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 |
|---|---|---|---|---|
| 01/03/2020 | Provider Resources for Bereavement Training | Hot Tips | All MO HealthNet Providers | |
| 01/01/2020 | Medicare Beneficiary Identification Number (MBI) | Hot Tips | All MO HealthNet Providers | |
| 11/26/2019 | Department of Health and Senior Services Lung Injury Outbreak Information | Hot Tips | All MO HealthNet Providers | |
| 10/01/2019 | 42-20 | ICD-10 Annual Update Eff Oct 2019 | Bulletins | All MO HealthNet Providers |
| 09/24/2019 | Social Security Number Removal Initiative | Hot Tips | All MO HealthNet Providers | |
| 05/31/2019 | Changes to Remittance Advice | Hot Tips | All MO HealthNet Providers | |
| 04/26/2019 | Third Party Vendor Requesting Drug Prior Authorization | Hot Tips | All MO HealthNet Providers | |
| 02/15/2019 | Reimbursement Issues - Pricing Inquiry Process | Hot Tips | All MO HealthNet Providers | |
| 02/13/2019 | 41-40 | 2019 Healthcare Common Procedure Coding System | Bulletins | All MO HealthNet Providers |
| 01/31/2019 | 41-38 | Telehealth Originating Site Reimbursement | Bulletins | All MO HealthNet Providers |
| 12/17/2018 | NADAC Pricing Inquiries | Hot Tips | All MO HealthNet Providers | |
| 12/13/2018 | 41-29 | Medicare Crossover Claims | Bulletins | All MO HealthNet Providers |
| 10/17/2018 | 41-25 | ICD-10 Annual Updates 2018 | Bulletins | All MO HealthNet Providers |
| 10/12/2018 | 41-24 | Ordering Prescribing and Referring Provide Requirements | Bulletins | All MO HealthNet Providers |
| 10/10/2018 | 41-22 | Provider Enrollment Requirement | Bulletins | All MO HealthNet Providers |