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

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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 who 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 (listed below) to find out how to apply or call 877-KIDS-NOW (877-543-7669) or visit Insurekidsnow.gov. 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 (contact below).

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 August 2016. You should contact your state for further information on eligibility. To see if any more states have added a premium assistance program since August 2016, or for more information on special enrollment rights, you can contact either:

  • U.S. Department of Labor, Employee Benefits Security Administration: dol.gov/agencies/ebsa or 866-444-EBSA (866-444-3272)
  • U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services: cms.gov or 877-267-2323, Menu Option 4, Ext. 61565
STATE RESOURCES
Alabama Medicaid: medicaid.alabama.gov
334-242-5000
Alaska Medicaid: dhss.alaska.gov/dpa/pages/medicaid/default.aspx
800-770-5650 or 907-644-6800
Arizona CHIP: azahcccs.gov
602-417-4000 or 800-523-0231 (out of state)
Colorado Medicaid: colorado.gov/hcpf
800-866-3513 (in state) or 800-221-3943 (out of state)
Florida Medicaid: flmedicaidtplrecovery.com
877-357-3268
Georgia Medicaid: medicaid.georgia.gov/
800-436-7442
Idaho Medicaid: healthandwelfare.idaho.gov or 800-926-2588
CHIP: medicaid.idaho.gov or 800-926-2588
Indiana Medicaid: in.gov/fssa
877-438-4479
Iowa Medicaid: dhs.iowa.gov/ime/members/medicaid-a-to-z
888-346-9562
Kansas Medicaid: kdhe.ks.gov/250/About-Medicaid-CHIP
800-792-4884
Kentucky Medicaid: chfs.ky.gov/agencies/dms/Pages/default.aspx
800-635-2570
Louisiana Medicaid: dhh.louisiana.gov
888-342-6207
Maine Medicaid: maine.gov/dhhs/ofi/public-assistance/index.html
800-977-6740
Massachusetts Medicaid & CHIP: mass.gov/MassHealth
800-841-2900
Minnesota Medicaid: mn.gov/dhs
800-657-3672
Missouri Medicaid: dss.mo.gov/mhd/participants/pages/hipp.htm
573-751-2005
Montana Medicaid: healthcare.mt.gov
800-362-8312
Nebraska Medicaid: ACCESSNebraska.ne.gov
800-383-4278
Nevada Medicaid: medicaid.nv.gov/
800-992-0900
New Hampshire Medicaid: dhhs.nh.gov/programs-services/medicaid
603-271-5218
New Jersey Medicaid: state.nj.us/humanservices/dmahs/clients/medicaid or 800-356-1561
CHIP: njfamilycare.org/index.html or 800-701-0710
New York Medicaid: health.ny.gov/publications/0548/medicaid
800-541-2831
North Carolina Medicaid: medicaid.ncdhhs.gov
800-662-7030
North Dakota Medicaid: nd.gov/dhs/services/medicalserv/medicaid
800-755-2604
Oklahoma Medicaid & CHIP: okhca.org 
888-365-3742
Oregon Medicaid & CHIP: oregon.gov/shiba/Pages/index.aspx
800-699-9075
Pennsylvania Medicaid: compass.state.pa.us
800-692-7462
Rhode Island Medicaid: healthyrhode.ri.gov/
855-840-4774
South Carolina Medicaid: scdhhs.gov
888-549-0820
South Dakota Medicaid: dss.sd.gov
605-773-3165
Texas Medicaid: gethipptexas.com
800-440-0493
Utah Medicaid: chip.health.utah.gov
801-538-6003
Vermont Medicaid: info.healthconnect.vermont.gov/Medicaid
855-899-9600
Virginia Medicaid: dmas.virginia.gov or 800-432-5924
CHIP: chipofvirginia.org/ or 866-873-2647
Washington Medicaid: hca.wa.gov
800-562-3022 ext. 15473
West Virginia Medicaid: dhhr.wv.gov/bms
304-558-1700
Wisconsin Medicaid: dhs.wisconsin.gov/badgercareplus/index.htm
800-947-3529
Wyoming Medicaid: health.wyo.gov/healthcarefin/medicaid/
307-777-7531