1115 Women’s Health Waiver Renewal

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, 2015 through December 31, 2017.

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). Legislation passed in 2007 and an approved amendment to the CMS 1115 waiver resulted in the expansion of services on January 1, 2009 to uninsured women who are 18 to 55 years of age, have a net family income at or below 185% of the federal poverty level with assets totaling less than $250,000 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 state fiscal year 2013 there were 114,610 participants enrolled in this waiver at a total cost of $7,567,164.

There are no changes to the Women’s Health Services Waiver in the renewal application to CMS. Please see complete application on this page.

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:

The State will take verbal and written comments at the public hearings. 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