RD94 - Quarterly Report on the Activities of the Family Access to Medical Insurance Security (FAMIS) Plan (January 1, 2006 – March 31, 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 first quarter of calendar year 2006 – January, February and March 2006.

During the first quarter of 2006:

• Enrollment in Virginia’s SCHIP program (including the separate FAMIS program and the SCHIP Medicaid Expansion program) reached 76,709 representing a net increase of 192 children since the end of the previous quarter on December 31, 2005;

• Approximately 99% 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 47,956 calls this quarter with an average abandonment rate of 3.9%.

• During the first quarter, 11,812 applications were received at the FAMIS CPU and 3,321 FAMIS cases were transferred from local departments of social services.

• The FAMIS MOMS program for pregnant women was implemented on August 1, 2005 and 577 applications were received during this quarter; overall, since its inception, 414 women have received prenatal care through FAMIS MOMS.

• In the first quarter, 13,586 children and 175 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);

• First quarter expenditures for medical services for children in Virginia’s SCHIP program were $34,753,508, an increase of $2,878,014 from the previous quarter.

• The revamped program providing premium assistance for employer based or private insurance, FAMIS Select, ended the quarter with 183 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.