The Gateway to Better Health Waiver was discontinued in 2022. This webpage should be used for informational purposes only.
Approved on July 28, 2010, the "Gateway to Better Health" Demonstration Project aims to preserve access to ambulatory care for low-income, uninsured individuals in St. Louis City and County. The Demonstration project transitioned to a coverage model on July 1, 2012. This Demonstration Project and the funding mechanisms that preceded it have been critical to maintaining and improving access to health care for uninsured individuals in St. Louis City and County since the closure of the city's last remaining public hospital in 1997. The program is designed to provide primary, urgent, and specialty care coverage to uninsured adults (not eligible through the Medicaid State Plan) in St. Louis City and County, aged 19-64, who are below 133% of the FPL, through a coverage model known as Gateway to Better Health Blue. Additionally, individuals otherwise meeting the same requirements but with income up to 200% of the FPL may be enrolled into Gateway to Better Health Silver coverage, which includes urgent and specialty care services but excludes the primary care benefit.
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MO HealthNet News
The table below provides general information and updates that are relevant to this program page, as well as all MO HealthNet providers. To find information for all other MO HealthNet programs, or to search by date, program or keyword, visit the MO HealthNet News page. If you would like to receive updates in your inbox, subscribe to MO HealthNet News!
| Date | Volume Number | Subject | Type | Program |
|---|---|---|---|---|
| 12/02/2025 | MO HealthNet Education and Training – 1st Quarter Provider Training Schedule Now | Hot Tips | All MO HealthNet Providers | |
| 11/24/2025 | New DSS Benefits Portal Webpage Now Available | Hot Tips | All MO HealthNet Providers | |
| 11/24/2025 | Updates to the MO HealthNet General Sections Manual | Hot Tips | All MO HealthNet Providers | |
| 11/18/2025 | 48-30 | Implementation of Maximum Daily Limits for Drugs on Crossover Claims | Bulletins | All MO HealthNet Providers |
| 11/14/2025 | Spend Down Got Easier – Now It’s Faster! | Hot Tips | All MO HealthNet Providers | |
| 10/24/2025 | 48-22 | Billing ICD-10 Diagnosis & Procedure Codes | Bulletins | All MO HealthNet Providers |
| 10/23/2025 | Telemedicine | Hot Tips | All MO HealthNet Providers | |
| 10/10/2025 | Tobacco Prevention to Promote Health Equity | Hot Tips | All MO HealthNet Providers | |
| 10/02/2025 | 48-18 | Sunset of Direct Care Pro Provider Bulletin | Bulletins | All MO HealthNet Providers |
| 10/01/2025 | MO HealthNet Provider Newsletter - October 2025 | Newsletters | All MO HealthNet Providers | |
| 10/01/2025 | Autism Support Now ABA Panel Discussion | Hot Tips | All MO HealthNet Providers | |
| 10/01/2025 | MO HealthNet Provider Webinars Scheduled October - December 2025 | Hot Tips | All MO HealthNet Providers | |
| 09/30/2025 | Additional - 2025 Optimizing Benefits for Maternal and Infant Health Meetings | Hot Tips | All MO HealthNet Providers | |
| 09/29/2025 | MHD Offers Office Hours for Notification of Pregnancy Billing | Hot Tips | All MO HealthNet Providers | |
| 09/09/2025 | Suicide Safer Homes | Hot Tips | All MO HealthNet Providers |