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Virginia FAMIS MOMS and FAMIS Select Section 1115 Demonstration Page 2 of 3 CMS Approved October 25, 2019 – June 30, 2029; amended November 18, 2021

3. Expenditures for extending the postpartum eligibility period for FAMIS MOMS from the end of the month in which the 60th postpartum day occurs to the end of the 12th month following the end of the pregnancy. These expenditures are authorized for the “postpartum extension” component of the demonstration.

This expenditure authority is limited to a five-year period starting on April 1, 2022 through March 31, 2027 for CHIP “lawfully residing” pregnant individuals as described in STC 17.

4. Expenditures for pregnant and postpartum individuals to be continuously eligible without regard to changes in circumstances through the end of the 12-month extended postpartum eligibility period as set forth in STC 17.

This expenditure authority is limited to a five-year period starting on April 1, 2022 through March 31, 2027 for CHIP “lawfully residing” pregnant individuals as described in STC 17.

The following title XXI requirements are not applicable to the populations served under the Virginia FAMIS MOMS and FAMIS Select section 1115 demonstration.

Title XXI Requirements Not Applicable to the Expenditure Authorities:

1. General Requirements, Eligibility and Outreach

Section 2102

The Commonwealth’s CHIP does not have to reflect the demonstration populations, and eligibility standards do not have to be limited by the general principles in section 2102(b) of the Act. To the extent other requirements in section 2102 of the Act duplicate Medicaid or other CHIP requirements for these or other populations, they do not apply, except that the Commonwealth must perform eligibility screening to ensure that the demonstration populations do not include individuals otherwise eligible for Medicaid.

2. Cost Sharing

Section 2103(e)

Rules governing cost sharing under section 2103(e) of the Act shall not apply to the “FAMIS Select” component of the demonstration to the extent necessary to enable the Commonwealth to impose cost sharing in private or employer-sponsored insurance plans.

3. Cost-Sharing Exemption for American Indian/

Section 2102(b)(3)(D) Alaskan Native (Al/AN) Children

42 CFR Section 457.535

To the extent necessary to permit the Commonwealth to impose cost sharing on AI/AN children who elect to enroll in the premium assistance program.

4. Benefit Package Requirements

Section 2103