RD138 - Quarterly Report on the Activities of the Family Access to Medical Insurance Security (FAMIS) Plan (April 1 to June 30, 2006)


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 2006 – April, May and June 2006.

During the second quarter of 2006:

• Enrollment in Virginia’s SCHIP program (including the separate FAMIS program and the SCHIP Medicaid Expansion program) reached 78,745 representing a net increase of 2,036 children since the end of the previous quarter on March 31, 2006;

• Approximately 99.5% of children estimated to be eligible for FAMIS Plus (Medicaid) or FAMIS were enrolled; an increase of 0.5% from the end of the previous quarter;

• The FAMIS Central Processing Unit (CPU) received 45,139 calls this quarter with an average abandonment rate of 3.6%.

• During the second quarter, 11,323 applications were received at the FAMIS CPU and 3,135 FAMIS cases were transferred from local departments of social services.

• The FAMIS MOMS program for pregnant women was implemented on August 1, 2005 and 708 applications were received during this quarter; overall, since its inception, 631 women have received prenatal care through FAMIS MOMS.

• In the second quarter, 12,892 children and 225 pregnant women were approved or renewed by the CPU and local Departments of Social Services for FAMIS and FAMIS MOMS respectively;

• Approximately 78% of enrolled children received FAMIS or Medicaid Expansion benefits through a Managed Care Organization (MCO);

• Second quarter expenditures for medical services for children in Virginia’s SCHIP program were $35,427,895, an increase of $674,387 from the previous quarter.

• The revamped program providing premium assistance for employer based or private insurance, FAMIS Select, ended the quarter with 250 children enrolled in this voluntary option. This represents a significant increase over the highest number of participants (100) ever enrolled in the former Employer Sponsored Health Insurance (ESHI) program.