...This pamphlet addresses the Temporary Assistance for Needy Families (TANF), Supplemental Nutrition Assistance Program (SNAP), Medical Assistance Programs and Energy Assistance Program...."
There are several Medical Assistance Programs offered in Virginia. Each program covers different groups of people and each program has different eligibility requirements. When you apply for Medical Assistance, you are screened for all possible programs based on your age, income, financial resources, and other information...."
...Income eligibility levels for these categories are described below. Your assets and some expenses also may be taken into account, so you should contact the Virginia Department of Medical Assistance Services for more information..."
In order to qualify for this benefit program, you must be a resident of the state of Virginia, a US national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income. You must also be either pregnant, a parent or relative caretaker of a dependent child(ren) under age 19, blind, have a disability or a family member in your household with a disability, or be 65 years of age or older..."
Can I qualify for a Medical Assistance program...
"...The poverty thresholds are the original version of the federal poverty measure... The poverty guidelines are the other version of the federal poverty measure.
Many groups of people are covered by Medicaid. Even within these groups, though, certain requirements must be met. These may include your age, whether you are pregnant, disabled, blind, or aged; your income and resources (like bank accounts, real property, or other items that can be sold for cash); and whether you are a U.S. citizen or a lawfully admitted immigrant. The rules for counting your income and resources vary from state to state and from group to group. There are special rules for those who live in nursing homes and for disabled children living at home.
...Effective July 1, 2006, individuals who declare on a Medicaid application that they are United States citizens must provide proof of citizenship and identity. Individuals who are already enrolled in Medicaid must provide this documentation at the time of their next Medicaid renewal...."
This is an application for Medical Assistance services for adults age 19 years or older who are blind or disabled, as well as for adults who are 65 or older..."
With this application, you can apply for one or more of the following assistance programs. Refer to the fold-out page for instructions...."
local department of social services listings by county...
"...Virginia Medicaid Managed Care is a state program that helps people who have Medicaid get the health care services they need..."
...After you enroll, you can change your MCO or your MEDALLION PCP within the first 90 days...."
"...Applying for FAMIS, FAMIS Plus and FAMIS MOMS is quick and easy. Just call toll-free 1-866-87FAMIS (1-866-873-2647). Interpreters are available. Our representatives will connect you with someone who speaks your preferred language..."
"...FAMIS offers health benefits through two delivery systems, managed care organizations (MCO) and fee-for-service (FFS). Look at the Health Plan Listing by Locality to determine which program is available in your area..."
...This chart is provided to help you choose an MCO in your area. It contains information about the MCOs, the areas they serve and the hospitals they cover. If you do not choose an MCO, one will be selected for you. If there is no MCO available in your area, you will be covered through the FAMIS Fee-For-Service network...."
...Look at the Health Plan Listing by Locality to determine which program is available in your area..."
"Search to locate Health Care Providers ...."
FAMIS is Virginia's health insurance program for children. It makes health care affordable for children of eligible families. FAMIS covers all the medical care growing children need to avoid getting sick, plus the medical care that will help them get better if they do get sick or get hurt..."
Welcome to Family Access to Medical Insurance Security (FAMIS). This is a comprehensive health insurance program for Virginia’s children. FAMIS is administered by the Virginia Department of Medical Assistance Services (DMAS) and is funded by the state and federal government. You should read this handbook from the beginning to the end...."
...ATTACHMENT II - SUMMARY OF COVERED MEDALLION II and MEDICAID/FAMIS PLUS SERVICES This attachment is not intended to be a comprehensive list of benefits. All benefit limits should be verified through the appropriate DMAS Provider Manual..."
In December 2006, the Department of Medical Assistance Services (DMAS) applied for and was later awarded a demonstration grant to design a program that will allow states to offer home and community-based services for children who reside in a Psychiatric Residential Treatment Facility (PRTF)..."
Twenty-three percent of Virginia’s children are enrolled in Medicaid.... It costs Virginia just $1,666 per year, on average, for each Medicaid-eligible child compared to the average costs per adult Medicaid enrollee of $7,265....."
...FAMIS covers all the medical services growing children need to avoid getting sick, plus the services that will help them make a speedy recovery if they do become ill or get hurt. Services covered by FAMIS include: Doctor visits, Well-baby checkups, Hospital visits, Vaccinations, Prescription medicine, Tests and x-rays, Dental care, Emergency care, Vision care and Mental Health benefits..."
"Applying for health insurance in Virginia... Virginia’s FAMIS program provides free and low-cost health care to children. If you are a family of four with income of $... or less, your child may be eligible. If you are a family of four with income of $... or less, your child may be eligible for FAMIS Plus (Medicaid)...."
Health Coverage for Virginia’s Children..."
...The two major federal funding sources for low-income children’s public health insurance are Medicaid and the State Children’s Health Insurance Program (SCHIP). States enjoy some flexibility in their Medicaid programs for children,..."
Most family plans are funded through Medicaid, but a handful of states have waivers to use State Children’s Health Insurance Program (SCHIP) funds to cover parents. ..."
Research suggests that, on average, families need an income of about twice the federal poverty level to meet their most basic needs. Children living in families with incomes below this level—$40,000 for a family of four in 2006—are referred to as low income..."
In June 2005, Virginia received approval from the Centers for Medicare and Medicaid Services (CMS) for a demonstration waiver entitled FAMIS MOMS and FAMIS Select. The waiver allows the state to claim Title XXI funding for pregnant women with incomes ..."
Individual state profiles..."
If you are eligible for full Medicaid coverage, the following services are typically provided: •Payment of your Medicare premium •Inpatient hospital care •Outpatient hospital care ..."
Full coverage... Time-limited coverage... Medicare-related coverage – Provides Medicaid payment of Medicare premiums; may also include payment of Medicare’s deductible and coinsurance, up to Medicaid’s maximum payments. .."
Acute Care Services ... Practitioner Services ... Prescription Drugs... Physical Therapy and Other Services... Products and Devices... Transportation Services... Other Services..."
Tens of thousands of women in Virginia receive health care coverage through Medicaid..."
As of July 2003, 572,898 people were covered under Virginia’s Medicaid and SCHIP programs. There were 540,766 enrolled in the Medicaid program (including 20,749 in the SCHIP Medicaid expansion program), and 32,132 in the separate SCHIP program. In state fiscal year 2002, Virginia spent $3.96 billion to provide Medicaid services..."
The FAMIS MOMS program provides health care coverage for pregnant women. Good health care during pregnancy is important for you and the baby. FAMIS MOMS encourages pregnant women to get early and regular prenatal care to increase the likelihood for a healthy birth outcome..."
make sure you get the prenatal and postpartum care that is important for you and your baby. It also provides information about how to get your baby covered by FAMIS after the birth so that your infant will receive the medical care he or she...."
Not all medications listed are covered by all DMAS programs. Check individual program coverage. For program drug coverage information, visit..."
Individuals who have Medicare, Medicaid or medical claims questions can call one of our volunteer Insurance Counselors for advice on everything from filing a claim, to comparing and understanding their coverage choices, to researching basic Medicaid information..."
...provides coverage for diagnostic, preventive, restorative/surgical procedures, as well as orthodontia services for Medicaid, FAMIS and FAMIS Plus children. The program also provides coverage for limited medically necessary oral surgery services for adults (age 21 and older)..."
Dental treatment for adults is covered under certain circumstances through Virginia’s dental program, Smiles For Children. Adult dental services are limited to medically necessary oral surgery and associated diagnostic services, such as X-rays..."
"...hand-held guide available that outlines your state’s (Virginia) public and private health care choices for individuals and groups in almost every demographic profile, as well as offers a reference list of phone numbers and Web sites..."
...As a Virginia resident, you have rights under federal and state law that will protect you when you seek to buy, keep, or switch your health insurance, even if you have a serious health condition... This guide describes your protections as a Virginia resident...."
"Community, Migrant, and Homeless Health Centers are non-profit, community-directed providers that remove common barriers to care by serving communities who otherwise confront financial, geographic, language, cultural and other barriers."
If you need affordable health care, a Community Health Center may be what you're looking for... Click here to find the health center closest to your address or to see a list of health centers in your state or county/parish..."
"Federally-funded health centers care for you, even if you have no health insurance. You pay what you can afford, based on your income. Health centers provide •checkups when you're well •treatment when you're sick •complete care when you're pregnant •immunizations and checkups for your children •dental care and prescription drugs for your family •mental health and substance abuse care if you need it..."
These are Virginia Nursing Homes in cities A - Z." In addition to the state directory described above, there are nursing home directories for principal Virginia cities. A few examples:
A consumer's guide to information and help about assisted living in Virginia, with a directory of assisted living facilities..."
"In 2009, the spouse of a Medicaid recipient living in a nursing home (called the "community spouse") may keep as much as $109,560 without jeopardizing the Medicaid eligibility of the spouse who is receiving long-term care. Called the "community spouse resource allowance," this is the most that a state may allow a community spouse to retain..."
The expense of nursing home care, which ranges from $4,000 to $6,000 a month or more, can rapidly deplete the lifetime savings of elderly couples. In 1988, Congress enacted provisions to prevent what has come to be called "spousal impoverishment," ..."
"The following is a list of all Virginia 1915(c) Waivers by name - complete with a description, contact information and web link..."
...This list contains information about state-specific Medicaid waiver and demonstration programs. Users can access fact sheets, copies of proposals, approval letters, and other documents related to specific programs..."
"TThe Virginia MFCU works regularly with all federal and state law enforcement agencies, as well as private insurance companies operating within Virginia...."
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