DMAS Biennial Report Working Draft1
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
STREAMLING ACCESS TO HEALTH CARE<br />
HOW WE HELP<br />
Virginia Medicaid programs serve 1 in 8 Virginians.<br />
<strong>DMAS</strong> partners with the Department of Social<br />
Services on eligibility and determination of Medicaid<br />
coverage. These agencies have been working with the<br />
Health and Human Resources Secretariat to develop<br />
the Virginia Case Management system (VaCMS)<br />
to modernize the eligibility determination and<br />
enrollment system. This system automates part of<br />
the eligibility process and enables Medicaid applicants<br />
to get their eligibility determinations more quickly.<br />
<strong>DMAS</strong> has also changed its process for calculating<br />
Medicaid eligibility and now uses a simplified method<br />
based on modified adjusted gross income. It is now<br />
easier for Virginians to apply for health coverage<br />
through one application and enroll in the appropriate<br />
program.<br />
The Affordable Care Act mandated that states align<br />
Medicaid/FAMIS enrollment with the first federal<br />
Marketplace open enrollment and accept the new<br />
single streamlined eligibility application for all<br />
insurance affordability programs. <strong>DMAS</strong> created the<br />
Cover Virginia call center to provide applicants with<br />
another channel to apply for Medicaid and FAMIS.<br />
Cover Virginia offers a person-to-person, user-friendly<br />
means to initiate the complex Medicaid and FAMIS<br />
application.<br />
A Healthy Virginia Initiatives<br />
Informing Virginians of their<br />
Health Care Options<br />
Relaunching Cover Virginia (Coverva.org)<br />
has helped uninsured Virginians learn what health<br />
insurance programs fit their needs. This site has<br />
information about Medicaid, FAMIS and connects to<br />
the Federal Health Insurance Marketplace.<br />
Supporting Enrollment<br />
in the Federal Marketplace<br />
In 2014, 216,000 Virginians purchased health<br />
coverage plans via the Federal Marketplace.<br />
In 2016, 421,897 Virginians purchased health<br />
coverage through the Federal Marketplace.<br />
This marks Virginia’s highest enrollment ever and<br />
the seventh highest enrollment in the country.<br />
In 2014, Virginia applied for and was awarded<br />
federal grants to support partnerships with the<br />
Virginia Poverty Law Center and the Federally<br />
Qualified Health Centers to make this possible.<br />
1<br />
Board of Medical Assistance Services
Change language