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
12/23/2024 47-39 Notification of Pregnancy Revised Bulletins All MO HealthNet Providers
12/17/2024 Provider Training Schedule Posted, January – March 2025 Hot Tips All MO HealthNet Providers
12/17/2024 Free Virtual Training on Substance Use Disorders in the Perinatal Period Hot Tips All MO HealthNet Providers
12/09/2024 MO HealthNet Provider Enrollment Electronic Signatures Hot Tips All MO HealthNet Providers
12/09/2024 47-35 Notification of Pregnancy Bulletins All MO HealthNet Providers
10/15/2024 Notification of Pregnancy and Risk Screening Webinars Hot Tips All MO HealthNet Providers
10/07/2024 Free Virtual Training on Anxiety Disorders During Pregnancy and Postpartum Hot Tips All MO HealthNet Providers
10/01/2024 Tirosint leaving MDRP 10.01.24 Hot Tips All MO HealthNet Providers
10/01/2024 2024-3 Provider Newsletter 4th Quarter 2024 Newsletters All MO HealthNet Providers
10/01/2024 MO HealthNet Providers: Call Us For FREE! Hot Tips All MO HealthNet Providers
09/27/2024 Notification of Pregnancy and Risk Assessment Webinars Hot Tips All MO HealthNet Providers
09/26/2024 47-25 Notification of Pregnancy and Risk Screening Bulletins All MO HealthNet Providers
09/26/2024 MissouriBUYS Bid Opportunity Hot Tips All MO HealthNet Providers
09/24/2024 47-24 At-Home COVID-19 Test Coverage Bulletins All MO HealthNet Providers
09/09/2024 New Healthy Moms Healthy Babies Resources for Participants and Providers Hot Tips All MO HealthNet Providers