The Department of Medical Assistance Services (DMAS) is the agency that administers all Medicaid and FAMIS health insurance benefit programs in Virginia. Families and individuals meeting income and other eligibility requirements may be eligible to receive health benefits through a variety of programs. These include programs for children, FAMIS and FAMIS Plus (children’s Medicaid); programs for pregnant women, FAMIS MOMS and Medicaid for Pregnant Women; the Governor’s Access Plan (GAP), a program for adults with serious mental illness; Plan First, which provides limited benefit Family Planning Services; and other Medicaid programs and services.
Information about programs, benefits and services, including eligibility requirements is available on the Cover Virginia website at www.coverva.org. The website provides descriptions about programs, income eligibility charts for each program, a screening tool to help determine what programs a person may qualify for, and detailed instructions on how to apply. Cover Virginia also operates a statewide customer service call center for Medicaid and the FAMIS Programs at 1-855-242-8282. The call center provides general program information, application status, explanation of coverage and benefits, and assistance in resolving application issues. It provides assistance in submitting state-sponsored health insurance applications and renewals with same day telephonic signatures. The call center also records address, household and income changes and submits the information electronically to local DSS agencies (LDSS) for processing. They issue replacement Commonwealth of Virginia health insurance cards and provide contact information for LDSS and other helplines where appropriate. FOR FAMIS/FAMIS MOMS enrollees only: the call center enrolls individuals in their choice of managed care organization (MCO) or assists them in changing their MCO.
Providers seeking information should visit the DMAS website at www.dmas.virginia.gov.
600 East Broad Street
Richmond, VA 23219