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 |
|---|---|---|---|---|
| 10/05/2018 | 41-20 | Telehealth Telemedicine | Bulletins | All MO HealthNet Providers |
| 09/24/2018 | Updated EBPT Invoice | Hot Tips | All MO HealthNet Providers | |
| 07/16/2018 | 41-06 | Primary Care Health Home | Bulletins | All MO HealthNet Providers |
| 05/11/2018 | Participants with Other Insurance Coverage | Hot Tips | All MO HealthNet Providers | |
| 02/02/2018 | 40-47 | Telehealth | Bulletins | All MO HealthNet Providers |
| 01/30/2018 | 40-45 | 2018 Healthcare Common Procedure Coding System | Bulletins | All MO HealthNet Providers |
| 10/26/2017 | 40-27 | Ordering Prescribing and Referring Provider Requirements | Bulletins | All MO HealthNet Providers |
| 10/05/2017 | Reimbursement Issues – Pricing Inquiry Process | Hot Tips | All MO HealthNet Providers | |
| 10/05/2017 | Immunizations for Dual Eligible Participants | Hot Tips | All MO HealthNet Providers | |
| 10/04/2017 | 40-25 | ICD-10 Annual Updates 2017 | Bulletins | All MO HealthNet Providers |
| 08/15/2017 | 40-18 | Providers Billing Pharmacy Claims | Bulletins | All MO HealthNet Providers |
| 08/10/2017 | 40-17 | Providers Billing Pharmacy Claims | Bulletins | All MO HealthNet Providers |
| 08/01/2017 | 40-16 | Medicaid Management Information System MMIS Data Center and Computer Hardware Replacement | Bulletins | All MO HealthNet Providers |
| 04/28/2017 | Aetna Inpatient Care | Hot Tips | All MO HealthNet Providers | |
| 04/28/2017 | Managed Care Goes Statewide on May 1, 2017 | Hot Tips | All MO HealthNet Providers |