RD161 - Quarterly Report on the Activities of the Family Access to Medical Insurance Security (FAMIS) Plan (April 1, 2007 to June 30, 2007)


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 2007 — April, May and June.

During the second quarter of 2007:

• Enrollment in Virginia’s SCHIP program (including the separate FAMIS program and the SCHIP Medicaid Expansion program) was 82,731 as of the end of the quarter. This represents a net increase of 1,289 children since the end of the previous quarter on March 31, 2007;

• The FAMIS Central Processing Unit (CPU) received 48,491 calls this quarter and experienced an average abandonment rate of 6.4%. 11,827 applications were received at the FAMIS CPU and 3,561 FAMIS enrolled cases were transferred from local departments of social services. 14,140 children were approved or renewed for FAMIS this quarter;

• The FAMIS MOMS program for pregnant women was implemented on August 1, 2005 and during this quarter 261 women were approved for coverage. As the quarter ended, 757 pregnant women were actively enrolled. On July 1, 2007, eligibility for the FAMIS MOMS program was increased from 166% FPL to 185% FPL as mandated by the 2007 General Assembly;

• Approximately 80% 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 $40,952,260, an increase of $1,526,885 from the prior quarter’s expenditures of $39,425,375. Administrative costs represented 5.5% of all SCHIP expenditures; and

• The revamped program providing premium assistance for employer based or private insurance, FAMIS Select, declined slightly in enrollment for the second quarter since its inception in August 2005. At the end of the second quarter of 2007, there were 383 children enrolled in this voluntary option.