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News

New Website Launched to Assist Virginia Veterans

11/17/2016

A new website launched in November 2016, now offers an online range of educational materials, support programs and other resources for Virginia’s more than 800,000 veterans, their families and caregivers. “A top priority of mine, and that of my administration, is to make Virginia the most veteran-and military-friendly state in the nation,” Gov. Terry McAuliffe said in a statement. “I’m pleased that our veterans and their families now have access to VeteransNavigator to help them secure services they may need.” VeteransNavigator.org offers tips and services to help secure U.S. Department of Veterans Affairs benefits, employment programs, housing support, mental health, educational programs, legal help, and more.

Open Enrollment Has Begun!

11/01/2016

Open Enrollment for the Federal Health Insurance Marketplace has begun and runs until January 31st, 2017. If you would like to apply for health insurance through the Marketplace, visit healthcare.gov.

Have questions or need help finding a plan that is right for you? There are people in your community that can help! Visit our Application Assistance page to connect with trained assisters in your area.

For more information on Open Enrollment and the Federal Health Insurance Marketplace, visit our Marketplace page.

Coverage of Insect Repellents for Zika Prevention

09/01/2016

Beginning August 22, 2016, Medicaid, FAMIS, FAMIS MOMS, and the Governor’s Access Plan (GAP) now covers mosquito repellent to prevent infection with the Zika virus. Pregnant women or women and men of child bearing years (ages 14-44) are eligible to receive a prescription for one can/bottle of insect repellent, with one refill allowed per calendar month. For information about this new benefit go to the Zika Prevention page. For more information about the Zika virus, go to www.vdh.virginia.gov/zika/

Behavioral Therapy & ABA Services for FAMIS MCO Enrollees will be available September 1, 2016

07/06/2016

Beginning September 1, 2016:

  • Behavioral Therapy including but not limited to Applied Behavior Analysis (ABA), will be a covered benefit under FAMIS.

  • Behavioral Therapy is designed to enhance communication skills, and decrease behaviors which, if left untreated, could lead to more complex problems.

  • Services are designed to help the child’s family manage the behavior in the home using behavioral modification strategies.
This benefit was previously available only to children enrolled in Medicaid fee-for-service and managed care or in FAMIS fee-for-service. Services must be recommended by a physician, nurse practitioner, or physician assistant who is familiar with the developmental history and current status of the child.

Governor’s Access Plan Income Guidelines Increased to 80% FPL

07/01/2016

On July 1, 2016, the income eligibility guidelines for the Governor’s Access Plan (GAP) increased from *60% to *80% of the Federal Poverty Level (FPL). (*plus a 5% income disregard)

The Governor’s Access Plan (GAP) is a program for uninsured adults with serious mental illness (SMI). GAP integrates primary and behavioral health services that lead to improved access to care and better physical and behavioral health outcomes for uninsured Virginians with significant behavioral health needs. Eligibility is based on monthly income as well as a screening for SMI. The current monthly income limit for a family of 6 is $2,308.

For more information or to check eligibility guidelines or to apply visit the GAP page.

2016 Income Guidelines Released

02/09/2016

On January 25, 2016, the Department of Health and Human Services released new income guidelines for Virginia’s FAMIS,Medicaid and Plan First programs. The guidelines, which determine eligibility for certain programs are based on the Federal Poverty Limit and are usually updated each year in January.

A family of four can now make as much as $49,815 a year and still qualify for FAMIS for their children or for FAMIS MOMS or for Plan First (family planning services only).

To find out what health care coverage you may qualify for, visit the Eligibility page and click on the Eligibility Screening Tool.

Proof of Health Insurance for Your 2015 Taxes

01/07/2016

The 1095 tax form verifies health insurance coverage for calendar year 2015 and is reported to the Internal Revenue Service (IRS) for you. The form is used to verify that you and your tax dependents had minimum qualifying health insurance coverage during the year. You may receive more than one 1095 form based on the type of health care coverage you and your dependents had in 2015 (for example: Medicaid/FAMIS, Employer sponsored, or Federal Marketplace coverage).

If you, your spouse, or one of your children were enrolled in a Medicaid or FAMIS program meeting the minimum health insurance coverage requirements in 2015, you will receive a 1095-B form from the Commonwealth of Virginia.

For more information on the 1095-B form and other tax forms, visit our Proof of Health Insurance for Your 2015 Taxes page.

Breast Pumps and Lactation Consultation Services for Pregnant Women and New Mom Enrollees

01/04/2016

Beginning on January 1, 2016, if you are enrolled in Medicaid for Pregnant Women, FAMIS MOMS or FAMIS and you wish to breast feed your baby, you are covered for breast pumps and lactation consultation services that can start during your pregnancy and continue after your baby is born. For more information, about this new benefit, view the Member Fact Sheet or contact your Medicaid/FAMIS managed care plan.

Open Enrollment Has Begun!

11/01/2015

Open Enrollment for the Federal Health Insurance Marketplace has begun and runs until January 31st, 2016. If you would like to apply for health insurance through the Marketplace, visit healthcare.gov.

Have questions or need help finding a plan that is right for you? There are people in your community that can help! Visit ourApplication Assistance page to connect with trained assisters in your area.

For more information on Open Enrollment and the Federal Health Insurance Marketplace, visit our Marketplace page.

2015 FAMIS Back To School Campaign

08/13/2015

FAMIS, in collaboration with the Department of Education, announces the 14th Annual Back To School Campaign. Again this year, FAMIS has initiated a statewide Back To School Flyer distribution. More than 1.5 million FAMIS flyers were shipped to all public schools across the Commonwealth, to be given to students during the first week of school. In addition, FAMIS inserts were sent to each school division, to be distributed with acceptance letters for the Free and Reduced Price School Lunch Program.

Healthy kids make great students and health insurance plays a critical role. FAMIS covers children for well-child checkups, dental and vision care, shots, doctor visits, eyeglasses, prescription drugs, mental health care, test & x-rays, hospital stays, ER care, and much more! A family of four can make as much as $49,713 a year and still qualify for FAMIS.

Both the flyer and the insert are available for print and order on the Materials page. If you have questions about this year’s campaign, please contact Lauren Cunningham at 804-371-5053 or lauren.cunningham@dmas.virginia.gov.

Governor McAuliffe Helps Kick Off FAMIS Back To School Campaign

07/30/2015

On Thursday, Governor Terry McAuliffe kicked off the FAMIS program’s back-to-school enrollment campaign at a press conference at Virginia Commonwealth University’s McGlothlin Medical Education Center.

In his “A Healthy Virginia” plan announced last fall, Governor McAuliffe set a goal of enrolling 35,000 additional children in the FAMIS program by the end of 2016. Family Access to Medical Insurance Security is Virginia’s health insurance program for eligible children,

“I am excited to say today that we have enrolled 17,000 children in FAMIS since I launched ‘A Healthy Virginia’,” Governor McAuliffe said. “That’s almost halfway to our goal. But we cannot rest. A healthy state needs healthy children, and our back-to-school awareness campaign will help ensure that more children get the medical and dental care they need.”

To reach the FAMIS enrollment goal, the Virginia Department of Medical Assistance Services has increased regional field outreach activities, and expanded its contract with the Virginia Health Care Foundation to pay for five additional Project Connect application assistance and outreach projects.

The FAMIS back-to-school campaign will distribute more than 1.5 million flyers, in English and Spanish, to children in public schools around the state. In addition, nearly 550,000 FAMIS back-to-school Free and Reduced Lunch inserts will be sent to parents by school nutrition supervisors throughout the state.

Beginning in August,television ads will air in local media markets to let parents know about the FAMIS program, and to tell them that they can enroll through the Cover Virginia website (coverva.org) or telephone number (1-855-242-8282).

The 30-second ad, with the theme “Parenting Challenges,” will air beginning in early August in Southwest and western Virginia, and in September in the central, eastern and northern parts of the state, as schools start.

Coverage of the event:
NBC 29 Charlottesville coverage
WRIC 8 Richmond coverage

Public Notice: FAMIS MOMS and FAMIS Select

04/23/2015

Virginia's Title XXI Health Insurance Flexibility and Accountability (HIFA) Demonstration has two objectives. First, it expands Title XXI coverage to uninsured pregnant women with family income up to 200% of the federal poverty level (FPL), who are not eligible for Medicaid, through a program known as FAMIS MOMS. Second, it uses Title XXI funds to support a health insurance premium assistance program known as FAMIS Select.

Virginia's current HIFA Demonstration ends June 30, 2016. The Department of Medical Assistance Services (DMAS) proposes to extend the Demonstration for three additional years, through June 30, 2019, and is seeking public comment on this proposal. The full public announcement is on the Department's website at www.dmas.virginia.gov under the "What's New" section.

DMAS is seeking comments on the proposed extension of the Demonstration. Anyone wishing to submit comments may do so to Joanne Boise by mail at: Department of Medical Assistance Services, Division of Maternal and Child Health, 600 East Broad Street, Richmond, VA 23219 or by e-mail to joanne.boise@dmas.virginia.gov. In order to be considered, comments must be received by June 5, 2015.

DMAS will convene two public hearings to seek input on the Demonstration amendment. Both oral and written comments may be submitted at that time.

DMAS will convene two public hearings to seek public input on the Demonstration Extension Application. Both oral and written comments may be submitted at that time.

Public Hearing #1.
When: May 7, 2015 10:00am
Where: Virginia Department of Medical Assistance Services
600 East Broad Street
Richmond, Virginia 23219
Conference Call Option: 1-866-842-5779 Passcode: 2761019567

Public Hearing #2.
When: June 4, 2015, 1:00pm
Where: Quarterly Children's Health Insurance Advisory Committee Meeting
Virginia Community Healthcare Association
Westerre Conference Center
3831 Westerre Parkway
Henrico, Virginia 23233


Public Notice
Draft Application
Evaluation
FAMIS MOMS Report
FAMIS Select Report

Over 385,000 Virginians Covered Through The Marketplace

03/11/2015

On Tuesday, March 10th, Governor McAuliffe held a press conference to announce that over 385,000 Virginians got signed up or were re-enrolled in Federal Marketplace health plans by the February 15th deadline. According to the U.S. Department of Health and Human Services, 83% of those Virginians qualified for an average tax credit of $259 per month to help lower the cost of their premiums. If you missed the February deadline, you may still have options when it comes to enrolling. Visit our Marketplace page to learn more

Governor McAuliffe also highlighted his Healthy Virginia initiative, which includes extending dental services to an estimated 45,000 pregnant women through the Medicaid for Pregnancy and FAMIS MOMS programs; and a new program for Virginia’s veterans that expands their access to care.

Read more coverage from the Richmond Times-Dispatch.

3/5/15 CHIPAC meeting CANCELLED

03/05/2015

Today’s scheduled Children’s Health Insurance Program Advisory Committee (CHIPAC) Meeting has been cancelled due to inclement weather. The agenda item constituting a public hearing on the proposed FAMIS MOMS amendment will be accommodated by a rescheduled public hearing at 10:00 on March 12, 2015 at the DMAS offices (this meeting has been posted on the Virginia Town Hall). Additionally, written comments on the amendment can be submitted without attending a meeting to Joanne Boise at joanne.boise@dmas.virginia.gov.

Dental Benefits For Pregnant Women

03/02/2015

We are delighted to announce that as of March 1, 2015, dental benefits will now be available for all pregnant women enrolled in Medicaid for pregnancy and FAMIS MOMS. Services are administered through the Smiles For Children program and include: x-rays and examinations, cleanings, fillings, root canals, gum related treatment, crowns, bridges, partials and dentures, tooth extractions and other oral surgeries, and other appropriate services. Braces are not included in this coverage for women age 21 or older. For assistance finding a dentist or for more information, please call Smiles for Children at 1-888-912-3456 or review the Guide to Dental Coverage.

GAP Town Hall Meetings

02/23/2015

The Department of Medical Assistance Services (DMAS) will be hosting a series of Town Hall Meetings for anyone interested in learning more about the Governor’s Access Plan (GAP). If you are uninsured, make under $11,790 annually and have a serious mental illness or provide health care for those who do, these meetings provide an opportunity to have your questions answered about limited health coverage available through GAP. The first meeting will take place on Tuesday, February 24, 2015 from 9:30 am – 12:00 pm at Deep Run Recreational Center, 9900 Ridgefield Parkway, Henrico, VA 23233.

Information about additional Town Hall meetings is available on the DMAS website. If you have questions about GAP, but are unable to attend a meeting, please email BridgetheGAP@dmas.virginia.gov or call 1-(800)424-4279.

Important Marketplace Update

02/17/2015

The vast majority of consumers were able to apply and pick a plan through healthcare.gov or its call center without a problem. For those consumers who were unable to complete their enrollment because of longer than normal wait times at the call center in the last three days or because of a technical issue such as being unable to submit an application because their income could not be verified, the federal Marketplace will provide them with a time-limited special enrollment period for March 1 coverage.

Consumers eligible for this SEP are those currently without coverage through the federal Marketplace, who have not been terminated from coverage purchased through the federal Marketplace in 2015, and who attest that they tried to enroll by the deadline but experienced technical issue with healthcare.gov that prevented them from completing enrollment by February 15 or experienced an extensive call center wait on February 13, 14 or February 15.

This special enrollment period (SEP) will start on February 16, 2015, and end on February 22, 2015. Visit healthcare.gov for more information.

Anthem Update

02/12/2015

Anthem Blue Cross and Blue Shield has provided the information below on identity theft services for members affected by the cyber attack.

Anthem News Release

Anthem Cyber Attack

02/05/2015

It has been widely reported by national media that Anthem was the target of a very sophisticated external, criminal cyber-attack.

Officials with Anthem contacted DMAS directly and stated that, “cybercriminals gained unauthorized access to Anthem’s IT system and have obtained personal information from current and former (Anthem) members. There is no evidence that banking, credit card or medical information, such as claims, test results, or diagnostic codes, were targeted or compromised.”

Once the attack was discovered, Anthem immediately made every effort to close the security vulnerability, contacted the FBI and began fully cooperating with their investigation. Anthem has also retained Mandiant, one of the world’s leading cybersecurity firms, to evaluate their systems and identify solutions to prevent this from happening again in the future.

Neither Anthem nor DMAS can provide any details around the scope of the impact, including whether any Medicaid or FAMIS members currently or formerly served by Anthem had their personal information compromised.

Anthem has assured us they will immediately share with DMAS any important details as they become available. Until their investigation is completed and the full impact is determined, we encourage Medicaid and FAMIS member to go to the Anthem website or call the number given below.

We thank you for your patience and will work to ensure Medicaid and FAMIS Members personal information is secured in the future.

Virginia residents, who may have been impacted by the cyber-attack against Anthem, should also be aware of scam email campaigns targeting current and former Anthem members. These scams, designed to capture personal information (known as “phishing”) are designed to appear as if they are from Anthem and the emails include a “click here” link for credit monitoring. These emails are NOT from Anthem. Visit Anthem Facts FAQ for answers to some of the questions you may have.

www.anthemfacts.com
1-877-263-7995

2015 Income Guidelines Released

02/03/2015

On January 22, 2015, the Department of Health and Human Services released new income guidelines for Virginia’s FAMIS, Medicaid and Plan First programs. The guidelines, which determine eligibility for certain programs are based on the Federal Poverty Limit and are usually updated each year in January.

A family of four can now make as much as $49,713 a year and still qualify for FAMIS for their children or for FAMIS MOMS or for Plan First (family planning services only).

To find out what health care coverage you may qualify for, visit the Eligibility page and click on the Eligibility Screening Tool.

Public Notice: Proposed Amendment To FAMIS MOMS Program

02/02/2015

The Department of Medical Assistance Services (DMAS) has filed an amendment to the FAMIS MOMS program, asking for approval of two changes: (1) allow pregnant women who have access to coverage under the state employee health plan to enroll in FAMIS MOMS if they are otherwise eligible; and (2) add dental care coverage for pregnant women in FAMIS MOMS. The full public announcement is on the Department’s website at www.dmas.virginia.gov under the “What’s New” section.

DMAS is seeking comments on the proposed amendment to the Demonstration. Anyone wishing to submit comments may do so to Joanne Boise by mail at: Department of Medical Assistance Services, Division of Maternal and Child Health, 600 East Broad Street, Richmond, VA 23219 or by e-mail to joanne.boise@dmas.virginia.gov. In order to be considered, comments must be received by March 31, 2015.

DMAS will convene two public hearings to seek input on the Demonstration amendment. Both oral and written comments may be submitted at that time.

Public Hearing #1:
When: February 12, 2015, 10:00 am
Where: Virginia Department of Medical Assistance Services
600 East Broad Street, Room 7D
Richmond, Virginia 23219
Conference Call Option: 1-866-842-5779 Passcode: 2761019567


Public Hearing #2:
When: March 5, 2015, 1:00 pm
Where: Quarterly Children’s Health Insurance Advisory Committee Meeting
Virginia Community Healthcare Association
Westerre Conference Center
3831 Westerre Parkway
Henrico, VA 23233

Launch of the Governor’s Access Plan (GAP)

01/13/2015

On January 12th, 2015, Virginia launched the Governor’s Access Plan (GAP). GAP is a program to integrate primary and behavioral health services and care coordination for Virginia’s uninsured with serious mental illness (SMI). Other key benefits include diagnostic, and laboratory services, as well as coverage for prescriptions.

The three main goals of the GAP program are to improve access to care for up to 20,000 uninsured Virginians with significant behavioral health needs; improve physical and behavioral health outcomes; and to serve as a bridge to closing the insurance coverage gap for uninsured Virginians with SMI.

For more information on this program, please visit the GAP page

Plan First Income Guideline Changes

01/12/2015

Starting January 1st, 2015, there are new income guidelines for Plan First, Virginia’s free family planning program for men and women. Plan First eligibility has increased from 100% to 200% FPL, with an additional 5% income disregard.

For more information on this program, please visit the Plan First page. To see if you may qualify for Plan First, use our Eligibility Tool.

FAMIS MOMS Is Back!

12/01/2014

We’re pleased to announce that the FAMIS MOMS program is back, effective December 1st, 2014. FAMIS MOMS provides comprehensive health care coverage for pregnant women during their pregnancy and for two months following the end of their pregnancy. FAMIS MOMS encourages pregnant women to get early and regular prenatal care to increase the likelihood for a healthy birth outcome.

Visit the FAMIS MOMS page for more information.

Open Enrollment Has Begun!

11/15/2014

Open Enrollment for the Federal Health Insurance Marketplace has begun and runs until February 15th, 2015. If you would like to apply for health insurance through the Marketplace, visit healthcare.gov. Remember- if you want your health care coverage to start on January 1st, 2015, you must sign up by December 15th, 2014.

Have questions or need help finding a plan that is right for you? There are people in your community that can help! Visit our Application Assistance page to connect with trained assisters in your area.

For more information on Open Enrollment and the Federal Health Insurance Marketplace, visit our Marketplace page.

Cover Virginia Is Now On Facebook and Twitter!

11/14/2014

We are happy to share with you that Cover Virginia is now on Facebook and Twitter! Through these accounts, we will be providing information about Virginia's Medicaid and FAMIS programs, as well as information about the Federal Health Insurance Marketplace. We encourage you to like us on Facebook and follow us on Twitter @coverva.

UPDATE: Health Insurance Marketplace Special Enrollment Period (SEP)

08/19/2014

Open enrollment for Federal Health Insurance Marketplace coverage doesn't begin again until November, but a Special Enrollment Period (SEP) may allow you to enroll in health coverage outside of the Open Enrollment Period. Some qualifying life events will allow you to enroll in or change coverage outside of the Open Enrollment Period. There are some situations, beyond qualifying life events, that for complicated cases may make you eligible for a SEP outside of the Open Enrollment Period. A small number of people will fall into these categories. As of August 2014, there are two new SEPs, which you can read more about here. If you think you qualify for a Special Enrollment Period, you’ll need to call the Marketplace Call Center at 1-800-318-2596. The process is not automatic.

Send In Requested Documents Now to Keep Federal Health Insurance Marketplace Coverage

08/13/2014

The Federal Health Insurance Marketplace began sending notices this week to almost 13,900 Virginia consumers with a citizenship or immigration data matching issue (also called an inconsistency) who have not responded to previous notices via mail, email, and phone. While the Federal Marketplace has already received documents and cleared a large number of data inconsistencies related to citizenship or immigration status, consumers who have not yet responded must act now and submit supporting documents by September 5 or their Marketplace coverage will end on September 30.

A citizenship or immigration data matching issue can happen when the information reported in a consumer’s application, such as a Social Security or Permanent Resident Card number, is incomplete or different than the information the government has on file. A data inconsistency does not necessarily mean there is a problem with an individual’s eligibility for enrollment; it means that additional information is needed to verify the information provided in an application. However, if these supporting documents are not received, health insurance plans will be terminated in order to ensure program integrity and protect taxpayer dollars.

For more information on submitting supporting documents, visit the HealthCare.gov blog.

To view this news release in full, click here

2014 FAMIS Back To School Campaign

08/05/2014

FAMIS, in collaboration with the Department of Education, announces the 13th Annual Back To School Campaign. Again this year, FAMIS has initiated a statewide Back To School Flyer distribution. More than 1 million flyers were shipped to more than 1,600 schools across the Commonwealth, to be given to students during the first week of school. This year, we have designed two flyers: one for Elementary students and one for Middle and High School students. In addition, FAMIS Inserts were sent to each school division, to be distributed with acceptance letters for the Free and Reduced Price School Lunch Program.

Healthy kids make great students and health insurance plays a critical role. FAMIS covers children for well-child checkups, dental and vision care, shots, doctor visits, eyeglasses, prescription drugs, mental health care, test & x-rays, hospital stays, ER care, and much more! A family of four can make as much as $47,000 a year and still qualify for FAMIS.

Both flyers and the insert are available for print and order on the Materials page. If you have questions about this year’s campaign, please contact Lauren Cunningham at 804-371-5053 or lauren.cunningham@dmas.virginia.gov.

Elimination of 4-Month Waiting Period

07/01/2014

Great news! As of July 1, 2014, there is no longer a 4-month waiting period for children in Virginia to be eligible for FAMIS coverage after their private health insurance ends. If you or your family applied for FAMIS prior to July 1st and are subject to the 4-month waiting period, please click here to see a list of exceptions

Public Notice: FAMIS MOMS and FAMIS Select

04/23/2014

Virginia's Title XXI Health Insurance Flexibility and Accountability (HIFA) Demonstration has two objectives. First, it expands Title XXI coverage to uninsured pregnant women with family income up to 200% of the federal poverty level (FPL), who are not eligible for Medicaid, through a program known as FAMIS MOMS. Second, it uses Title XXI funds to support a health insurance premium assistance program known as FAMIS

Select.

. Virginia's current HIFA Demonstration ends June 30, 2016. The Department of Medical Assistance Services (DMAS) proposes to extend the Demonstration for three additional years, through June 30, 2019, and is seeking public comment on this proposal. The full public announcement is on the Department's website at www.dmas.virginia.gov under the "What's New" section.

DMAS is seeking comments on the proposed extension of the Demonstration. Anyone wishing to submit comments may do so to Joanne Boise by mail at: Department of Medical Assistance Services, Division of Maternal and Child Health, 600 East Broad Street, Richmond, VA 23219 or by e-mail to joanne.boise@dmas.virginia.gov. In order to be considered,

comments must be received by June 5, 2015.

.

DMAS will convene two public hearings to seek input on the Demonstration amendment. Both oral and written comments may be submitted at that time.

DMAS will convene two public hearings to seek public input on the Demonstration Extension Application. Both oral and written comments may be submitted at that time.

Public Hearing #1.


When: May 7, 2015 10:00am
Where: Virginia Department of Medical Assistance Services
600 East Broad Street
Richmond, Virginia 23219
Conference Call Option: 1-866-842-5779 Passcode: 2761019567

Public Hearing #2.


When: June 4, 2015, 1:00pm
Where: Quarterly Children's Health Insurance Advisory Committee Meeting
Virginia Community Healthcare Association
Westerre Conference Center
3831 Westerre Parkway
Henrico, Virginia 23233


Public Notice
Draft Application
Evaluation
FAMIS MOMS Report
FAMIS Select Report

2014 FAMIS Kindergarten Flyer

03/16/2014

As families across the Commonwealth prepare to register their children for Kindergarten, it’s important that they have access to affordable health insurance. The 2014 FAMIS Kindergarten Registration Flyer is designed for outreach efforts targeting these families as they prepare to send their children off to school for the first time. Healthy kids make great students, and FAMIS covers children for well-child checkups, dental and vision care, shots, doctor visits, eyeglasses, prescription drugs, mental health care, test & x-rays, hospital stays, ER care, and much more! A family of four can make as much as $47,000 a year and still qualify for FAMIS.

The 2014 FAMIS Kindergarten flyer is available in both English and Spanish.

Coverage for Former Foster Care Youth

01/01/2014

Beginning January 1, 2014, Medicaid coverage will be available to eligible former foster care youth who were receiving Virginia Medicaid and foster care services at the time of their 18th birthday and are currently under age 26. Any young adult who was formerly in foster care in Virginia at the time of their 18th birthday can apply online at www.commonhelp.virginia.gov or by calling the Cover Virginia Call Center at 1-855-242-8282 or they can print the paper application and send by mail or fax to their local Department of Social Services (LDSS) or visit their LDSS in Person. For more information click here.

Presumptive Eligibility

01/01/2014

Beginning January 1, 2014, participating hospitals in Virginia can immediately approve certain patients for Medicaid without waiting for an eligibility determination from the patient’s local Department of Social Services (LDSS). This temporary enrollment in Medicaid will provide access to and compensation for hospital based services and a pathway to longer term coverage for certain eligible individuals. If you are a provider and have questions about becoming eligible to complete presumptive eligibility determinations or have questions about the process, please email HPE@dmas.virginia.gov or call 804-225-4279.

Presumptive Eligibility Covered Services   ||   Presumptive Eligibility Covered Services for Pregnant Women

Health Insurance Notice from Employers

10/01/2013

You may have recently received a copy of this notice from your employer describing some basic information about the new Health Insurance Marketplace that may assist you as you evaluate options for you and your family. Open enrollment for health insurance coverage through the Marketplace begins in October 2013 for coverage starting as early as January 1, 2014.