RD79 - Quarterly Report on the Activities of the Family Access to Medical Insurance Security (FAMIS) Plan (October 1, 2006 – December 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 fourth quarter of calendar year 2006 – October, November and December.

During the fourth quarter of 2006:

• Enrollment in Virginia’s SCHIP program (including the separate FAMIS program and the SCHIP Medicaid Expansion program) was 81,300 as of the end of the quarter. This represents a net increase of 2,976 children since the end of the previous quarter on September 30, 2006.

• The FAMIS Central Processing Unit (CPU) received an exceedingly high volume of calls this quarter (60,212) and experienced an average abandonment rate of 32.6%. 11,486 applications were received at the FAMIS CPU and 3,470 FAMIS enrolled cases were transferred from local departments of social services. 13,663 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, 641 pregnant women were actively enrolled. Overall, since its inception, 1,105 women have received prenatal care through FAMIS MOMS;

• Approximately 80% of enrolled children received FAMIS or Medicaid Expansion benefits through a Managed Care Organization (MCO);

• Fourth quarter expenditures for medical services for children in Virginia’s SCHIP program were $37,694,211, an increase of $3,282,867 from the previous quarter. Administrative costs represented 3.6% of all SCHIP expenditures; and

• The revamped program providing premium assistance for employer based or private insurance, FAMIS Select, continued to increase enrollment and ended the quarter with 324 children enrolled in this voluntary option.