Enrolling in CHIP

 Families who are eligible for CHIP services:

• Live in the Virginia Cities of Roanoke or Salem or the Counties of Botetourt, Craig or Roanoke
• Have family incomes at or below 185% of the Federal Poverty Level
• Have 1 or more child under the age of 5, or are expecting their first child
• Have children who are insured or eligible for insurance through the state's Medicaid programs www.famis.org
• Have custody (full or joint) of the child(ren) they wish to enroll
• Are available for monthly home visits during CHIP Office Hours (8:00-5:00 Monday-Friday)

 CHIP Referral Form

 Prenatal Referral Form

 Federal Poverty Level

 If you are interested in enrolling your family in CHIP, or would like to refer a family for CHIP services, please contact the Intake Coordinator at (540) 857-6993 x104.