Church Street, Union, MO 63084

Meetings are also offered Virtually through Webex with the information available on the Board Agenda.

Addressing the Board

Proposals for inclusion in the agenda shall be submitted to the Executive Director in writing at least ten (10) days prior to the scheduled board meeting. The Board will establish a uniform time limit for each speaker and only items from the posted agenda may be discussed.

The Franklin County SB40 Resource Board of Directors has voted to provide Service Coordination for Non-Medicaid (MO Healthnet) consumers in an effort to assist all persons with developmental disabilities.

Legislation

Medicaid

Agendas

Minutes

Links

Transparency in Coverage

https://transparency-in-coverage.uhc.com/

https://www.uhc.com/united-for-reform/health-reform-provisions/transparency-in-coverage-rule

MEDICAL CERTIFICATE

Summary of Benefits and Coverage

Disability Resources

Missouri Department of Education

U.S. Department of Labor

Franklin County Division of Developmental Disabilities

Missouri Department of Mental Health

Strategic Planning

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