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 |
|---|---|---|---|---|
| 08/25/2022 | RSV Prophylaxis | Hot Tips | All MO HealthNet Providers | |
| 08/17/2022 | 45-19 | National Correct Coding Initiative Medically Unlikely Edits | Bulletins | All MO HealthNet Providers |
| 07/29/2022 | 45-11 | Telemedicine Originating Site Rate Increase | Bulletins | All MO HealthNet Providers |
| 07/18/2022 | Telemedicine (Update) | Hot Tips | All MO HealthNet Providers | |
| 07/14/2022 | Immunizations for Dual Eligible Participants (Update) | Hot Tips | All MO HealthNet Providers | |
| 07/14/2022 | Long-Acting Reversible Contraception (LARC) Devices for Dual Eligible Participants | Hot Tips | All MO HealthNet Providers | |
| 07/08/2022 | Proper Billing for Drugs Billed to MO HealthNet | Hot Tips | All MO HealthNet Providers | |
| 07/01/2022 | 45-07 | Prior Authorization Removal | Bulletins | All MO HealthNet Providers |
| 07/01/2022 | 44-06 | Provider Credentialing with Show Me Healthy Kids Managed by Home State Health | Bulletins | All MO HealthNet Providers |
| 07/01/2022 | 45-01 | Provider Rate Increases | Bulletins | All MO HealthNet Providers |
| 06/23/2022 | 44-50 | Creation of New ME Codes | Bulletins | All MO HealthNet Providers |
| 06/01/2022 | 44-49 | Show Me Healthy Kids Enrollment and Credentialing of Residential Facilities and Treatment Foster Care Providers | Bulletins | All MO HealthNet Providers |
| 03/31/2022 | COVID-19: COVID Testing and Specimen Collection Codes | Hot Tips | All MO HealthNet Providers | |
| 02/04/2022 | 44-39 | 2022 Healthcare Common Procedure Coding System | Bulletins | All MO HealthNet Providers |
| 01/31/2022 | COVID-19: At-Home COVID Test Coverage | Hot Tips | All MO HealthNet Providers |