1115 Women's Health Services Waiver Extension

Public Notice

Pursuant to the provisions of Title 42, Section 431.408, Code of Federal Regulations, public notice is hereby given to the submission of MO HealthNet proposed demonstration extension request of the Women’s Health Services Waiver, effective January 1, 2018 through December 31, 2020.

The Women’s Health Services Waiver provides funding for health care services to MO HealthNet participants covered by an approved Centers for Medicare and Medicaid (CMS) 1115 waiver.

Uninsured women losing their MO HealthNet eligibility 60 days after the birth of their child are eligible for women’s health services for one year (12 months). Also covered are uninsured women who are 18 to 55 years of age, have a net family income at or below 201% of the federal poverty level and have no access to health insurance covering family planning services. These women are not limited to one year of coverage and remain eligible for the program as long as they continue to meet eligibility requirements and require family planning services. Women’s health services are defined as:

  • Department of Health and Human Services approved methods of contraception;
  • Sexually transmitted disease testing and treatment, including pap tests and pelvic exams;
  • Family planning counseling/education on various methods of birth control; and
  • Drugs, supplies or devices related to the women's health services described above when they are prescribed by a physician or advanced practice nurse (subject to the national drug rebate program requirements).

During waiver year 2015 there were 105,929 participants enrolled in this waiver at a total cost of $5,839,555.

The only change to the Women’s Health Services Waiver in the renewal application to CMS allows coverage of treatment for sexually transmitted infections (STI) when the STI is the initial purpose of the visit. Please see complete application on the MO HealthNet website under Alerts and Notifications at http://dss.mo.gov/mhd/.

Public Hearings

There will be two public hearings in which the public is invited to comment on the demonstration renewal. The public hearings are scheduled:

September 29, 2016
1:30 – 3:30 p.m.
MO HealthNet Division
615 Howerton Court
Jefferson City, MO
Public may call 866-630-9348 for teleconference

October 7, 2016
9:00 – 11:00
State Information Center – Interpretive Center
600 West Main Street
Jefferson City, MO
Public may call 866-630-9356 for teleconference

The State will take verbal and written comments at the public hearings.  The state will also accept emailed comments at Ask.MHD@dss.mo.gov. The community input provided will be summarized for CMS.

Written comments may also be mailed to:

MO Health Net Division
PO Box 6500
Jefferson City, MO 65102-6500
Attn: MO HealthNet Director