GIS 14 MA/011:Third Party Health Insurance - CHAMP-VA

To: Local District Commissioners, Medicaid Directors

From: Judith Arnold, Director
Division of Eligibility and Marketplace Integration

Subject:Third Party Health Insurance - CHAMP-VA

Effective Date: Immediately

Contact Person: Local District Support Unit
Upstate (518) 474-8887 NYC (212) 417-4500

The purpose of this General Information System (GIS) message is to remind local departments of social services (LDSS) that when an individual is enrolled in CHAMP-VA, the insurance must be entered into eMedNY as a Commercial Health Insurance policy. The insurance code for CHAMP-VA is CVA.

CHAMP-VA is insurance available to the spouse or widow(er) and children of a military beneficiary who is not eligible for TRICARE. CHAMP-VA is available to the family members of a military beneficiary who:

  • is rated permanently and totally disabled due to a service connected disability;
  • was rated permanently and totally disabled due to a service connected condition at the time of death;
  • died of a service connected disability; or
  • died on active duty, and the dependents are not otherwise eligible for TRICARE benefits.