Our Mission

The purpose of the Commission is to review, recommend and approve innovation and reform proposals affecting the Virginia Medicaid and Family Access to Medical Insurance Security (FAMIS) programs, including eligibility and financing for proposals set out in Item 307 in the Department of Medical Assistance Services. Specifically, the Commission shall review (i) the development of reform proposals; (ii) progress in obtaining federal approval for reforms such as benefit design, service delivery, payment reform, and quality and cost containment outcomes; and (iii) implementation of reform measures.

Meeting Information (Please refresh this page frequently)

Monday, April 7, 2014

1:00 PM in Senate Room B of the General Assembly Building
  • Agenda
  • Update on  Status of Medicaid Reforms and Explanation of Reform Savings Included in 2014-16 Biennial Budgets - Presentation
  • Explanation of Plans to Provide Access to Health Care for Low-income Virginians Including Timeline for Implementation and Explanation of Proposed Medicaid Audit - Presentation, Presentation
  • Review of Other State Alternatives to Medicaid Expansion – Common Themes, Waiver Requests,  Approved Provisions, and Opt Out Clauses - Presentation
  • Financial Impacts of Medicaid Expansion, Access and Quality of Care - Handout
  • Medicaid Eligibility Processing - State and Local Administrative Impacts from Woodwork Effect and Optional Expansion - Presentation, Presentation
  • Comments on Marketplace Virginia - Presentation


Tuesday, December 17, 2013

10:00 am in House Room D of the General Assembly Building
  • Agenda
  • Impact of Expanding Health Coverage to People with Behavioral Health Issues - Presentation
  • Revenue Provisions of the Affordable Care Act and Implications for Virginia - Presentation
  • Overview of Job Search/Work Requirements for Temporary Assistance for Needy Families (TANF) and Supplemental Nutrition Assistance Programs (SNAP) Recipients - Presentation
  • Current Efforts to Prevent and Control Medicaid Fraud - Presentation, Presentation, Presentation
  • Update of Medicaid Reform Matrix - Presentation


Monday, October 21, 2013

1:00 pm in House Room D of the General Assembly Building

NOTE: Senator Howell will be participating via teleconference at 11338 Woodbrook Lane, Reston, VA 20194 and Senator Lucas will be participating via teleconference at One Elanor Court, South Portsmouth, VA 23701


Tuesday, October 15, 2013 - Public Hearing

1:00 pm in House Room D of the General Assembly Building


Monday, August 19, 2013

1:00 pm in Senate Room B of the General Assembly Building
  • Agenda
  • Review of State Approaches to Medicaid Expansion - Presentation
  • Estimate of Cost and Cost Savings to the Commonwealth if Medicaid is Expanded and if Medicaid is Not Expanded - Presentation
  • Update on Modernization of Eligibility Systems - Presentation
  • Review of Medicaid Reform Matrix - Presentation
  • Discussion of Process to Collect Public Input and Comment


Monday, June 17, 2013

1:00 pm in House Room D of the General Assembly Building
  • Agenda
  • Virginia Medicaid Program and Financing Overview - Presentation
  • Implementing Mandatory Affordable Care Act Provisions and Medicaid Reforms in Virginia - Presentation


News and Announcements

September 4, 2013

Our Public Comments portal is now available and we welcome the input, respectfully presented, of all stakeholders as we weigh the decision on whether or not to expand Medicaid in Virginia.

Public Comment Guidelines:

  • DO NOT include personal/private information (phone number, address, etc.).
  • Do not use obscenities, make personal attacks or use hate speech in any way.
  • No spam, including multiple comment submissions that contain the same content (i.e. form letters).
  • We strongly encourage groups and organizations to consolidate remarks to reduce duplication.
  • Please note that ALL comments are reviewed by the administrator before being posted. If comments follow the guidelines they will be posted, in the order that they are received, on our Public Comments page. Due to the large volume of comments that are being received it may take several days for the comments to appear on the website.


    August 20, 2013

    We are currently working on a Public Comments portal on our website that will allow individuals to submit comments and suggestions to the Commission. This new feature should be available shortly after Labor Day.

    Comments submitted through the website will be made public, so we ask that you contribute thoughtful and informative comments in order to help the Commission make the decision on whether or not to expand Medicaid in Virginia


    March 5, 2013

    Governor Bob McDonnell sent the following letter to United States Secretary of Health and Human Services Kathleen Sebelius detailing and explaining recent legislative actions in the Commonwealth regarding the Medicaid program.

    » Read Governor Bob McDonnell's letter (pdf)