MISSOURI Medicaid
NEW YORK Medicaid
Website: http://www.dss.mo.gov/mhd/ participants/pages/hipp.htm Phone: 573-751-2005
Website: https://www.health.ny.gov/health_ care/medicaid/ Phone: 1-800-541-2831
INDIANA Medicaid
VIRGINIA Medicaid and CHIP
Healthy Insurance Premium Payment Program All other Medicaid Website: https://www.in.gov/medicaid/ http://www.in.gov/fssa/hip/ Family and Social Services Administration Phone: 1-800-403-0864 Member Services Phone: 1-800-457-4584 MASSACHUSETTS Medicaid and CHIP Website: https://www.mass.gov/masshealth/ pa Phone: 1-800-862-4840 TTY: 711 Email: masspremassistance@accenture.com Maine - Medicaid Enrollment Website: https://www. mymaineconnection.gov/benefits/s/?language=en_ US Phone: 1-800-442-6003 TTY: Maine relay 711 Private Health Insurance Premium Webpage: https://www.maine.gov/dhhs/ofi/applications- forms Phone: 1-800-977-670 TTY: Maine relay 711
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 Medicaid/ Medicaid/CHIP Phone: 1-800-432-5924 PENNSYLVANIA Medicaid AND CHIP Website: https://www.pa.gov/en/services/dhs/ apply-for-medicaid-health-insurance-premium- payment-program-hipp.html Phone: 1-800-692-7462 CHIP Website: Children’s Health Insurance Program (CHIP) (pa.gov) CHIP Phone: 1-800-986-KIDS (5437)
To see if any other states have added a premium assistance program since July 31, 2025, or for more information on special enrollment rights, contact either:
U.S. Department of Labor Employee Benefits Security Administration
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
www.dol.gov/agencies/ebsa 1-866-444-EBSA (3272)
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