Missouri manual section 6.34
Temporary residential support
Official service name: Temporary Residential
Temporary Residential provides short-term care, assistance, and supervision when a person cannot care for themselves and the usual caregiver is absent or needs relief. It can occur at home, in the community, or in an approved residential or respite setting, but it is not permanent placement.
What the manual describes
What this service can help with
- Short-term residential support when the usual caregiver is absent or needs relief
- Care, assistance, and supervision in the person's residence or community
- Short-term out-of-home care in an approved residential, respite, ICF/IID, State Habilitation Center, or eligible relief-home setting
- A planned temporary arrangement identified through the person-centered planning process
- Protection of health and welfare during an exceptional temporary need when additional days are approved
Source-backed working pathway
To establish you'll probably need:
These steps translate the cited manual section into a practical review sequence. Confirm the current local process before acting.
Describe the temporary need with the planning team.
Identify why the person cannot be left without support, why the usual caregiver will be absent or needs relief, the requested dates and hours, and why the request is temporary rather than a permanent-placement need.
Confirm Partnership for Hope coverage and remaining time limits.
Ask the support coordinator to verify waiver eligibility, Temporary Residential days already used during the year, prior out-of-home respite, the proposed setting's special limit, and whether an exception or additional approval is needed.
Choose an appropriate authorized setting and qualified provider.
Decide whether support should occur at home, in the community, or in an approved out-of-home setting. Confirm the provider's Department contract and certification or accreditation and verify that any Host Home or facility is eligible for the proposed dates.
Document care, safety, medication, and transition information.
Provide routines, communication, mobility, behavior, health, medication, dietary, supervision, emergency, transportation, and caregiver-contact information, along with the plan for returning home or resuming ordinary supports.
Obtain authorization before relying on the arrangement.
Confirm the exact provider, setting, dates, daily or fifteen-minute billing basis, approved units, room-and-board treatment, exception status when applicable, and the person-centered service-plan documentation before the caregiver leaves or the stay begins.
Important boundaries
Limits that may affect fit or authorization
- Temporary Residential is available through the Partnership for Hope Waiver only and must address a need identified through person-centered planning.
- The service is generally limited to 60 days per year. A written regional-director exception may be available, and exceeding the limit to protect health and welfare requires the approvals described by the manual.
- Temporary Residential in an ICF/IID or State Habilitation Center cannot exceed 30 days. The manual separately states that total out-of-home respite is limited to six months; the planning team should confirm how that boundary applies to the person's history and proposed setting.
- The service cannot replace child day care or adult day programming and is not intended as permanent residential placement.
- A Host Home cannot provide Temporary Residential while someone is already living there and receiving Host Home services. It may provide the service only when no current Host Home recipient resides there.
- Room and board are generally excluded, except as part of respite in a state-approved facility that is not a private residence.
- Any setting used for more than 60 days must meet the cited federal home-and-community-based settings requirements.
- The manual lists one daily unit for a 24-hour day or up to 64 fifteen-minute units on a date when service is delivered for less than 24 hours. Provider enrollment does not establish an opening or an approved exception.
Do not assume this part
Questions to confirm locally
- Is Temporary Residential authorized through the person's Partnership for Hope Waiver and person-centered service plan?
- How many Temporary Residential days and out-of-home respite days have already been used?
- Does the proposed setting carry the 30-day institutional limit, the ordinary 60-day annual limit, or another reviewed boundary?
- Is a written exception or county-board and regional approval required before the proposed stay?
- Is the provider and setting eligible and actually available for the requested dates?
- If a Host Home is proposed, is it free of any current Host Home resident receiving services?
- What care, medication, safety, transportation, emergency, room-and-board, and return-home arrangements are authorized?