Virginia Administrative Code (Last Updated: January 10, 2017) |
Title 12. Health |
Agency 30. Department of Medical Assistance Services |
Chapter 141. Family Access to Medical Insurance Security Plan |
Section 110. Duration of eligibility
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A. The effective date of FAMIS eligibility shall be the date of birth for a newborn deemed eligible under 12VAC30-141-100 I. Otherwise the effective date of FAMIS eligibility shall be the first day of the month in which a signed application was received by either the FAMIS central processing unit or a local department of social services if the applicant met all eligibility requirements in that month. In no case shall a child's eligibility be effective earlier than the date of the child's birth.
B. Eligibility for FAMIS will continue for 12 months so long as the child remains a resident of Virginia and the child's countable income does not exceed 200% of the federal poverty level. A child born to a mother who was enrolled in FAMIS, under either the XXI Plan or a related waiver (such as FAMIS MOMS), on the date of the child's birth shall remain eligible for one year regardless of income unless otherwise found to be eligible for Medicaid. A change in eligibility will be effective the first of the month following expiration of a 10-day advance notice. Eligibility based on all eligibility criteria listed in 12VAC30-141-100 C will be redetermined no less often than annually.
Historical Notes
Derived from Volume 19, Issue 21, eff. August 1, 2003; amended, Virginia Register Volume 26, Issue 12, eff. March 17, 2010; Volume 27, Issue 07, eff. January 5, 2011.
Statutory Authority
§ 32.1-351 of the Code of Virginia.