State Plan

Medicaid State Plan

The Virginia Medicaid state plan is an agreement between Virginia and the Federal government describing how Virginia administers its Medicaid program. It gives an assurance that a state will abide by Federal rules and may claim Federal matching funds for its program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative activities that are underway in Virginia.

Children's Health Insurance Program (CHIP) State Plan

The CHIP State Plan is separate from the Medicaid State Plan. The CHIP State Plan is filed in accordance with Title XXI of the Social Security Act and describes how the state uses both state and federal funds to provide child health assistance to uninsured, low-income children. Virginia's programs administered by DMAS under CHIP State Plan authority are:

Family Access to Medical Insurance Security (FAMIS) for children
FAMIS Prenatal Coverage for eligible uninsured pregnant individuals regardless of immigration or citizenship status.

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Chapter / Section	Title	Date
	CMS Electronic State Plan Sections - Eligibility and Enrollment	05.01.2024
	Preprint Pages from Front of State Plan	03.27.2025
1.1A	Designation and Authority	07.31.2020
1.2A	Organization and Administration - Single State Agency	07.31.2020
1.2B	Organization and Administration - Organizational Chart	07.31.2020
1.2C	Organization and Administration - Professional and Medical Supporting Staff	07.31.2020
1.2D	Organization and Administration - Central Processing Unit	07.31.2020
2.1A	Definition of Medicaid Health Maintenance Organizations	07.31.2020
2.1B	HMOs - Quality Control and Utilization Review	07.31.2020
2.2A	Groups Covered and Agencies Responsible for Eligibility Determinations	07.31.2020
2.2A S1	Reasonable Classification of Individuals Under the Age of 21, 20, 19, and 18	07.31.2020
2.2A S2	More Restrictive Categorical Eligibility Criteria	07.31.2020
2.6A	Eligibility Conditions and Requirements	07.31.2020
2.6A S1	Income Eligibility Levels	07.31.2020
2.6A S2	Categorically Need Groups With Incomes Related to FPL	07.31.2020
2.6A S3	Limits on Amounts for Necessary Care Not Covered Under Medicaid	07.31.2020
2.6A S5	More Restrictive Methods of Treating Resources Than SSI Program	07.31.2020
2.6A S6	Standards for Optional State Supplementary Payments	07.31.2020
2.6A S7	Categorically Needs Covered Under Requirements More Restrictive than SSI	07.31.2020
2.6A S8	Resource Standards, More Liberal Income Disregards, More Liberal Methods of Treating Resources	07.31.2020
2.6A S9	Transfer of Resources	07.31.2020
2.6A S10	Consideration of Medicaid Qualifying Trust	07.31.2020
2.6A S11	Cost Effectiveness Methodology for COBRA Continuation	07.31.2020
2.6A S12	Variations from the Basic Personal Needs Allowance	07.31.2020
2.6A S13	Institutionalized Spouse	07.31.2020

Showing 1 to 25 of 96 entries

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