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

STATE: Virginia Page 9-66

Effective Date: 07/01/05

66 Approval Date: _____________/06 DMAS complies with subsection 10.1 in assessing the operation of FAMIS and submitting a report to the Secretary by January 1 following the end of the fiscal year. This includes the reduction in the number of uninsured low-income children and the results of the program assessment.

9.6. ⌧ The state assures it will provide the Secretary with access to any records or information relating to the plan for purposes of review of audit. (Section 2107(b)(3)) (42CFR 457.720)

9.7. ⌧ The state assures that, in developing performance measures, it will modify those measures to meet national requirements when such requirements are developed. (42CFR 457.710(e))

9.8. The state assures, to the extent they apply, that the following provisions of the Social Security Act will apply under Title XXI, to the same extent they apply to a state under Title XIX: (Section 2107(e)) (42CFR 457.135)

9.8.1. ⌧ Section 1902(a)(4)(C) (relating to conflict of interest standards) 9.8.2. ⌧ Paragraphs (2), (16) and (17) of Section 1903(i) (relating to limitations on payment) 9.8.3. ⌧ Section 1903(w) (relating to limitations on provider donations and taxes) 9.8.4. ⌧ Section 1132 (relating to periods within which claims must be filed)

9.9. Describe the process used by the state to accomplish involvement of the public in the design and implementation of the plan and the method for insuring ongoing public involvement. (Section 2107(c)) (42CFR 457.120(a) and (b))

In order to accomplish public involvement in the administration, outreach, and access to the FAMIS program, ongoing meetings are held with several advocacy, retail, business, and community organizations to seek direction and request involvement. These organizations include the Virginia Coalition for Children’s Health, Virginia Association of Health Plans, the Covering Kids & Families Statewide Coalition, the Virginia Hospital and Healthcare Association, the Virginia Poverty Law Center, and the Virginia League of Social Services Executives, as well as other advocacy organizations that represent the interests of the uninsured. Meetings are also held with other state agencies to seek their assistance. Ongoing meetings are held with legislators, with legislative commissions, and with local human service directors to review and discuss FAMIS.

The Department held five Town Hall meetings during the Spring 2002 across the State to hear ways to improve the FAMIS program. These meetings were attended by approximately 200 persons. To ensure public involvement, DMAS advises and consults with the Joint Commission on Health Care and provide quarterly reports on enrollment, benefit levels, and outreach efforts. The public also has the opportunity to become involved during the regulatory process.