October 7
2:00 pm - 3:00 pm


St. Louis Regional Health Commission
1113 Mississippi Avenue, Suite 113
St. Louis, MO 63132 United States
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Pursuant to provisions of Title 42 Code of Federal Regulations (CFR) 431.408, which mandate that an application, an extension of an existing demonstration project, or waiver amendment that the State intends to submit to Centers for Medicare and Medicaid Services (CMS) for review and consideration be published and made available for review and comment, this is to advise that:


The State of Missouri, Department of Social Services (DSS), provides notice of the following:


To ensure efficiency, economy, quality of care, and access, the MO HealthNet Division (MHD) provides notice of intent to amend the Gateway to Better Health Demonstration to add a Physical Function Improvement Benefit. A copy of the full amendment request under consideration may be found at The Gateway to Better Health Demonstration is designed to provide coverage to uninsured adults residing in St. Louis City and St. Louis County, who are between the ages of 19 and 64, with family incomes between 0 and 100 percent of the Federal poverty level (FPL), and who do not qualify for Medicaid. The Demonstration is set to expire on December 31, 2022; however, should the State opt to expand Medicaid during the extension period to cover this population, the Demonstration will terminate immediately.


The State is requesting authority to extend the current benefits for the population covered by the Demonstration to include preventative physical function improvement services for patients with pain-related diagnoses. Physical function services would include office visits for physical therapy, occupational therapy, chiropractic, and acupuncture services provided at the primary care health home.


Click here for the full amendment request. 


The public is invited to review and comment on the State’s proposed amendment request. The full public notice document for the Gateway to Better Health Waiver amendment request, as well as a draft of the amendment itself, can be found at  Public hearings will be held on the following dates:


Tuesday, October 1, 2019, 7:30-8:30*
Ethical Society of St. Louis
9001 Clayton Road, St. Louis, MO 63117

Thursday, October 3, 2019, 3:30-4:30 pm*
Forest Park Visitor and Education Center
Voyagers Room
5595 Grand Drive, St. Louis, MO 63112

Monday, October 7, 2019, 2:00-3:00 pm*
St. Louis Regional Health Commission
1113 Mississippi Avenue, Suite 113
St. Louis, MO 63104

*Individuals wanting to participate in the public hearings via conference call may dial 888-808-6929, access code: 9158702