HomeMy WebLinkAboutCHIPRA NoticeCHIPRA
Premium Assistance Under Medicaid and the Children's
Health Insurance Program (CHIP)
If you or your children are eligible for Medicaid or CHIP and
you are eligible for health coverage from your employer, your
State may have a premium assistance program that can help
pay for coverage. These States use funds from their
Medicaid or CHIP programs to help people who are eligible
for these programs, but also have access to health insurance
through their employer. If you or your children are not eligible
for Medicaid or CHIP, you will not be eligible for these
premium assistance programs.
If you or your dependents are already enrolled in Medicaid or
CHIP and you live in a State listed below, you can 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,
you can 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, you can ask the State if it has a
program that might help you pay the premiums for an
employer-sponsored plan.
Once it is determined that you or your dependents are
eligible for premium assistance under Medicaid or CHIP, as
well as eligible under your employer plan, your employer
must permit you to enroll in your employer plan if you are not
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, you can contact the Department of Labor
electronically at www.askebsa.dol.gov or by calling toll-free
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
July 31, 2014. You should contact your State for fur-
ther information on eligibility
Alabama - Medicaid
Website http'/Avww medicaidalabama. gov
Phone: 1-855-692-5447
Alaska - Medicaid
Website: httpYlhealth hss.state ak usldpal
prograrrdmed-ioll
Phone (Outside of Anchorage): 1-888-318-8890
Phone (Anchorage): 907-26M529
Arizona - CHIP
Website: http fi%vmv azahcccs gov/applicants
Phone (Outside of Maricopa County).
1-877-764.5437
Phone (Manoopa County): 602417-5437
Colorado - Medicaid
Med,caid Website: hap'.lhweN colorado,govl
Med,cald Phone (In state): 1-800-666-3513
Medicaid Phone (Out of state) 1.800-221.3943
Florida - Medicaid
Webale. https./Nn nmedicaidtplrecovery.conV
Phone: 1877-357-3268
Georgia - Medicaid
Wobsite. http.//dch.georg,a.govl
Click on Programs, then Medicaid, then Health
Insurance Premum Payment (HIPP)
Phone: 1-800-869-1150
Idaho - Medicaid
Madreaid Webste. http://
heanhandwetfare. W ho. gov/ModicaVMedicaid!
Premium4ssistanceltabid1151010efauft aspx
Medicaid Phone: 1.800.928.2588
Indiana • Medicaid
North Carolina - Medicaid
Website http:/Mavw in gov/fssa
Website: hV1A%ve.v.ncdhhs.gov1dma
Phone. 1-000-889-0949
Phone: 919-855A I00
Iowa - Medicaid
North Dakota - Medicaid
Website: yAwdhs.staIe.ia.us/hipp/
Website:
Phone 1-888-346-9562
http//w.vw.nd gov/dhs/services+medicalservir
medicaid!
Phone: 1-500-755-2604
Kansas - Medicaid
Website http:11w.vv kdheks govfhcf/
Oklahoma - Medicaid and CHIP
Phone: 1-800-792-48M
Website: http:pww.v.insureoklahoma.org
Phone: 1.888.365.3742
Kentucky - Medicaid
Website http://chfs.kygovldmstd-rault.htm
Phono. 1-800-635-2570
Oregon - Medicaid
Website: http://wmv oregonhealthykids gov
http:/Avav hiiossaludablesoregon.gw
Phone. 1-800-699-9075
Louisiana - Medicaid
Website: http+/wv Iahipp.dhh louisiana,gov
Pennsylvania - Medicaid
Phone: 1-886$95-2447
Website: http,/havwvdpv state. pa.us/hipp
Phone. 1-800-692-7462
Maine - Medicaid
Website http,/Aa r ine.gov/dhhs/ofi/public-
a ssisla n ceAnd ex. him l
Phone: 1.800.9775740
Rhode Island - Medicaid
Website: wwwohhs.ri.gov
Phone: 401-4625300
TTY 1-6w-977-6741
Massachusetts — Medicaid and CHIP
Website http/Nmwmass.gov/fdassHealth
Phone. 1-800.462-1120
South Carolina - Medicaki
Websde: http J+wmvscdhhs. gov
Minnesota - Medicaid
Phone: 1-888-549-0820
Website: http:/Muw.dhs.state.mn "I
South Dakota -Medicaid
Click on Health Care, then Medical Assistance
Phone. 1-800-8573629
Website: http /Idss.sd gov
Phone: 1-888-828-0059
Missouri - Medicaid
Texas - Medicaid
Wobsite. http:lAmvv.dss.mo.govlmhd/participants!
Website: httpsa/vvAw.gethipploxas.croM
pagesrhipp.htm
Phone: 1-800-440-0493
Phone: 573-751-2005
Montana -Medlcald
Utah - Medicaid and CHIP
Website- http7/medeaidprovidechhs. ml govt
Welnite:866435.7A.utah.gov/upp
Phone: 1-866.435.7414
chentpageslclentindex.shtml
Phone. 1-800594-3084
Vermont - Medicaid
Nebraska - Medicaid
Website: http.//%vmvgreenmountaincato.orgl
Website. %xuv.AOCESSNebraska.ne aov
Phone: t-800-250-8427
Phone- 1.855.632.7633
Virginia - Medicaid and CHIP
Medicaid Wobslte: http./1mvvcoverva.org1
programs_prerr 1 um_assistance, dm
Medicaid Phone: 1.800.432.5924
CHIP Website: httpJAmvvccverva.org+
Nevada - Medicaid
Medicaid Website http1/dussnv.gov1
programs_preniumassistance. cfm
CHIP Phone: t-655._242$282
Medicaid Phone. 1-800-992-0900
Washington - Medicaid
Website: httpllwvw. hca %w.gov/medicaid/
pre mumpymt/pages/ Index.aspx
New Hampshire - Medicaid
Phone: 1.800.562-3022 ext. 15473
Website http.i&v .dhhs.nh.gov/oiildocumentsl
hippapp.pdf
Phone 603-271-5218
West Virginia - Medicaid
Website: w,wrdhhr.m.gov/bms/
Phone. 1-877598-5820. HMS Third Party Liabildy
New Jersey - Medicaid and CHIP
Medicald Website. http://v ..state.nj.usl
Wisconsin - Medicaid
humanservicesJdmahslclients/med,caidl
Medicaid Phone. 609-631-2392
CHIP Website: http /AwAvnffamilycare orgl
ebsi e: h
Website:http:+lw.vw.batlgercarepNs.org/puln+p-
him
CHIP Phone: 1-800.701-0710
CHIP Phone:
Phone, 1-800-362-3002
New York - Medicaid
Wyoming - Medicaid
Website http: thvmv.nyhealth.gov/health care+
Website: http l+health tvyo.gov/healthcarehn/
medicald+
equalitycare
Phone 1-800541-2831
Phone. 307-777-7531
To see if any more States have added a premium assistance program since July
31, 2014, or for more information on special enrollment rights, you can contact
either.
U.S. Department of Labor U.S. Department of Health and Human Services
Employee Benefits Security Administration Centers for Medicare & Medicaid Services
www dol-gov/ebsa vw v.cros.i gov
1-866-444-EBSA (3272) 1.877.267-2323, Menu Option 4, Ext. 61565
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