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

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(link is external) to MO HealthNet News!

Date Volume Number Subject Type Program
03/02/2023 How to File a Claim with MHD as the Tertiary Payer Hot Tips All MO HealthNet Providers
02/27/2023 The 2022 - 2023 Respiratory Syncytial Virus (RSV) season is winding down Hot Tips All MO HealthNet Providers
02/16/2023 Participant Annual Review Date Hot Tips All MO HealthNet Providers
02/09/2023 45-37 2023 Healthcare Common Procedure Coding System (HCPS) Bulletins All MO HealthNet Providers
01/26/2023 Annual Reviews Coming: Partners & Providers: Help Spread the Word! Hot Tips All MO HealthNet Providers
01/23/2023 2023 Relias Training Schedule Hot Tips All MO HealthNet Providers
01/10/2023 Provider Communications Interactive Voice Response (IVR) Update Hot Tips All MO HealthNet Providers
01/05/2023 45-35 Non-emergency Medical Transportation Bulletins All MO HealthNet Providers
12/29/2022 Third Party Liability Information for Providers Hot Tips All MO HealthNet Providers
12/29/2022 Care Management in Managed Care Hot Tips All MO HealthNet Providers
12/27/2022 MHD Provider Training Schedule, January – March 2023 Hot Tips All MO HealthNet Providers
12/08/2022 Vaping, Tobacco and Nicotine Treatment Hot Tips All MO HealthNet Providers
11/30/2022 45-31 HIPPA X12 835 Remittance Advice Transactions Bulletins All MO HealthNet Providers
11/22/2022 MO HealthNet Survey Blast Winter 2022 - HealthHelp Hot Tips All MO HealthNet Providers
11/02/2022 MO HealthNet Member Forum Hot Tips All MO HealthNet Providers