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 |
|---|---|---|---|---|
| 10/08/2026 | MO HealthNet Benefits for Pregnant Moms | Hot Tips | All MO HealthNet Providers | |
| 10/01/2026 | 49-17 | ICD-10 Annual Update | Bulletins | All MO HealthNet Providers |
| 09/24/2026 | Updated MO HealthNet Provider Training Schedule Now Available | Hot Tips | All MO HealthNet Providers | |
| 09/23/2026 | Missouri Waiver Programs: Information for Participants & New Navigation Tool | Hot Tips | All MO HealthNet Providers | |
| 09/21/2026 | FCSR Registration Fee Increase | Hot Tips | All MO HealthNet Providers | |
| 09/16/2026 | Provider Enrollment Update | Hot Tips | All MO HealthNet Providers | |
| 09/04/2026 | 49-14 | REVISED Billing Guidance Update for Specialized Infant Formulas | Bulletins | All MO HealthNet Providers |
| 09/01/2026 | Physical Therapy | Hot Tips | All MO HealthNet Providers | |
| 08/25/2026 | 49-12 | Participation Requirements for MO HealthNet Managed Care | Bulletins | All MO HealthNet Providers |
| 08/18/2026 | Resolve Managed Care Claim Issues Faster with Our New Online Form! | Hot Tips | All MO HealthNet Providers | |
| 08/18/2026 | Changes to Preferred Biosimilar Medications | Hot Tips | All MO HealthNet Providers | |
| 08/17/2026 | Optimizing Benefits for Maternal and Infant Health: Join Us in Joplin on September 22 | Hot Tips | All MO HealthNet Providers | |
| 08/12/2026 | Manually Priced Procedures | Hot Tips | All MO HealthNet Providers | |
| 08/10/2026 | Pharmacy Administration Helpdesk Change of Business Hours | Hot Tips | All MO HealthNet Providers | |
| 08/03/2026 | Changes to Preferred Biosimilar Medications Effective October 1, 2026 | Hot Tips | All MO HealthNet Providers |