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The Gateway to Better Health program ended on December 31, 2022. If you have questions regarding claims, please email If you have any other questions, please email

For Providers

Gateway to Better Health is a temporary health care program for uninsured adults in St. Louis City and County. The program covers primary, specialty and urgent care services through a limited network.

Limited outpatient procedures are covered with an approved referral from a network physician. These services are provided in partnership with local hospitals. The program operates with a fixed budget of up to $30 million per federal fiscal year.

Gateway to Better Health started July 1, 2012 and is sponsored by the Missouri Department of Social Services in partnership with the St. Louis Regional Health Commission. In mid-2017, the federal government tentatively approved extending the program until December 31, 2022, unless other long-term solutions become available.

Provider Manual

The Gateway to Better Health Provider Manual provides an overview of the Gateway to Better Health pilot program and instructions on the claims process for providers in the Gateway network.

Provider Manual - Download

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Provider Portal

If you are a contracted provider and need to determine a patient’s eligibility, look up a referral, or initiate a referral, please use our Provider Portal:

If you do not have access to our Provider Portal, you may email to set up an account.


For general questions regarding the program or the referral process, please email


For questions regarding claims, email Please include: the patient’s name, date of service, organization the claims are from, and the billed amount. If you are inquiring about multiple claims, please only send five or fewer in one email.

For more information about the Gateway program, please call 1.888.513.1417.