NEW JERSEY – Medicaid and CHIP
Medicaid Website: http:// www. state. nj. us / humanservices / dmahs / clients / medicaid / Phone: 1-800-356-1561 CHIP Premium Assistance Phone: 609-631- 2392 CHIP Website: http:// www. njfamilycare. org / index. html CHIP Phone: 1-800-701-0710( TTY: 711)
NEW YORK – Medicaid
Website: https:// www. health. ny. gov / health _ care / medicaid / Phone: 1-800-541-2831
NORTH CAROLINA – Medicaid
Website: https:// medicaid. ncdhhs. gov / Phone: 919-855-4100
NORTH DAKOTA – Medicaid
Website: https:// www. hhs. nd. gov / healthcare Phone: 1-844-854-4825
OKLAHOMA – Medicaid and CHIP
Website: http:// www. insureoklahoma. org Phone: 1-888-365-3742
OREGON – Medicaid
Website: http:// healthcare. oregon. gov / Pages / index. aspx Phone: 1-800-699-9075
PENNSYLVANIA – Medicaid
Website: https:// www. pa. gov / en / services / dhs / apply-for-medicaid-health-insurancepremium-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)
RHODE ISLAND – Medicaid
Website: http:// www. eohhs. ri. gov / Phone: 1-855-697-4347, or 401-462-0311( Direct RIte Share Line)
SOUTH CAROLINA – Medicaid
Website: https:// www. scdhhs. gov Phone: 1-888-549-0820
SOUTH DAKOTA – Medicaid
Website: http:// dss. sd. gov Phone: 1-888-828-0059
TEXAS – Medicaid
Website: Health Insurance Premium Payment( HIPP) Program | Texas Health and Human Services Phone: 1-800-440-0493
UTAH – Medicaid and CHIP
Utah’ s Premium Partnership for Health Insurance( UPP) Website: https:// medicaid. utah. gov / upp / Email: upp @ utah. gov Phone: 1-888-222-2542 Adult Expansion Website: https:// medicaid. utah. gov / expansion / Utah Medicaid Buyout Program Website: https:// medicaid. utah. gov / buyoutprogram / CHIP Website: https:// chip. utah. gov /
VERMONT – Medicaid
Website: Health Insurance Premium Payment( HIPP) Program | Department of Vermont Health Access Phone: 1-800-250-8427
VIRGINIA – Medicaid and CHIP
Website: https:// coverva. dmas. virginia. gov / learn / premium-assistance / famis-select
https:// coverva. dmas. virginia. gov / learn / premium-assistance / health-insurancepremium-payment-hipp-programs
Medicaid / CHIP Phone: 1-800-432-5924
WASHINGTON – Medicaid
Website: http:// www. hca. wa. gov / free-or-low-cost-health-care / programadministration / premium-payment-program Phone: 1-800-562-3022 ext. 15473
WEST VIRGINIA – Medicaid and CHIP
Website: https:// dhhr. wv. gov / bms /
http:// mywvhipp. com /
Medicaid Phone: 304-558-1700 CHIP Toll-free phone: 1-855-MyWVHIPP( 1- 855-699-8447)
WISCONSIN – Medicaid and CHIP
Website: https:// www. dhs. wisconsin. gov / badgercareplus / p-10095. htm Phone: 1-800-362-3002
WYOMING – Medicaid
Website: https:// health. wyo. gov / healthcarefin / medicaid / programs-andeligibility /
Phone: 1-800-251-1269
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
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, not withstanding 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.
OMB Control Number 1210-0137( expires 1 / 31 / 2026)
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