Medicaid and the Children's Health Insurance Program (CHIP) Offer ...

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Medicaid and the Children's Health Insurance Program (CHIP) Offer ...

Medicaid and the Children’s Health Insurance Program (CHIP)Offer Free Or Low-Cost Health Coverage To Children And FamiliesIf you are eligible for health coverage from your employer, but are unable to afford the premiums, some States havepremium assistance programs that can help pay for coverage. These States use funds from their Medicaid or CHIPprograms to help people who are eligible for employer-sponsored health coverage, but need assistance in paying theirhealth premiums.If you or your dependents are already enrolled in Medicaid or CHIP and you live in a State listed below, you can contactyour 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 yourdependents might be eligible for either of these programs, you can contact your State Medicaid or CHIP office or dial1-877-KIDS NOW or www.insurekidsnow.gov to find out how to apply. If you qualify, you can ask the State if it hasa 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, youremployer’s health plan is required to permit you and your dependents to enroll in the plan — as long as you and yourdependents are eligible, but not already enrolled in the employer’s plan. This is called a “special enrollment” opportunity,and you must request coverage within 60 days of being determined eligible for premium assistance.If you live in one of the following States, you may be eligible for assistance paying your employer healthplan premiums. The following list of States is current as of January 31, 2011. You should contact yourState for further information on eligibility.ALABAMA – MedicaidWebsite: http://www.medicaid.alabama.govPhone: 1-800-362-1504ALASKA – MedicaidWebsite: http://health.hss.state.ak.us/dpa/programs/medicaid/Phone (Outside of Anchorage): 1-888-318-8890Phone (Anchorage): 907-269-6529ARIZONA – CHIPWebsite: http://www.azahcccs.gov/applicants/default.aspxPhone: Statewide 1-877-764-5437Maricopa County 602-417-5437ARKANSAS – CHIPWebsite: http://www.arkidsfirst.com/Phone: 1-888-474-8275CALIFORNIA – MedicaidWebsite: http://www.dhcs.ca.gov/services/Pages/TPLRD_CAU_cont.aspxPhone: 1-866-298-8443COLORADO – Medicaid and CHIPMedicaid Website: http://www.colorado.gov/Medicaid Phone (In state): 1-800-866-3513Medicaid Phone (Out of state): 1-800-221-3943CHIP Website: http://www.CHPplus.orgCHIP Phone: 303-866-3243FLORIDA – MedicaidWebsite: http://www.fdhc.state.fl.us/Medicaid/index.shtmlPhone: 1-877-357-3268GEORGIA – MedicaidWebsite: http://dch.georgia.gov/Click on Programs, then MedicaidPhone: 1-800-869-1150IDAHO – Medicaid and CHIPMedicaid Website: http://www.accesstohealthinsurance.idaho.govMedicaid Phone: 1-800-926-2588CHIP Website: www.medicaid.idaho.govCHIP Phone: 1-800-926-2588INDIANA – MedicaidWebsite: http://www.in.gov/fssaPhone: 1-800-889-9948IOWA – MedicaidWebsite: http://www.dhs.state.ia.us/hipp/Phone: 1-888-346-9562KANSAS – MedicaidWebsite: https://www.khpa.ks.govPhone: 1-800-792-4884KENTUCKY – MedicaidWebsite: http://chfs.ky.gov/dms/default.htmPhone: 1-800-635-2570LOUISIANA – MedicaidWebsite: http://www.dhh.louisiana.gov/offices/?ID=92Phone: 1-888-342-6207


MAINE – MedicaidWebsite: http://www.maine.gov/dhhs/OIAS/publicassistance/index.htmlPhone: 1-800-321-5557MASSACHUSETTS – Medicaid and CHIPMedicaid & CHIP Website: http://www.mass.gov/MassHealthMedicaid & CHIP Phone: 1-800-462-1120MINNESOTA – MedicaidWebsite: http://www.dhs.state.mn.us/Click on Health Care, then Medical AssistancePhone (Outside of Twin City area): 800-657-3739Phone (Twin City area): 651-431-2670MISSOURI – MedicaidWebsite: http://www.dss.mo.gov/mhd/participants/pages/hipp.htmPhone: 573-751-2005MONTANA – MedicaidWebsite: http://medicaidprovider.hhs.mt.gov/clientpages/clientindex.shtmlTelephone: 1-800-694-3084NEBRASKA – MedicaidWebsite: http://www.dhhs.ne.gov/med/medindex.htmPhone: 1-877-255-3092NEVADA – Medicaid and CHIPMedicaid Website: https://dwss.nv.gov/Medicaid Phone: 1-800-992-0900CHIP Website: http://nevadacheckup.nv.gov/CHIP Phone: 1-877-543-7669NEW HAMPSHIRE – MedicaidWebsite: www.dhhs.nh.gov/ombp/index.htmPhone: 603-271-4238NEW JERSEY – Medicaid and CHIPMedicaid Website: http://www.state.nj.us/humanservices/dmahs/clients/medicaid/Medicaid Phone: 1-800-356-1561CHIP Website: http://www.njfamilycare.org/index.htmlCHIP Phone: 1-800-701-0710NEW MEXICO – Medicaid and CHIPMedicaid Website: http://www.hsd.state.nm.us/mad/index.htmlMedicaid Phone: 1-888-997-2583CHIP Website:http://www.hsd.state.nm.us/mad/index.htmlClick on Insure New MexicoCHIP Phone: 1-888-997-2583NEW YORK – MedicaidWebsite: http://www.nc.govPhone: 919-855-4100NORTH CAROLINA – MedicaidWebsite: http://www.dhhs.state.nc.us/dma/Phone: 919-855-4100NORTH DAKOTA – MedicaidWebsite: http://www.nd.gov/dhs/services/medicalserv/medicaid/Phone: 1-800-755-2604OKLAHOMA – MedicaidWebsite: http://www.insureoklahoma.orgPhone: 1-888-365-3742OREGON – Medicaid and CHIPMedicaid Website: http://www.oregon.gov/DHS/healthplan/index.shtmlMedicaid Phone: 1-800-359-9517CHIP Website: http://www.oregon.gov/DHS/healthplan/app_benefits/ohp4u.shtmlCHIP Phone: 1-800-359-9517PENNSYLVANIA – MedicaidWebsite: http://www.dpw.state.pa.us/partnersproviders/medicalassistance/doingbusiness/003670053.htmPhone: 1-800-644-7730RHODE ISLAND – MedicaidWebsite: http://www.dhs.ri.govPhone: 401-462-5300SOUTH CAROLINA – MedicaidWebsite: http://www.scdhhs.govPhone: 1-888-549-0820TEXAS – MedicaidWebsite: https://www.gethipptexas.com/Phone: 1-800-440-0493UTAH – MedicaidWebsite: http://health.utah.gov/uppPhone: 1-866-435-7414


VERMONT– MedicaidWebsite: http://ovha.vermont.gov/Telephone: 1-800-250-8427VIRGINIA – Medicaid and CHIPMedicaid Website: http://www.dmas.virginia.gov/rcp-HIPP.htmMedicaid Phone: 1-800-432-5924CHIP Website: http://www.famis.org/CHIP Phone: 1-866-873-2647WASHINGTON – MedicaidWebsite: http://hrsa.dshs.wa.gov/premiumpymt/Apply.shtmPhone: 1-800-562-3022 ext. 15473WEST VIRGINIA – MedicaidWebsite: http://www.wvrecovery.com/hipp.htmPhone: 304-342-1604WISCONSIN – MedicaidWebsite: http://www.badgercareplus.org/pubs/p-10095.htmPhone: 1-800-362-3002WYOMING – MedicaidWebsite: http://www.health.wyo.gov/healthcarefin/index.htmlPhone: 307-777-7531To see if any more States have added a premium assistance program since January 31, 2011, or for more informationon special enrollment rights, you can contact either:U.S. Department of LaborU.S. Department of Health and Human ServicesEmployee Benefits Security AdministrationCenters for Medicare & Medicaid Serviceshttp://www.dol.gov/ebsahttp://www.cms.hhs.gov1-866-444-EBSA (3272) 1-877-267-2323, Ext. 61565OMB Control Number 1210-0137 (expires 09/30/2013)

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