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Premium Assistance Under Medicaid and the Children’s Health Insurance Program (CHIP)
 

   5/7/2014

If you or your children are eligible for Medicaid or CHIP and you’re eligible for health coverage from your employer, your state may have a premium assistance program that can help pay for coverage, using funds from their Medicaid or CHIP programs.  If you or your children aren’t eligible for Medicaid or CHIP, you won’t be eligible for these premium assistance programs but you may be able to buy individual insurance coverage through the Health Insurance Marketplace.  For more information, visit www.healthcare.gov.
  

If you or your dependents are already enrolled in Medicaid or CHIP and you live in a State listed below, contact your State Medicaid or CHIP office to find out if premium assistance is available. 

If you or your dependents are NOT currently enrolled in Medicaid or CHIP, and you think you or any of your dependents might be eligible for either of these programs, contact your State Medicaid or CHIP office or dial
1-877-KIDS NOW or www.insurekidsnow.gov to find out how to apply.  If you qualify, ask your state if it has a program that might help you pay the premiums for an employer-sponsored plan. 

I
f you or your dependents are eligible for premium assistance under Medicaid or CHIP, as well as eligible under your employer plan, your employer must allow you to enroll in your employer plan if you aren’t already enrolled.  This is called a “special enrollment” opportunity, and you must request coverage within 60 days of being determined eligible for premium assistance. If you have questions about enrolling in your employer plan, contact the Department of Labor at www.askebsa.dol.gov or call 1-866-444-EBSA (3272).

 

If you live in one of the following states, you may be eligible for assistance paying your employer health plan premiums.  The following list of states is current as of January 31, 2014.  Contact your State for more information on eligibility –

ALABAMA – Medicaid

COLORADO – Medicaid


Website: http://www.medicaid.alabama.gov

 Phone: 1-855-692-5447

 

 

Medicaid Website: http://www.colorado.gov/

 Medicaid Phone (In state): 1-800-866-3513

Medicaid Phone (Out of state): 1-800-221-3943

  

ALASKA – Medicaid

 

Website: http://health.hss.state.ak.us/dpa/programs/medicaid/

 Phone (Outside of Anchorage): 1-888-318-8890

 Phone (Anchorage): 907-269-6529

 

ARIZONA – CHIP

FLORIDA – Medicaid

 

Website: http://www.azahcccs.gov/applicants

Phone (Outside of Maricopa County): 1-877-764-5437

Phone (Maricopa County): 602-417-5437

 

 

 

Website: https://www.flmedicaidtplrecovery.com/

 Phone: 1-877-357-3268

 

GEORGIA – Medicaid


Website: http://dch.georgia.gov/ - Click on Programs, then Medicaid, then Health Insurance Premium Payment (HIPP)

 Phone: 1-800-869-1150

IDAHO – Medicaid

MONTANA – Medicaid

 

Medicaid Website: http://healthandwelfare.idaho.gov/Medical/Medicaid/PremiumAssistance/tabid/1510/Default.aspx

 

Medicaid Phone: 1-800-926-2588

 

 

 

Website: http://medicaidprovider.hhs.mt.gov/clientpages/

clientindex.shtml

 

Phone: 1-800-694-3084

 

 

INDIANA – Medicaid

NEBRASKA – Medicaid

 

Website: http://www.in.gov/fssa

 

Phone: 1-800-889-9949

 

 

Website: www.ACCESSNebraska.ne.gov

 

Phone: 1-800-383-4278

 

 

IOWA – Medicaid

NEVADA – Medicaid

 

Website: www.dhs.state.ia.us/hipp/

 

Phone: 1-888-346-9562

 

 

Medicaid Website:  http://dwss.nv.gov/

 

Medicaid Phone:  1-800-992-0900

 

 

KANSAS – Medicaid

 

Website: http://www.kdheks.gov/hcf/

 

Phone: 1-800-792-4884

 

KENTUCKY – Medicaid

NEW HAMPSHIRE – Medicaid

 

Website: http://chfs.ky.gov/dms/default.htm

 

Phone: 1-800-635-2570

 

 

Website: http://www.dhhs.nh.gov/oii/documents/hippapp.pdf

 

Phone: 603-271-5218

LOUISIANA – Medicaid

NEW JERSEY – Medicaid and CHIP

 

Website: http://www.lahipp.dhh.louisiana.gov

 

Phone: 1-888-695-2447

 

 

Medicaid Website: http://www.state.nj.us/humanservices/

dmahs/clients/medicaid/

 

Medicaid Phone: 609-631-2392

 

CHIP Website: http://www.njfamilycare.org/index.html

 

CHIP Phone: 1-800-701-0710

 

 

MAINE – Medicaid

 

Website: http://www.maine.gov/dhhs/ofi/public-assistance/index.html

 

Phone: 1-800-977-6740

   TTY 1-800-977-6741

 

MASSACHUSETTS – Medicaid and CHIP

NEW YORK – Medicaid

 

Website: http://www.mass.gov/MassHealth

 

Phone: 1-800-462-1120

 

 

 

Website: http://www.nyhealth.gov/health_care/medicaid/

 

Phone: 1-800-541-2831

 

MINNESOTA – Medicaid

NORTH CAROLINA – Medicaid

 

Website: http://www.dhs.state.mn.us/

 

    Click on Health Care, then Medical Assistance

 

Phone: 1-800-657-3629

 

 

 

Website:  http://www.ncdhhs.gov/dma

 

Phone:  919-855-4100

MISSOURI – Medicaid

NORTH DAKOTA – Medicaid

 

Website: http://www.dss.mo.gov/mhd/participants/pages/hipp.htm

 

Phone: 573-751-2005

 

 

 

Website: http://www.nd.gov/dhs/services/medicalserv/medicaid/

 

Phone: 1-800-755-2604

 

OKLAHOMA – Medicaid and CHIP

UTAH – Medicaid and CHIP

 

Website: http://www.insureoklahoma.org

 

Phone: 1-888-365-3742

 

Website: http://health.utah.gov/upp

 

Phone: 1-866-435-7414

 

OREGON – Medicaid

VERMONT– Medicaid

 

 

Website: http://www.oregonhealthykids.gov

               http://www.hijossaludablesoregon.gov

Phone: 1-800-699-9075

 

Website: http://www.greenmountaincare.org/

 

Phone: 1-800-250-8427

 

PENNSYLVANIA – Medicaid

VIRGINIA – Medicaid and CHIP

 

Website: http://www.dpw.state.pa.us/hipp

Phone: 1-800-692-7462

 

 

Medicaid Website:  http://www.dmas.virginia.gov/rcp-HIPP.htm

 

Medicaid Phone:  1-800-432-5924

 

CHIP Website: http://www.famis.org/

 

CHIP Phone: 1-866-873-2647

 

RHODE ISLAND – Medicaid

WASHINGTON – Medicaid

 

Website: www.ohhs.ri.gov

 

Phone: 401-462-5300

 

 

 

Website: http://www.hca.wa.gov/medicaid/premiumpymt/pages/index.aspx

 

 

Phone:  1-800-562-3022 ext. 15473

SOUTH CAROLINA – Medicaid

WEST VIRGINIA – Medicaid

 

Website: http://www.scdhhs.gov

 

Phone: 1-888-549-0820

 

 

Website:  www.dhhr.wv.gov/bms/

Phone:  1-877-598-5820, HMS Third Party Liability

 

SOUTH DAKOTA - Medicaid

WISCONSIN – Medicaid

Website: http://dss.sd.gov

Phone: 1-888-828-0059

                

 

Website: http://www.badgercareplus.org/pubs/p-10095.htm

 

Phone: 1-800-362-3002

 

TEXAS – Medicaid

WYOMING – Medicaid

 

Website: https://www.gethipptexas.com/

 

Phone: 1-800-440-0493

 

Website: http://health.wyo.gov/healthcarefin/equalitycare

 

Phone: 307-777-7531

 



To see if any other states have added a premium assistance program since January 31, 2014, or for more information on special enrollment rights, contact either:

U.S. Department of Labor
Employee Benefits Security Administration
www.dol.gov/ebsa
1-866-444-EBSA (3272)


U.S. Department of Health and Human Services
Centers for Medicare & Medicaid Services
www.cms.hhs.gov
1-877-267-2323, Option 4, Ext. 61565


OMB Control Number 1210-0137 (expires 10/31/2016)

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