NEW JERSEY – Medicaid and CHIP
RHODE ISLAND – Medicaid and CHIP
Medicaid Website: http://www.state.nj.us/humanservices/dmahs/clients/medicaid/ Medicaid Phone: (800) 356-1561 CHIP Premium Assistance Phone: (609) 631-2392 CHIP Website: http://www.njfamilycare.org/index.html CHIP Phone: (800) 701-0710 (TTY: 711)
Website : http://www.eohhs.ri.gov/ Phone: (855) 697-4347 or
(401) 462-0311 (Direct Rite Share Line)
NEW YORK – Medicaid
SOUTH CAROLINA – Medicaid
Website: https://www.health.ny.gov/health_care/medicaid/ Phone: (800) 541-2831
Website: https://www.scdhhs.gov Phone: (888) 549-0820
NORTH CAROLINA – Medicaid
SOUTH DAKOTA - Medicaid
Website: https://medicaid.ncdhhs.gov/ Phone: (919) 855-4100
Website: http://dss.sd.gov Phone: (888) 828-0059
NORTH DAKOTA – Medicaid
TEXAS – Medicaid
Website: https://www.hhs.nd.gov/healthcare Phone: (844) 854-4825
Website: Health Insurance Premium Payment (HIPP) Program | Texas Health and Human Services Phone: (800) 440-0493
OKLAHOMA – Medicaid and CHIP
UTAH – Medicaid and CHIP
Website: http://www.insureoklahoma.org Phone: (888) 365-3742
Utah’s Premium Partnership for Health Insurance (UPP) Medicaid Website: https://medicaid.utah.gov/upp/ Email: upp@utah.gov Phone: (888) 222-2542 Adult Expansion Website: https://medicaid.utah.gov/expansion/
Utah Medicaid Buyout Program Website: https://medicaid.utah.gov/buyout-program/ CHIP Website: http://health.utah.gov/chip
VERMONT – Medicaid
WEST VIRGINIA – Medicaid and CHIP
Website: Health Insurance Premium Payment (HIPP) Program | Department of Vermont Health Access Phone: (800) 250-8427
Website:
https://dhhr.wv.gov/bms/ http://mywvhipp.com/
Medicaid Phone: (304) 558-1700 CHIP Toll-Free Phone: (855) MyWVHIPP (699-8447)
VIRGINIA – Medicaid and CHIP
WISCONSIN – Medicaid and CHIP
Website:
https://coverva.dmas.virginia.gov/learn/premium- assistance/famis-select https://coverva.dmas.virginia.gov/learn/premium- assistance/health-insurance-premium-payment-hipp- programs
Website: https://www.dhs.wisconsin.gov/badgercareplus/p-10095.htm Phone: (800) 362-3002
Medicaid & CHIP Phone: (800) 432-5924
WASHINGTON – Medicaid
WYOMING – Medicaid
Website: https://www.hca.wa.gov/ Phone: (800) 562-3022
Website: https://health.wyo.gov/healthcarefin/medicaid/programs- and-eligibility/ Phone: (800) 251-1269
To see if any other states have added a premium assistance program since July 31, 2024, 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 Centers for Medicare & Medicaid Services www.cms.hhs.gov 1-877-267-2323, Menu Option 4, Ext. 61565
OMB Control Number 1210-0137 (Expires: 1/31/2026)
49
Made with FlippingBook interactive PDF creator