RD150 - Quarterly Report on the Activities of the Family Access to Medical Insurance Security (FAMIS) Plan


Executive Summary:
The Family Access to Medical Insurance Security (FAMIS) program is Virginia’s Child Health Insurance program (CHIP) for low-income children funded under Title XXI of the Social Security Act. This quarterly report conveys the status of the FAMIS program during the third quarter of calendar year 2004 – July, August and September, 2004.

During the third quarter of 2004:

• Enrollment in FAMIS (including the State Child Health Insurance Program [SCHIP] Medicaid Expansion program) reached 63,714 representing a net increase of 5,038 children since the end of the previous quarter on June 30, 2004;

• Approximately 90% of children estimated to be eligible for Medicaid or FAMIS were enrolled, an increase of 1% from the end of the previous quarter;

• The FAMIS Central Processing Unit (CPU) received 40,925 calls and 9,214 applications;

• 10,210 children were approved by the CPU and the Department of Social Services for FAMIS;

• Approximately 75% of enrolled children received FAMIS or Medicaid Expansion benefits through a Managed Care Organization (MCO);

• Total third quarter expenditures for medical services for children enrolled in Virginia’s Child Health Insurance Program was $24,460,692.00, and administrative expenditures totaled $2,855,886.00.

Appendix I provides updates on the Department’s implementation of the Joint Legislative and Audit Review Commission’s (JLARC) January 2002 recommendations for improving the Child Health Insurance Program in Virginia. Appendices II and III provide updates on the program changes mandated by the 2002 and 2003 sessions of the Virginia General Assembly, implemented on September 1, 2002 and August 1, 2003, and the resulting impact on enrollment.