medbook-eng - MEDICAID AND FAMIS-PLUS HANDBOOK Prepared by:...

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Unformatted text preview: MEDICAID AND FAMIS-PLUS HANDBOOK Prepared by: Department of Medical Assistance Services 600 East Broad Street, Suite 1300 Richmond, Virginia 23219-1857 Mission Statement: To provide a system of high quality comprehensive health services to qualifying Virginians and their families. Effective January 2010 www.dmas.virginia.gov DMAS-2 i TABLE OF CONTENTS GENERAL INFORMATION ABOUT MEDICAID AND FAMIS PLUS ..............................1 How Do I Apply? .................................................................................................1 What Will I Be Asked?........................................................................................2 Income.................................................................................................................2 Special Rules for Married Individuals Who Need Long Term Care ................3 Who Makes A Decision, And How Long Does It Take?...................................3 FULL COVERAGE GROUPS ..........................................................................................5 LIMITED COVERAGE GROUPS .....................................................................................6 Medicare Savings Programs (MSP)...................................................................6 MEDICAID AND OTHER INSURANCE ...........................................................................7 MEDICAID OR FAMIS PLUS MEDICAL CARD ..............................................................8 USING YOUR MEDICAID BENEFITS..............................................................................8 Regular Medicaid Coverage...............................................................................8 MEDICAL CARE UNDER MEDICAID AND FAMIS PLUS ............................................10 CO-PAYMENTS.............................................................................................................12 BENEFITS UNDER MEDICAID AND FAMIS PLUS......................................................13 SERVICES FOR CHILDREN/EPSDT ............................................................................18 WHAT IS NOT COVERED BY MEDICAID AND FAMIS PLUS .....................................19 LONG-TERM CARE (LTC) SERVICES .........................................................................20 Home and Community-Based Care Waivers ..................................................21 ii YOUR RIGHTS AND RESPONSIBILITIES....................................................................23 FRAUD AND OTHER RECOVERIES ............................................................................23 Third Party Liability and Personal Injury Claims ...........................................24 Estate Recovery................................................................................................24 WHEN AND HOW TO FILE AN APPEAL......................................................................24 IMPORTANT PHONE NUMBERS AND WEBSITE ADDRESSES ................................25 Local Department of Social Services in your City or County .......................25Local Department of Social Services in your City or County ....
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This note was uploaded on 01/17/2012 for the course ECON 101 taught by Professor Econnorm during the Spring '11 term at Art Institutes Intl. Minnesota.

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medbook-eng - MEDICAID AND FAMIS-PLUS HANDBOOK Prepared by:...

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