Well Child Services
From Birth To Teenage Years
When it comes to receiving needed health care, the HCC Network clinics of Buckner, Carrollton, Concordia, Lexington, 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 end of ACA Health Insurance Marketplace open enrollment, these programs are timely for women and children who need immediate healthcare services.
Presumptive eligibility, or PE, allows individuals who meet certain requirements to receive MO HealthNet benefits for a period of time. PE is temporary but allows immediate access to coverage and provides an opportunity for individuals to get connected with long-term coverage options. Individuals that meet PE include pregnant women (temporary MO HealthNet during pregnancy), infants, 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 delivers healthcare 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 PE. The child will be covered with 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, benefits will end the day after birth, and there will be a discharge from the hospital unless citizenship can be determined.
All other newborns are 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 aged 18 to 55 who meet certain income guidelines.
To be eligible, applicants must:
- Have a Social Security card or number.
- Be a Missouri resident.
- Be a U.S. citizen or an 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 Women’s Health Services Include:
- Approved methods of contraception.
- Sexually transmitted disease testing and treatment, including Pap tests and pelvic exams.
- Family planning, counseling, and 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 healthcare provider.
To get help determining eligibility, or with completing the application process, schedule an appointment at one of the HCC Network clinics. These clinics accept private insurance, Medicare, Medicaid, and sliding-fee scale payments for those who meet eligibility requirements. A community health worker is available to help determine eligibility and enrollment in both Medicare and Medicaid programs.
Well Child Screenings
HCC Network clinic providers are pleased to offer well–child screenings from birth through teenage years. Well–child screenings are a means of ensuring each child is meeting developmental landmarks in the areas of nutrition, fine motor skills, gross motor skills, and socialization. Our staff also administers immunizations, as outlined by the CDC schedule, and are pleased to participate in the Vaccines for Children program.