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    Live Well Community Health Centers Provide Health Coverage Support to Women & Children

    Show-Me Healthy Babies, Presumptive Eligibility Among Clinic-Supported Programs


    When it comes to receiving needed health care, the Live Well Community Health Centers of Buckner, Carrollton, Concordia and Waverly have programs available to help low-income women and children gain insurance. MO HealthNet, MO HealthNet for the Aged, Blind and Disabled, Show-Me Healthy Babies, Presumptive Eligibility and Uninsured Women’s Health Services and Temp Cards for Pregnant Women are among the programs the Clinics are leveraging to help those who qualify. With the recent end of ACA Health Insurance Marketplace open enrollment, these programs are timely for women and children who need immediate health care services.

    Presumptive Eligibility
    Presumptive Eligibility, or PE, allows individuals who meet certain requirements to receive MO HealthNet benefits for a period of time. Eligibility under PE is temporary but allows immediate access to coverage, and provides an opportunity for individuals to get connected with longer-term coverage options. Individuals who are eligible for PE determination include pregnant women (temporary MO HealthNet during pregnancy), infants and children under age 19, CHIP for Unborn Children and Show-Me Healthy Babies. Eligibility determination is based on information provided by the applicant (applicant self-attested). Anyone who received PE in the last 12 months is not eligible.

    Show-Me Healthy Babies
    Show-Me Healthy Babies (SMHB) is a separate program from the Children’s Health Insurance Program (CHIP), which provides health care to children in low-income households. SMHB covers unborn children by expanding health coverage to mothers. To be eligible, the pregnant mother:

     

     

    • Cannot be eligible for MO HealthNet, Missouri’s Medicaid program, at the time of enrollment in SMHB.

    • May not have access to employer-sponsored insurance or affordable private insurance that includes maternity benefits.

    • ​​Must meet certain income guidelines.


    ​SMHB prohibits enrollment waiting periods, which guarantees presumptive eligibility. The child will be covered from enrollment up to one year after birth. To support the health of the child, the mother may continue to receive pregnancy-related and postpartum care for up to 60 days after the birth of her child. Women who are not citizens are still eligible for SMHB. The child will be presumptively covered at the time of enrollment and benefits will end the day after birth and discharge from the hospital unless citizenship can be determined. All other newborns will be automatically enrolled in CHIP for the first year of their life.


    Uninsured Women’s Health Services
    This program provides MO HealthNet coverage for women’s health services to uninsured women ages 18 to 55 and must meet certain income guidelines. In order to be eligible, applicants must:

    • Have a Social Security card or number.

    • Be a Missouri resident.

    • Be a U.S. citizen or a eligible qualified non-citizen.

    • Be uninsured.

    • Have no access to employer-sponsored insurance which includes family planning.

    • Be ineligible for any other MO HealthNet programs.

    Approved health services for this program include:

    • 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.

    • Prescription medication, supplies or devices related to the women’s health services described above that are prescribed by a doctor or other health care provider.


    To get help determining eligibility or completing the application process, schedule an appointment at any of the following Live Well Community Health Centers:

    Buckner: 324 S. Hudson – 816.249.1521
    Carrollton: 1413 N. Jefferson – 660.329.9005
    Concordia: 206 N. Bismark – 660.463.0234
    Waverly: 608 Missouri – 660.493.2262

    For additional information, contact Director of Social Service Iva Eggert at 660.259.2440. The Live Well Community Centers, federally qualified health centers, are owned and operated by the Health Care Collaborative of Rural Missouri. The clinics accept private insurance, Medicare, Medicaid and sliding fee scale payments for those who meet eligibility requirements. Qualified staff are also available to help determine eligibility and enrollment in Medicare and Medicaid programs.