RD118 - Quarterly Report on the Status of the Family Access to Medical Insurance Security Plan (FAMIS) Second Quarter 2005 - April 1, 2005 to June 30, 2005


Executive Summary:
The Family Access to Medical Insurance Security (FAMIS) program is Virginia’s State Child Health Insurance program (SCHIP) 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 second quarter of calendar year 2005 – April, May and June 2005.

During the second quarter of 2005:

• Enrollment in Virginia’s SCHIP program (including the separate FAMIS program and the SCHIP Medicaid Expansion program) reached 73,187 representing a net increase of 2,326 children since the end of the previous quarter on March 31, 2005;

• Approximately 96% of children estimated to be eligible for FAMIS Plus (Medicaid) or FAMIS were enrolled, an increase of 1% from the end of the previous quarter;

• The FAMIS Central Processing Unit (CPU) received 38,336 calls, 9,865 applications and 3,158 FAMIS cases transferred from local departments of social services;

• 11,252 children were approved by the CPU and the Department of Social Services for FAMIS;

• Approximately 74% of enrolled children received FAMIS or Medicaid Expansion benefits through a Managed Care Organization (MCO);

• Total second quarter expenditures for medical services for children enrolled in Virginia’s Title XXI program were $31,038,357, and administrative expenditures totaled $1,637,674 or 5% of total expenditures; and

• DMAS finalized program planning to implement an expansion of the FAMIS program to cover pregnant women with income up to 150% FPL and to modify the SCHIP premium assistance program as authorized by the 2005 General Assembly. The Centers for Medicare and Medicaid Services granted approval of Virginia’s waiver on July 1, 2005 and both programs will be implemented August 1, 2005.