COVID News and Updates
|Unwinding the COVID-19 Public Health Emergency: Medicaid Redetermination Plan [PDF]|
Return to Normal Enrollment
Virginia Medicaid will soon return to our normal enrollment processes. We’re working with health care advocates and other partners to make sure eligible Virginians keep getting high quality health care coverage.
The continuous coverage requirement, which prevented state Medicaid agencies from reducing or ending Medicaid or FAMIS coverage regardless of changes in an individual’s circumstances, will end on March 31, 2023, due to the passage of the 2023 Consolidated Appropriations Act and associated omnibus bill that decoupled the continuous coverage requirement from the COVID-19 Public Health Emergency (PHE). Starting April 1, 2023, DMAS will begin conducting eligibility determinations and renewals for all Medicaid and FAMIS members. DMAS will have 12 months to initiate eligibility determinations and renewals for the more than 2.1 million Virginians who currently have Medicaid or FAMIS coverage.
An individual’s failure to respond to communications about their Medicaid or FAMIS eligibility could result in their coverage ending. To help prevent this, DMAS asks Medicaid and FAMIS members, providers, stakeholders, and advocates to take steps to ensure that their clients do not miss important communications related to their eligibility redeterminations.
Individuals can update their contact information by calling Cover Virginia at 1-855-242-8282, by visiting commonhelp.virginia.gov, by contacting their local Department of Social Services office, or by contacting their Medicaid/FAMIS Managed Care Organization (MCO).
DMAS encourages you to access, use, and distribute the member factsheet, FAQs, toolkits, and other materials that are available in multiple languages at CoverVa.org.
The Virginia Medicaid agency implemented a variety of policies in 2020 in response to the needs of our members and providers as they confronted the COVID-19 pandemic. The remaining flexibilities are described below. Once the federal Secretary of Health and Human Services announces the end date of the COVID-19 Public Health Emergency (PHE), DMAS will post information for providers on which flexibilities will end on the last day of the PHE, and which will continue for a limited time after the PHE.
Sign up to receive email updates from the Department of Medical Assistance Services