Gateway to Better Health Waiver header

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.

 Public Notice

2024

03.08.2024 - Missouri’s revised Evaluation Design for the Gateway to Better Health

2022

04.11.2022 - Gateway to Better Health - 2022 Post Award Notice & Annual Report

2021

05.14.2021 - Gateway to Better Health - 2021 Post Award Public Notice and Annual Report

2020

04.16.2020 - Gateway to Better Health – 2020 Post Award Public Notice and Annual Report

2019

09.30.2019 - Public Notice for Gateway to Better Health Demonstration Amendment Request

2018

07.31.2018 - Gateway to Better Health
05.01.2018 - Public Notice Gateway to Better Health Post Award

2017

05.09.2017 - Gateway to Better Health Post-Award

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
04/22/2020 42-39 Nursing Facility Program: Cost Report due to COVID-19 Bulletins All MO HealthNet Providers
04/21/2020 COVID-19: New Laboratory Codes - Updated Hot Tips All MO HealthNet Providers
04/17/2020 COVID-19: Personal Care Program Services Hot Tips All MO HealthNet Providers
04/17/2020 COVID-19: Home Health Hot Tips All MO HealthNet Providers
04/07/2020 COVID-19: Claims for MO HealthNet Participants with Medicare or Commercial Insurance Hot Tips All MO HealthNet Providers
04/03/2020 COVID-19: EPSDT - Well-Child Care Visits via Telehealth Hot Tips All MO HealthNet Providers
04/02/2020 COVID-19: Private Duty Nursing (PDN) Hot Tips All MO HealthNet Providers
04/01/2020 COVID-19: CPAP and NiPAP/Sleep Studies Criteria Hot Tips All MO HealthNet Providers
03/27/2020 COVID-19: Sedative Hypnotic Preferred Drug List Hot Tips All MO HealthNet Providers
03/26/2020 COVID-19: Missouri receives approval from Centers of Medicare & Medicaid Services of 1135 waiver request to COVID-19 Hot Tips All MO HealthNet Providers
03/25/2020 COVID-19: Sterilization Hot Tips All MO HealthNet Providers
03/24/2020 COVID-19: MO HealthNet Providers Providing Services at Additional Locations Hot Tips All MO HealthNet Providers
03/23/2020 COVID-19: Telehealth – REVISED March 26, 2020 Hot Tips All MO HealthNet Providers
03/23/2020 COVID-19: Multi-Function Ventilator Hot Tips All MO HealthNet Providers
03/23/2020 COVID-19: Teledentistry Hot Tips All MO HealthNet Providers