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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
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
FAMIS Plan Update Fast-Track Attorney General review in progress.
12 Months Postpartum Emergency/NOIRA Attorney General review in progress.

Past Actions
Action Title Latest Stage Status
Client Appeals Update Fast-Track Stage complete. This regulation became effective on 08/01/2024.
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.
Pediatric Dental Program Proposed Stage withdrawn on 10/04/2005 before Attorney General's office completed its review.
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.
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 Fast-Track Stage withdrawn on 04/25/2024 prior to submitting for AG review.
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 NOIRA Stage withdrawn on 04/09/2007 prior to submission to DPB.

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