A request to renew a waiver must be submitted how many days in advance?

Renewing a waiver in Missouri requires that the request be submitted 45 days in advance of the expiration of the current waiver. This timeframe is established to ensure that there is adequate processing time for the renewal application and to prevent any lapses in the waiver status. Submitting the renewal request within this period allows the relevant authorities to review and approve the request without causing disruptions in compliance or services. Adhering to the 45-day timeline is essential for maintaining operational continuity and ensuring that the nursing home's practices remain within regulatory parameters.