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STATE CHILD HEALTH PLAN UNDER TITLE XXI OF THE SOCIAL SECURITY ACT

STATE: Virginia Page 8-56

Effective Date: 07/01/05

56 Approval Date: _____________/06 No cost-sharing is charged to American Indians and Alaska Natives. The application form requests racial information on each child for whom application for child health insurance is made. No cost-sharing is imposed on those children who are reported to be Native American or Alaska Native. The applicant’s statement on the application form is sufficient to exempt the child from any cost-sharing obligations. The FAMIS automated eligibility determination system codes the case records for children listed on the application form as Alaska Natives or American Indians and the automated record will exempt such children from any cost-sharing obligations.

FAMIS accommodates the federal requirement that Native American families are exempt from any cost-sharing provisions under CHIP. The FAMIS application inquires as to a child’s race. If a family declares that a child is a Native American or Alaska Native, the family will be exempt from cost-sharing obligations.

Virginia has no federally recognized Indian tribes; however, ongoing communication will occur with Indian tribes in Virginia to ensure that Indian families understand the program and can access the provider network to secure covered services.

Effective April 15, 2002, Virginia temporarily suspended premiums until further notice. FAMIS families were notified by letter, informing them of the suspension of premiums and copies of such letters were posted on the DMAS web site. Effective September 1, 2002, the FAMIS program no longer charged premiums.