End of Continuous 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. 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. In order to help prevent this, DMAS asks Medicaid and FAMIS providers 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).
Providers are also encouraged to use or distribute the member factsheet, FAQs, or flyer that are available in multiple languages on the Cover Virginia website.