Mo. Rev. Stat. » Chapter 198
Missouri Revised Statutes

Mo. Rev. Stat. § 198.045 (2026)

Participation in Medicare or Medicaid optional

✓ current as of May 2026
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  198.045.  Participation in Medicare or Medicaid optional — survey for certification at same time as license inspection. — Participation in reimbursement programs under either Medicare or Medicaid, Title XVIII and Title XIX of the Social Security Act, (Title 42, United States Code, Sec. 1395x or 1396d), or other federal laws, shall be at the option of the individual facility.  A skilled nursing facility or an intermediate care facility which chooses to participate in such programs shall be surveyed for certification for reimbursement and inspected for state licensure at the same time.

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(L. 1979 S.B. 328, et al. § 15)

Notes of Decisions
Cited in 6 cases, 1983–1996 · leading case: Stiffelman v. Abrams, 655 S.W.2d 522 (Mo. 1983).
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Stiffelman v. Abrams, 655 S.W.2d 522 (Mo. 1983). · cites it 2× “Section 198.045. One of the requisites to licensing and relicensing of each of the classifications of nursing homes by the department of social services is that the facility and its operator be in compliance with the requirements of § 198.”
NME Hospitals, Inc. v. Dep't of Soc. Servs., Div. of Med. Servs., 850 S.W.2d 71 (Mo. 1993). · cites it 2× “KOMC has a valid participation agreement with the State of Missouri to provide services to Medicaid recipients under the federal Medicaid program pursuant to § 198.045, RSMo 1986, and applicable regulations.”
Frene Valley Corp. v. Dep't of Soc. Servs., Div. of Med. Servs., 926 S.W.2d 144 (Mo. Ct. App. 1996). · cites it 2× “§ 1396d, pursuant to § 198.045 RSMo 1986. The Medicaid Program allows nursing home facilities like Frene Valley, to be reimbursed for the cost of caring for Medicaid patients who reside at their facility.”
EBG Health Care III, Inc. v. Missouri Dept. of Soc. Servs., 882 S.W.2d 143 (Mo. Ct. App. 1994). · cites it 2× “EBG participates in the Medicaid program pursuant to § 198.045, RSMo 1986. The nursing home entered the Medicaid program in 1973 under prior ownership.”
Monroe Cnty. Nursing Home Dist. v. Missouri Dep't of Soc. Servs., 778 S.W.2d 721 (Mo. Ct. App. 1989). “20, based on its total allowable patient care expenses divided by patient days. A formula allows increases in the rate of reimbursement based on the original rate.”
Concerned Servs., Inc. v. Dep't of Soc. Servs., 834 S.W.2d 908 (Mo. Ct. App. 1992). · cites it 2× “The facility is licensed under state law as an ICF/MR certified facility pursuant to § 198.045, RSMo 1986 and participates in the Medicaid program.”
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