CHIPRA Notice

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’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.

If 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, 2017.  You should contact your State for further information on eligibility –

 

ALABAMA – Medicaid COLORADO – Medicaid
Website: http://myalhipp.com

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 and CHIP  MONTANA – Medicaid
Medicaid Website: www.accesstohealthinsurance.idaho.gov

Medicaid Phone: 1-800-926-2588

CHIP Website: www.medicaid.idaho.gov

CHIP 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

HIP 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 and CHIP VERMONT– Medicaid
Website: http://www.oregonhealthykids.gov
               http://www.hijossaludablesoregon.gov

Phone: 1-877-314-5678
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://hrsa.dshs.wa.gov/premiumpymt/Apply.shtm

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 more States have added a premium assistance program since January 31, 2013, 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                                                www.cms.hhs.gov                                           

1-866-444-EBSA (3272)                                      1-877-267-2323, Menu Option 4, Ext. 61565

Paperwork Reduction Act Statement

According to the Paperwork Reduction Act of 1995 (Pub. L. 104-13) (PRA), no persons are required to respond to a collection of information unless such collection displays a valid Office of Management and Budget (OMB) control number. The Department notes that a Federal agency cannot conduct or sponsor a collection of information unless it is approved by OMB under the PRA, and displays a currently valid OMB control number, and the public is not required to respond to a collection of information unless it displays a currently valid OMB control number. See 44 U.S.C. 3507. Also, notwithstanding any other provisions of law, no person shall be subject to penalty for failing to comply with a collection of information if the collection of information does not display a currently valid OMB control number. See 44 U.S.C. 3512.

The public reporting burden for this collection of information is estimated to average approximately seven minutes per respondent. Interested parties are encouraged to send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the U.S. Department of Labor, Employee Benefits Security Administration, Office of Policy and Research, Attention: PRA Clearance Officer, 200 Constitution Avenue, N.W., Room N-5718, Washington, DC 20210 or email ebsa.opr@dol.gov and reference the OMB Control Number 1210-0137.