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

STATE: Virginia Page 2-7

Effective Date: 07/01/05

7 Approval Date: _____________/06

The FAMIS program coordinates with the Virginia Department of Health, including Children’s Specialty Services and the Maternal and Child Health programs, with State teaching hospitals serving indigent families, and with local government health delivery programs which serve low income children. The Commonwealth’s goal is to provide all targeted low-income children with an accessible and comprehensive system of care that secures a medical home for children. This coordination is directed to ensuring that FAMIS does not supplant or replace existing programs. Rather, the goal of coordination is the close cooperation between these programs to enhance the health care resources available to low income children. DMAS, the single State agency that administers the Medicaid program, also administers FAMIS. Thus, Virginia ensures that the plan is closely coordinated with Medicaid in identifying and facilitating enrollment in the respective programs.

DMAS is responsible for the coordination of outreach and education efforts for all children whether they qualify for Medicaid or for FAMIS. Community-based organizations participating in this effort direct families to the appropriate program and assist them with applying for either FAMIS or Medicaid. Public programs that have established networks serving families who would meet either FAMIS or Medicaid’s income eligibility requirements are used as a resource in reaching eligible children.

DMAS has developed an interagency committee specifically to address the health care needs of children, pregnant women, and special needs populations. The group meets periodically to discuss issues of mutual concern, solicit support, and cooperation, and share creative approaches to serving these unique populations. Information regarding FAMIS as well as Medicaid is routinely shared and discussed with these individuals. A part of this group effort is the identification and coordination of Title V children. In addition, through its many other committees comprised of non-agency membership (e.g., Board of Directors, Managed Care Advisory Committee, Provider Advisory Council), DMAS solicits input and advice from public and private entities on its programs.