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On November 11, 2021, the Missiouri Department of Health and Senior Services (MDHSS) published this proposed amendment regarding Division of Regulation and Licensure Chapter 82 general license requirements. This amendment creates a temporary closure procedure for those Medicare and Medicaid federally certified facilities (skilled nursing facilities and intermediate care facilities) licensed in Missouri which experience staffing shortages from the coronavirus disease 2019 (COVID-19) vaccine mandate issued by the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services emergency regulation 42 CFR part 483 for long term care facilities and intermediate care facilities on November . . .

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