Skip to main content
Public Comments Public Comments MO - Missouri Missouri Gateway to Better Health Demonstrati...

Missouri Gateway to Better Health Demonstration

  • Missouri Gateway to Better Health (modified: 5 years ago)
    Missouri is requesting a one year extension of its current Gateway to Better Health demonstration. No significant program changes have been requested. The Federal public comment period will run from January 29, 2015 through February 28, 2015.
  • Missouri Gateway to Better Health - 2016 Extension Application (modified: 3 years ago)
    Missouri submitted an extension application for the Gateway to Better Health section 1115 demonstration that preserves access to ambulatory care for low income, uninsured individuals in St. Louis City and County as well as ensures patients of the St. Louis safety net pilot program access to primary care and specialty care. The federal public comment period will be open from February 1, 2016 through March 1, 2016.
  • Missouri Gateway to Better Health - 2017 Extension Application (modified: 3 years ago)
    Missouri is requesting a 1-year extension of their Medicaid section 1115 "Gateway to Better Health" demonstration which is currently scheduled to expire December 31, 2017. The state requests an extension of this demonstration until such time as Missouri's Medicaid eligibility is expanded to include the individuals served under this demonstration. The demonstration provides primary care, specialty care and urgent care services to uninsured residents, ages 19 through 64, who meet U.S. citizenship requirements. The state is not proposing any program changes under this extension. The federal public comment period will be open from November 23, 2016 through December 23, 2016.
  • Missouri Gateway to Better Health - Coverage of Brand Name Insulin and Inhalers (modified: 4 years ago)
    Missouri requests to amend its "Gateway to Better Health" demonstration to authorize coverage of brand name insulin and inhalers that do not have generic alternatives available. The federal public comment period will be open from March 11, 2015 through April 10, 2015.
  • Missouri Gateway to Better Health - Physical Function Improvement Benefit Amendment (modified: 2 months ago)
    On October 30, 2019, The Missouri Department of Social Services (DSS) ("the state") submitted an amendment to the Gateway to Better Health section 1115 demonstration. The proposed amendment will authorize the state to offer "preventative physical function improvement services" (physical, chiropractic, acupuncture, and cognitive behavioral therapies) as a Gateway to Better Health benefit. The 30-day federal public comment period will be open from November 13, 2019 through December 13, 2019.
  • Missouri Gateway to Better Health Amendment Application (modified: 1 year ago)
    On August 31, 2018, the Missouri Department of Social Services submitted an amendment to the Gateway to Better Health section 1115 demonstration. The amendment application proposes two modifications to the Gateway to Better Health demonstration: (1) The authority to provide a limited substance use disorder (SUD) benefit that includes office visits and generic prescription drugs for SUD treatment; and (2) update standard terms and conditions (STC) language to clarify that the state is not required to adhere to the rebate requirements of Section 1927 of the Social Security Act due to the limited nature of the Gateway to Better Health demonstration prescription drug benefit. The federal comment period will be open from October 1, 2018 through October 30, 2018.
  • Missouri Gateway to Better Health Demonstration (modified: 5 years ago)
    The goal of the Demonstration is to preserve the St. Louis County and City safety net of health care services available to the uninsured until a transition to health care coverage is available under the Affordable Care Act (ACA) in 2014. Under this Demonstration, beneficiaries receive primary care services such as preventive care, well care, and dental services and specialty services such as cardiology, neurology, and others. Missouri has requested a two-year extension of this section 1115 demonstration, with no program changes.