1870.005.00 Legal Basis – DSS Manuals

IM-68 August 10, 2023 ; IM-122 December 30, 2013

Senate Bill 577 (2007) added Section 208.659 to the Revised Statutes of Missouri authorizing a revision to 13 CSR 70-4.090, thereby establishing the Uninsured Women’s Health Services (UWHS) program. The Centers for Medicare and Medicaid Services (CMS) approved an amendment to Missouri’s Section 1115 Waiver, authorizing the revision in December 2008.

Effective January 1, 2014, the Patient Protection and Affordable Care Act (PPACA) of 2010 requires Family MO HealthNet programs to use Modified Adjusted Gross Income (MAGI) methodology. To reflect the PPACA requirement to remove income disregards from all Family MO HealthNet programs, the Federal Poverty Level (FPL) is increased. UWHS FPL increases from 185% to 201% on January 1, 2014. The PPACA removed net worth as an eligibility requirement. The Section 1115 Waiver terminated March 6, 2017 at which time the program became the State-Funded Missouri Women’s Health Services Program. The program is managed by the Department of Health and Senior Services (DHSS) while the Family Support Division (FSD) is responsible for determining eligibility. Effective July 1, 2023 DHSS has removed the requirement that there be a need for family planning.

Through the UWHS program, Missouri provides women’s health services to uninsured women, from age 18 up to but not including age 56, with a family income less than or equal to 201% of the federal poverty level.