Missouri State Laws, Policies and Funding
RH terminology used by the Missouri Department of Mental Health (DMH), Division of Behavioral Health (DBH) “Recovery houses are safe and healthy residential environments in which skills vital for sustaining recovery are learned and practiced in a home-like setting.”
Accreditation, Certification, and State Licensing Requirement: Certification is required for a recovery support organization to obtain and maintain a contract with the department (9 CSR 30-3.310 Recovery Support Programs, 2016).
RH Law(s): None/unknown
RH Legislation: None/unknown
Regulations: 9 CSR 30-3.310 Recovery Support Programs (2016) This rule describes the certification and service delivery requirements for recovery support programs (which include recovery housing).
SABG Program: The “Planned Priority Areas” documents for your state’s Substance Abuse Prevention and Treatment Block Grant (SABG) program and Community Mental Health Services Block Grant (MHBG) program do not specifically mention recovery housing as a priority, nor do they list recovery support services as an allowable activity. To learn more about specific recovery housing activities that are eligible for funding through these grant programs, please reach out to your state’s Single State Agency (SSA) that’s responsible for administering these funds by visiting https://dmh.mo.gov/behavioral-health/resources
SOR Program: Your state’s Department of Health and Social Services (DHSS) has previously funded recovery activities using State Opioid Response (SOR) funds. To learn more about specific recovery housing activities that are eligible for funding through this grant program, please reach out to your state’s Single State Agency (SSA) that’s responsible for administering these funds by visiting https://dmh.mo.gov/behavioral-health/resources
Medicaid Funding: Nothing in the state Medicaid plan suggests direct support for RH, however, certain covered activities could evolve to be provided in RH settings include peer support, case management, and counseling.
Housing Assistance Funding: https://www.mhdc.com/
Accredited Recovery Residences
Community Foundation of the Ozarks
The Community Foundation of the Ozarks (CFO) was established in 1973 with the mission to improve quality of life for individuals living in Missouri’s communities in the mountainous Ozark region. The Foundation is based in Springfield, Missouri, with satellite offices in West Plains and Cape Girardeau. The Foundation has local affiliates in 53 communities in southern and central Missouri.
Regions: CFO serves central and southern Missouri, with a particular focus on rural communities.
Issues Supported: CFO focuses primarily on health and education initiatives, often through a rural lens. For example, CFO partnered with the Missouri Foundation for Health to fund a multi-year program addressing the unique health needs in rural communities that CFO’s affiliate foundations serve.
Grant Process and Application: Grant application deadlines may vary depending on the grantmaking program. Find out more information about the application process and available grant opportunities by visiting the Foundation website.
Grant-Making Per Year: In FY 2019, CFO provided grants in the amount of $17.8 million.
Recovery and Supportive Housing Grantee Example: Ascent Recovery Residences in Joplin, Missouri, is a grantee that provides recovery housing and support for men struggling with a substance use disorder.
Missouri Foundation for Health
The Missouri Foundation for Health is based in St. Louis, Missouri and was established in 2000. The Foundation was created with the funds resulting from the conversion of Blue Cross Blue
Shield of Missouri to a for-profit organization. The Foundation’s mission is to help Missouri’s communities thrive by addressing all factors that influence health.
Regions: The Missouri Foundation for Health serves all areas of Missouri, with some focus on rural areas. In partnership with the Community Foundation of the Ozarks, the Foundation supports a multiyear grant program – the Rural Ozarks Initiative – to address health needs in Missouri’s rural communities.
Issues Supported: The Foundation addresses all issues impacting health, including access to health care services, addiction services, behavioral health, infant mortality, and suicide prevention.
Grant Process and Application: The Missouri Foundation for Health utilizes an online application system and deadlines vary. Find out more information about the grant application process by visiting the Foundation website.
Grant-Making Per Year: In FY 2018, the Missouri Foundation for Health provided grants in the amount of $50 million.
Recovery and Supportive Housing Grantee Example: Ascent Recovery Residences in Joplin, Missouri, provides recovery services to men struggling with a substance use disorder. Ascent provides residential recovery support and living programs, to help clients maintain sobriety and develop life skills.
Missouri Opioid Settlement Funds
Total Settlement Funds in Missouri
- $458 million
- 60% to the state through the Opioid Addiction Treatment and Recovery Fund
- 40% to local governments
- Funds from three distributors will be paid over 18 years
- Funds from Johnson & Johnson will be paid over 9 years
- Payments were expected to begin in early April 2022
- Not established
Spending So Far
- Missouri Office of the Attorney General Eric Schmitt, 573-751-3321
How About Your County?
To get a quick overview of the resources available in your county, including gaps that may need to be addressed, visit the Recovery Ecosystem Index Map developed through a partnership between the Fletcher Group Rural Center of Excellence, the NORC Walsh Center at the University of Chicago, and East Tennessee State University.
Need More Info?
A year in the making by a staff of ten, the Fletcher Group’s 82-page Recovery Housing Landscape Report provides an in-depth overview of the most recent laws, policies, and funding affecting recovery housing. You’ll find sections devoted to state laws, SAMHSA funding, Medicaid, corrections, and housing assistance plus numerous links to valuable resources and official documents. To see the complete downloadable report, click the image to the left.
This web page is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $13.7 million with 0% financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government.