Virginia Regulatory Town Hall
Agency
Department of Medical Assistance Services
Board
Board of Medical Assistance Services
 
chapter
Family Access to Medical Insurance Security (FAMIS)Plan [12 VAC 30 ‑ 141]
Guidance Documents
Chapter Information
Description This Chapter establishes the Title XXI child health insurance program (CHIP, also known as FAMIS) for the Commonwealth.
State Authority COV 32.1-351 et seq .
Federal Authority Title XXI to the Social Security Act
Exempt from APA No, changes to this chapter are subject to the Administrative Process Act.
Text of Regulation Link to Virginia Administrative Code
Goals of Regulation None entered
Meetings

Contact Information
Name / Title: Emily McClellan  / Regulatory Supervisor
Address: Policy Division, DMAS
600 E. Broad Street, Suite 1300
Richmond, VA 23219
Email Address: Emily.McClellan@DMAS.Virginia.gov
Telephone: (804)371-4300    FAX: (804)786-1680    TDD: ()-
Current Actions
Action Title Latest Stage Status
Client Appeals Update Fast-Track DPB review in progress.
12 Months Postpartum -
FAMIS Plan Update -

Past Actions
Action Title Latest Stage Status
FAMIS and FAMIS MOMS Periodic Review Final Stage complete. This regulation became effective on 06/26/2019.
FAMIS MOMS - Remove Third Trimester Managed Care Exclusion Fast-Track Stage complete. This regulation became effective on 12/27/2019.
CH 0141 FAMIS MOMS Eligiblity for State Employees Final Stage complete. This regulation became effective on 01/24/2018.
FAMIS Behavioral Therapy
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 09/21/2016.
FAMIS Eligibility for Children of State Employees Final Stage complete. This regulation became effective on 06/29/2016.
Family Access to Medical Insurance Security (FAMIS) Program Uninsured Waiting Period Elimination
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 07/03/2014.
Repeal MEDALLION Primary Care Case Management Program Fast-Track Stage complete. This regulation became effective on 03/28/2014.
Coverage of Lawfully Residing Pregnant Women and Children
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 07/17/2013.
Deeming Newborns of FAMIS and FAMIS MOMS
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 01/05/2011.
CHIPRA -- No Co-Pays for Pregnancy-Related Services
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 07/01/2010.
CHIPRA Deemed Newborns of FAMIS Enrollees
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 03/17/2010.
FAMIS Citizenship/Nationality Documentaiton
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 01/01/2010.
CHIPRA FAMIS Managed Care
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 09/16/2009.
Expand Eligibility for FAMIS MOMS
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 07/01/2009.
MCHIP Coverage for FAMIS Newborns
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 05/13/2009.
Attorney General Regulatory Reform Task Force Changes
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 04/15/2009.
Expand FAMIS MOMS eligibility
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 07/01/2007.
FAMIS MOMS Final Stage complete. This regulation became effective on 01/10/2007.
FAMIS Select premium assistance program Final Stage complete. This regulation became effective on 09/06/2006.
Prior Authorization for Dental Services Final Stage complete. This regulation became effective on 07/01/2006.
Medicaid and FAMIS Prior Authorization Fast-Track Stage complete. This regulation became effective on 07/03/2006.
Exclusion of Birth Injury Fund Participants from Medicaid and FAMIS Managed Care Fast-Track Stage complete. This regulation became effective on 03/11/2006.
Utilization Review of High Drug Thresholds for FAMIS Final Stage complete. This regulation became effective on 07/01/2005.
Pediatric Dental Program Emergency/NOIRA Stage complete. Emergency regulation expired on 06/30/2006.
FAMIS Final Stage complete. This regulation became effective on 08/01/2003.
Family Access to Medical Insurance Security Plan (FAMIS) Proposed Stage withdrawn on 06/13/2002 before the Governor's office completed its review.

Withdrawn Actions
Action Title Latest Stage Status
Removal of Cost-Sharing
FAMIS MOMS Federal Poverty Level Change Fast-Track Stage withdrawn on 06/14/2013 before the Governor's office completed its review.
Federal Updates to FAMIS MOMS and FAMIS Select Waiver regulations NOIRA Stage withdrawn on 07/15/2010 before the Governor's office completed its review.
CH 0141 FAMIS Citizenship/Nationality Documentation
Pediatric Dental Program Proposed Stage withdrawn on 11/03/2005 before DPB completed its review.
FAMIS Emergency Stage withdrawn on 04/09/2007 after submission to the Registrar.

Periodic Reviews
Last Activity Status
2/11/2023 Agency Completed Amend