The mission of the Virginia Department of Medical Assistance Services (DMAS) is improving the health and well-being of Virginians through access to high-quality health care coverage. In 2019, Virginia Medicaid celebrated its 50th anniversary and successfully oversaw the largest expansion in its history. New eligibility rules elevated membership to 1.4 million. The vast majority of these individuals are being served through the two managed care programs, Medallion 4.0 and Commonwealth Coordinated Care Plus. Agency leaders responded to these historic changes by adopting member-focused innovations, including a Medicaid Member Advisory Committee to provide feedback and ideas for current and future initiatives.
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.