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 U.S. Department of Labor, Employee Benefits Security Administration 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 July 31, 2018. Contact your State for more information on eligibility.

ALABAMA - MedicaidNEW JERSEY - Medicaid and CHIP
Website: myalhipp.com
Phone: 1-855-692-5447
Medicaid Website: www.state.nj.us/humanservices/dmahs/clients/medicaid/
Medicaid Phone: (609) 631-2392
CHIP Website: www.njfamilycare.org
CHIP Phone: 1-800-701-0710
ALASKA - MedicaidNEW YORK - Medicaid
The AK Health Insurance Premium Payment Program
Website: myakhipp.com/
Phone: 1-866-251-4861
Email: [email protected]
Medicaid Eligibility: dhss.alaska.gov/dpa/Pages/medicaid/default.aspx
Website: www.health.ny.gov/health_care/medicaid/
Phone: 1-800-541-2831
ARKANSAS - MedicaidNORTH CAROLINA - Medicaid
Website: myarhipp.com/
Phone: 1-MYARHIPP (1-855-692-7447)
Website: medicaid.ncdhhs.gov/
Phone: (919) 855-4100
COLORADO - Health First Colorado (Colorado's Medicaid Program) & Child Health Plan Plus (CHP+)NORTH DAKOTA - Medicaid
Health First Colorado Website: www.healthfirstcolorado.com/
Health First Colorado Phone: 1-800-221-3943
CHP+ Website: www.colorado.gov/pacific/hcpf/child-health-plan-plus
CHP+ Phone: 1-800-359-1991
Website: www.nd.gov/dhs/services/medicalserv/medicaid/
Phone: 1-844-854-4825
FLORIDA - MedicaidOKLAHOMA - Medicaid & CHIP
Website: flmedicaidtplrecovery.com/hipp/
Phone: 1-877-357-3268
Website: www.insureoklahoma.org/
Phone: 1-888-365-3742
GEORGIA - MedicaidOREGON - Medicaid
Website: https://medicaid.georgia.gov/third-party-liability/health-insurance-premium-payment-program-hipp
Phone: (404) 656-4507
Website: healthcare.oregon.gov
Phone: 1-800-699-9075
INDIANA - MedicaidPENNSYLVANIA - Medicaid
Healthy Indiana Plan for low-income adults 19-64
Website: www.in.gov/fssa/hip/
Phone: 1-877-438-4479
All other Medicaid
Website: www.in.gov/medicaid/
Phone: 1-800-403-0864
Website: www.dhs.pa.gov/provider/medicalassistance/
Phone: 1-800-692-7462
IOWA - MedicaidRHODE ISLAND - Medicaid
Website: dhs.iowa.gov/hawki
Phone: 1-800-257-8563
Website: www.eohhs.ri.gov/
Phone: 855-697-4347
KANSAS - MedicaidSOUTH CAROLINA - Medicaid
Website: www.kdheks.gov/hcf/
Phone: (785) 296-3512
Website: www.scdhhs.gov/
Phone: 1-888-549-0820
KENTUCKY - MedicaidSOUTH DAKOTA - Medicaid
Website: chfs.ky.gov/agencies/dms/Pages/default.aspx
Phone: 1-800-635-2570
Website: dss.sd.gov/
Phone: 1-888-828-0059
LOUISIANA - MedicaidTEXAS - Medicaid
Website: ldh.la.gov/index.cfm/subhome/1
Phone: 1-888-695-2447
Website: hhs.texas.gov/services/financial/health-insurance-premium-payment-hipp-program
Phone: 1-800-440-0493
MAINE - MedicaidUTAH - Medicaid & CHIP
Website: www.maine.gov/dhhs/ofi/
Phone: 1-800-442-6003
Medicaid Website: medicaid.utah.gov/
CHIP Website: chip.health.utah.gov/
Phone: 1-877-543-7669
MASSACHUSETTS - Medicaid & CHIPVERMONT - Medicaid
Website: www.mass.gov/topics/masshealth
Phone: 1-800-862-4840
Website: www.greenmountaincare.org/
Phone: 1-800-250-8427
MINNESOTA - MedicaidVIRGINIA - Medicaid & CHIP
Website: mn.gov/dhs/people-we-serve/seniors/health-care/health-care-programs/programs-and-services/medical-assistance.jsp
Phone: 1-800-657-3739
Website: www.coverva.org/hipp/
Medicaid Phone: 1-800-432-5924
CHIP Phone: 1-855-242-8282
MISSOURI - MedicaidWASHINGTON - Medicaid
Website: dss.mo.gov/mhd/participants/pages/hipp.htm
Phone: (573) 751-2005
Website: www.hca.wa.gov/health-care-services-supports/program-administration/premium-payment-program
Phone: 1-800-562-3022 ext 15473
MONTANA - MedicaidWEST VIRGINIA - Medicaid
Website: dphhs.mt.gov/MontanaHealthcarePrograms/HIPP
Phone: 1-800-694-3084
Website: mywvhipp.com/
Toll-free phone: 1-855-MyWVHIPP (1-855-699-8447)
NEBRASKA - MedicaidWISCONSIN - Medicaid & CHIP
Website: dhhs.ne.gov/Pages/General-Medicaid-Information.aspx
Phone: 855-632-7633
Lincoln: (402) 473-7000
Omaha: (402) 595-1178
Website: www.dhs.wisconsin.gov/badgercareplus/index.htm
Phone: 1-800-362-3002
NEVADA - MedicaidWYOMING - Medicaid
Website: dhcfp.nv.gov/
Phone: 1-800-992-0900
Website: wymedicaid.portal.conduent.com/
Phone: (307) 777-7531
NEW HAMPSHIRE - Medicaid
Website: www.dhhs.nh.gov/ombp/medicaid/index.htm
Phone: 603-271-5218
NH Medicaid Service Center: 1-888-901-4999

To see if any other states have added a premium assistance program since July 31, 2018, or for more information on special enrollment rights, contact either:

U.S. Department of Labor
Employee Benefits Security Administration
www.dol.gov/agencies/ebsa
1-866-444-EBSA (3272)
U.S. Department of Health and Human Services Center for Medicare & Medicaid Services
www.cms.gov
1-877-267-2323, Menu Option 4, Ext 61565

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