CHIP in Virginia

The Children’s Health Insurance Program (CHIP) in Virginia is available to qualifying families with children and uninsured pregnant women through the state Department of Medical Assistance Services (DMAS). The Virginia DMAS administers Medicaid for children and pregnant women as well as the state’s CHIP program. With CHIP and Medicaid enrollment, claimants receive free or low-cost medical assistance, including inpatient and outpatient healthcare, tests, X-rays and mental health services. In Virginia, the Children’s Health Insurance Program is also known as the Family Access to Medical Insurance Security Program (or FAMIS, FAMIS Plus and FAMIS MOMS). Moreover, Children’s Medicaid is also known as FAMIS Plus and is available to low-income families who wish to obtain affordable medical care for their qualifying dependents. However, Virginia CHIP and Medicaid are not the same programs, as FAMIS has a higher income limit than the Virginia Medicaid or medical assistance programs. To learn more about the requirements of Medicaid eligibility children and uninsured pregnant women, download our comprehensive guide. To learn more about Medicaid and CHIP enrollment in VA, review the information below.

What is CHIP Medicaid in Virginia?

The Virginia Children’s Health Insurance Program (CHIP) is just one of the several medical assistance programs available to uninsured pregnant women and children from low-income households in the state. The Children’s Health Insurance Program (or CHIP), for instance, includes several different services, including FAMIS, FAMIS Plus (also known as children’s Medicaid in Virginia) and FAMIS MOMS. While the Children’s Medical Insurance Program (or CHIP/FAMIS Plus) provides qualifying dependents younger than 19 years of age with health services, FAMIS MOMS is available to uninsured pregnant women who meet income guidelines. Furthermore, Medicaid for children (or FAMIS Plus) offers medical assistance to children younger than 19 years of age whose household income falls below the federal poverty limit (FPL) for the size of their family. Applicants should get information on the VA Children’s Health Insurance Program (CHIP) eligibility requirements before submitting the benefits application to avoid wasting time or submitting the wrong application information.

Many state residents may wonder, “Is CHIP considered Medicaid in Virginia?” when researching affordable health care options. In Virginia, children’s Medicaid is also known as FAMIS Plus. However, FAMIS and FAMIS MOMS are not Medicaid. Instead, Medicaid enrollment is open to low- or very-low income residents, while the Children’s Health Insurance Program (CHIP) is available to uninsured pregnant women and eligible residents younger than 19 years of age. During the CHIP and Medicaid enrollment process, the state considers children for both FAMIS and the Children’s Medicaid (FAMIS Plus) programs. However, not all applicants will be eligible for FAMIS Plus.

How to Apply for CHIP in Virginia

To begin the children’s Medicaid and CHIP enrollment process, applicants can simply apply in person at a local Department of Social Services (DSS) office, online through the Virginia CommonHelp website, by mail or telephone. When applying for the Children’s Health Insurance Program (CHIP) in VA, applicants (or the parents of dependents) must provide their full legal name, Social Security Number (SSN), date of birth and citizenship status. Additionally, residents applying for CHIP and Medicaid enrollment must provide their recent tax filing information and any details pertaining to their current health insurance providers, employers and taxable income. The application process Virginia Children’s Medical Insurance Program differs slightly if the applicant is applying for his or her child or if the applicant is a pregnant woman, so it is important that petitioners understand all program requirements.

Who is eligible for Virginia CHIP enrollment?

To be eligible for the Children’s Health Insurance Program (CHIP) in Virginia, children and pregnant women must be financially needy and meet residency, age and/or income limits before completing the application process for Medicaid programs or other affordable health services. As such, residents may qualify for the Children’s Health Insurance Program (FAMIS) if they:

  • Are U.S. citizens or eligible non-citizens.
  • Reside in the state of Virginia.
  • Are younger than 19 years of age.
  • Meet income restrictions.

To obtain Medicaid for children in VA (FAMIS Plus), however, household incomes must fall below the federal poverty level (FPL). As such, children’s Medicaid may be available to eligible residents even if they already receive health insurance benefits through another provider. Furthermore, the Children’s Health Insurance Program (CHIP) is also available to uninsured pregnant women through FAMIS. To obtain coverage through the CHIP Program as a pregnant woman, claimants must be pregnant (or have given birth within the previous 60 days) and they must be U.S. citizens, Virginia residents and meet minimum income limits. Before completing the application process for Virginia Children’s Medical Insurance Program, applicants should seeks Medicaid eligibility requirements and other health plan requirements before deciding which program is right for their family.

What is covered by CHIP Medicaid in Virginia?

The services covered by CHIP Medicaid in Virginia vary depending on whether claimants enroll in FAMIS, FAMIS Plus or FAMIS MOMS. For instance, the Children’s Health Insurance Program (CHIP) and Medicaid for children (FAMIS PLUS) provide qualifying recipients with the following services:

  • Emergency and hospital care
  • Doctor’s visits, shots and X-rays
  • Vision, dental and mental health care
  • Well-child and baby visits

Furthermore, the VA Children’s Medical Insurance Program for pregnant women (or FAMIS MOMS) includes health care for up to two months following the birth of a baby, regular prenatal care, dental services throughout the entire term of the pregnancy and breast-feeding support. After a baby is born, the child is automatically eligible for FAMIS or FAMIS Plus, depending on the specific situation). For additional information about the Children’s Health Insurance Program (CHIP) in Virginia, download our informative guide.

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Who Has Access to Medical Assistance in Virginia?

Before you can receive medical assistance through programs like Medicaid and Medicare in Virginia, you need to fulfill certain eligibility criteria. In addition to needing medical services, you must belong to an approved group of individuals, and approved groups are often determined by age and income level. Furthermore, you need to submit the necessary application to the appropriate department within the state. Find out exactly how you can get access to low-cost or free medical services today by downloading our guide here. Our Health Services guide will help you through the application process, and it will help you find a medical program that is right for you.


What Types of Health Services Are Available in Virginia?

Whether you need inpatient care, outpatient care, labs, X-rays or more, the state of Virginia has programs that cover it all. Depending on your income level and your age, you may be eligible to receive low-cost or even free health care. Find out more about Virginia’s eligibility requirements for medical assistance programs by downloading our guide.