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 |
|---|---|---|---|---|
| 12/22/2014 | Participant Eligibility Training Tool | Hot Tips | All MO HealthNet Providers | |
| 12/15/2014 | Non-Emergency Medical Transportation | Hot Tips | All MO HealthNet Providers | |
| 11/10/2014 | Resources to Verify MO HealthNet Eligibility | Hot Tips | All MO HealthNet Providers | |
| 11/03/2014 | Non-Covered vs. Non-Allowable Services | Hot Tips | All MO HealthNet Providers | |
| 10/27/2014 | WebEx Meetings Conducted by Provider Education and Training Unit | Hot Tips | All MO HealthNet Providers | |
| 10/20/2014 | Scheduled Webinars for Listed Claim Types | Hot Tips | All MO HealthNet Providers | |
| 10/16/2014 | Participant Lock-In | Hot Tips | All MO HealthNet Providers | |
| 10/14/2014 | Non-QMB, Medicare Part C Plan | Hot Tips | All MO HealthNet Providers | |
| 09/22/2014 | Electronic Claim Submission | Hot Tips | All MO HealthNet Providers | |
| 09/15/2014 | Third Party Resources | Hot Tips | All MO HealthNet Providers | |
| 09/02/2014 | MO HealthNet Spenddown Provider Form | Hot Tips | All MO HealthNet Providers | |
| 07/29/2014 | Bundled Value Code - Medicare UB-04 Part A Institutional Claims | Hot Tips | All MO HealthNet Providers | |
| 07/14/2014 | Provider Participant Page | Hot Tips | All MO HealthNet Providers | |
| 07/08/2014 | 37-03 | Non-Payment of State Children's Health Insurance Premium | Bulletins | All MO HealthNet Providers |
| 07/07/2014 | Scheduled Webinars for Listed Claims Types | Hot Tips | All MO HealthNet Providers |