§ 32.1-351.1. Assistance with employer-sponsored health insurance
A. For purposes of this chapter, “employer-sponsored health insurance” or “ESHI” means comprehensive health insurance offered by the employer when the employer contributes to the cost of dependent or family coverage as defined in the Virginia Plan for Title XXI of the Social Security Act, or as otherwise approved by the Centers for Medicare & […]
§ 32.1-351.2. Children’s Health Insurance Program Advisory Committee; purpose; membership; etc.
The Department of Medical Assistance Services shall maintain a Children’s Health Insurance Program Advisory Committee to assess the policies, operations, and outreach efforts for Family Access to Medical Insurance Security (FAMIS) and FAMIS Plus and to evaluate enrollment, utilization of services, and the health outcomes of children eligible for such programs. The Committee shall consist […]
§ 32.1-349. Liability for excess payments
Any person who obtains benefits under this program to which he is not entitled shall be liable for any excess benefits received. If the recipient knew or reasonably should have known that he was not entitled to the excess benefits, he may also be liable for interest on the amount of the excess benefits at […]
§ 32.1-350. Fraudulently obtaining benefits; criminal penalty
A. Any person who engages in the following activities, on behalf of himself or another, shall be guilty of a Class 1 misdemeanor in addition to any other penalties provided by law: 1. Knowingly and willfully making or causing to be made any false statement or misrepresentation of a material fact in an application for […]
§ 32.1-351. Family Access to Medical Insurance Security Plan established
A. The Department of Medical Assistance Services shall amend the Virginia Children’s Medical Security Insurance Plan to be renamed the Family Access to Medical Insurance Security (FAMIS) Plan. The Department of Medical Assistance Services shall provide coverage under the Family Access to Medical Insurance Security Plan for individuals under the age of 19 when such […]
§ 32.1-345. Counties and cities required to participate; allocation and payment of funds to and payments by counties and cities
A. The governing body of each city and county in the Commonwealth shall participate in the State/Local Hospitalization Program for indigent persons established in this chapter. B. The Director shall allocate annually to the counties and cities of the Commonwealth such funds as may be appropriated by the General Assembly for this program. The allocation […]
§ 32.1-346. Director to establish standards; reimbursement of services
A. The Director shall prescribe regulations setting forth the amount, duration and scope of medical services covered by the Program which shall be uniform in all localities. Such services shall consist only of inpatient and outpatient hospital services, services rendered in free-standing ambulatory surgical centers and local public health clinics by providers who have signed […]
§ 32.1-347. Eligibility for Program; duty of the Department of Social Services and local welfare or social services agencies; data required
A. The Board of Medical Assistance Services shall promulgate regulations to establish uniform eligibility criteria by defining those persons who will qualify for payment for medical care under the Program. Such criteria shall include, but not be limited to, the following: 1. To be eligible, a person shall have net countable income, determined in accordance […]
§ 32.1-348. Applicability of chapter
Nothing in this chapter shall be construed as relieving any hospital of its obligations under the Hill-Burton Act or any other similar federal or state law or agreement to provide unreimbursed care to indigent persons. 1989, cc. 657, 746.
§ 32.1-344. State/Local Hospitalization Program
There is hereby established within the Department of Medical Assistance Services the State/Local Hospitalization Program for indigent persons. With such funds as are appropriated for this purpose, the Director of the Department of Medical Assistance Services is authorized to administer this program and to expend state and local funds in accordance with the provisions of […]