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FAMIS MOMS

                                                                                                                                 FAMIS MOMS

What is FAMIS MOMS?

The FAMIS MOMS program provides health care coverage for pregnant women.

Good health care during pregnancy is important for you and your baby. FAMIS MOMS encourages pregnant women to get early and regular prenatal (before birth) care. This helps ensure a healthy baby.

What services does FAMIS MOMS cover?

With FAMIS MOMS, you get full health care benefits during your pregnancy and for 2 months after your baby’s birth. FAMIS MOMS covers breast pumps and breast feeding support during your pregnancy and after your baby is born. 

You will get health care services through health plans. The health plans all have special programs for high-risk pregnancies. To learn more, call your health plan Member Services or go to Health Plan Information.

You also have dental benefits during your pregnancy. Dental services are through the Smiles for Children program. For help finding a dentist or to learn more, call Smiles for Children at 1-888-912-3456. Also read the [PDF] Guide to Dental Coverage.

How much do you pay?

With FAMIS MOMS there are no enrollment fees, monthly premiums (costs), or co-pays for pregnancy-related services.

Who qualifies for FAMIS MOMS?

You may qualify if you:

  • Live in Virginia
  • Are pregnant or within 60 days after your baby’s birth
  • Are a U.S. citizen or a legally residing immigrant
  • Meet family income guidelines

Your baby qualifies for coverage for the first year after birth. Tell us as soon as your baby is born. To enroll the baby right away, we need the baby's name, date of birth, race, gender and the baby’s mother’s name and member ID number. 

You can enroll your baby by phone with Cover Virginia at 833-5CALLVA. Or you can tell your eligibility worker at your local Department of Social Services (DSS) when your baby is born. You can also ask the hospital about submitting the enrollment information for your newborn. To learn more, go to Enroll a newborn.

What are the income limits?

FAMIS MOMS gross income limits – effective January 13, 2021 This includes a 5% standard disregard. Gross income is your income before taxes. Count your unborn child as “additional.”
Family size Monthly Yearly
2 $2,976 $35,711
3 $3,752 $45,018
4 $4,528 $54,325
5 $5,303 $63,632
6 $6,079 $72,939
7 $6,854 $82,246
8 $7,630 $91,553
Each additional $776 $9,307


Women who do not qualify for FAMIS MOMS may qualify for Emergency Services Medicaid or for Medicaid for pregnant women.

How do you apply?

If you think you may qualify, go to Apply.

To find out if you may qualify for FAMIS MOMS or Medicaid for pregnant women, answer the questions on the screening tool at Am I eligible?

Eligibility for health coverage is based on income plus other factors. This tool screens for income only. You may qualify for coverage based on other things like age or disability. To get a full review, you need to apply.

Where to learn more

FAMIS MOMS Member Handbook

[PDF] FAMIS MOMS Member Handbook (English)
[PDF] FAMIS MOMS Member Handbook (Spanish)

FAMIS MOMS logo

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