Life Events - medicaid/chip (children's Health Insurance Program)

Gain or Loss of Eligibility for Medicaid/CHIP

When you experience a change that results in a gain or loss of eligibility for Medicaid/CHIP*, you may be able to make certain adjustments to your benefits correlating to your status change within 60 days.

Effective April 1, 2009, the Children’s Health Insurance Program Reauthorization Act of 2009 ("CHIPRA") adds two new special enrollment events.  You or your dependent(s) will be permitted to enroll or cancel coverage in the university’s sponsored health plan coverage in either of the following circumstances:

  1. You or your dependent’s Medicaid or state Children’s Health Insurance Program ("CHIP") coverage is canceled due to a loss of eligibility.  You must request to enroll in U-M’s group health plan within sixty (60) days from the date you or your dependent loses coverage.
  2. You or your dependent(s) enrolls in Medicaid or the state CHIP.  You may cancel coverage in U-M’s group health plan within sixty (60) days of your or your dependent’s coverage effective date.

To make a change to your university’s benefits plans please complete and submit a Benefits Enrollment/Change Form (PDF) along with your documentation of the change within sixty (60) days after gaining or losing coverage in Medicaid or the state CHIP program.  Your change will be effective as of the event date.

For further details on Medicaid or Michigan's CHIP program, visit the Michigan Department of Community Health website or call 888-988-6300 toll-free.

If you have any questions regarding your eligibility for U-M benefits, call the SSC Contact Center at 5-2000 from the Ann Arbor campus, 734-615-2000 locally, or 866-647-7657 toll free, Monday through Friday from 8 a.m. to 5 p.m.

* The state Children’s Health Insurance Program in Michigan is called MIChild.

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 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 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 Department of Labor at askebsa.dol.gov 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, 2014.  Contact your State for more information on eligibility.

 


ALABAMA – Medicaid

Website: http://www.medicaid.alabama.gov

Phone: 1-855-692-5447

NEW HAMPSHIRE – Medicaid

Website: http://www.dhhs.nh.gov/oii/documents/
hippapp.pdf

Phone: 603-271-5218

ALASKA – Medicaid

Website: http://health.hss.state.ak.us/dpa/
programs/medicaid

Phone (Outside of Anchorage): 1-888-318-8890

Phone (Anchorage): 907-269-6529

NEW JERSEY – Medicaid and CHIP

Medicaid Website: http://www.state.nj.us/
humanservices/
dmahs/clients/medicaid/

Medicaid Phone: 1-800-356-1561

CHIP Website: http://www.njfamilycare.org/
index.html

CHIP Phone: 1-800-701-0710

ARIZONA – CHIP

Website: http://www.azahcccs.gov/
applicants/

Phone (Outside of Maricopa County): 1-877-764-5437

Phone (Maricopa County): 602-417-5437

NEW YORK – Medicaid

Website: http://www.nyhealth.gov/
health_care/medicaid/

Phone: 1-800-541-2831

COLORADO – Medicaid

Medicaid Website:
http://www.colorado.gov

Medicaid Phone (In state): 1-800-866-3513
Medicaid Phone (Out of state): 1-800-221-3943

NORTH CAROLINA – Medicaid

Website: http://www.ncdhhs.gov/dma

Phone:  919-855-4100

FLORIDA – Medicaid

Website: https://www.flmedicaidtplrecovery.com/

Phone: 1-877-357-3268

NORTH DAKOTA - Medicaid

Website: http://www.nd.gov/dhs/services/
medicalserv/medicaid/

Phone: 1-800-755-2604

GEORGIA – Medicaid

Website: http://dch.georgia.gov/
Click on Programs, then Medicaid, then Health Insurance Premium Payment (HIPP)

Phone: 1-800-869-1150

OKLAHOMA – Medicaid and CHIP

Website: http://www.insureoklahoma.org

Phone: 1-888-365-3742

IDAHO – Medicaid

Medicaid Website: http://healthandwelfare.idaho.gov/Medical/Medicaid/
PremiumAssistance/tabid/1510/Default.aspx

Medicaid Phone: 1-800-926-2588

 

OREGON – Medicaid

Website: http://www.oregon.healthykids.gov

http://www.hijossaludablesoregon.gov

Phone: 1-800-699-9075

 

INDIANA – Medicaid

Website: http://www.in.gov/fssa

Phone: 1-800-889-9948

PENNSYLVANIA – Medicaid

Website: http://www.dpw.state.pa.us/hipp

Phone: 1-800-692-7462

IOWA – Medicaid

Website: www.dhs.state.ia.us/hipp/

Phone: 1-888-346-9562

RHODE ISLAND – Medicaid

Website: www.ohss.ri.gov

Phone: 401-462-5300

KANSAS – Medicaid

Website: http://www.kdheks.gov/hcf/

Phone: 1-800-792-4884

SOUTH CAROLINA – Medicaid

Website: http://www.scdhhs.gov

Phone: 1-888-549-0820

KENTUCKY – Medicaid

Website: http://chfs.ky.gov/dms/default.htm

Phone: 1-800-635-2570

SOUTH DAKOTA - Medicaid

Website: http://dss.sd.gov

Phone: 1-888-828-0059

LOUISIANA – Medicaid

Website: http://www.lahipp.dhh.louisiana.gov

Phone: 1-888-695-2447

TEXAS – Medicaid

Website: https://www.gethipptexas.com/

Phone: 1-800-440-0493

MAINE – Medicaid

Website: http://www.maine.gov/dhhs/ofi/public-assistance/index.html

Phone: 1-800-977-6740

TTY: 1-800-977-6741

UTAH – Medicaid and CHIP

Website: http://health.utah.gov/upp

Phone: 1-866-435-7414

MASSACHUSETTS – Medicaid and CHIP

Website: http://www.mass.gov/MassHealth

Phone: 1-800-462-1120

VERMONT– Medicaid

Website: http://www.greenmountaincare.org/

Phone: 1-800-250-8427

MINNESOTA – Medicaid

Website: http://www.dhs.state.mn.us/
Click on Health Care, then Medical Assistance

Phone: 1-800-657-3739

VIRGINIA – Medicaid and CHIP

Medicaid Website:  http://www.coverva.org/programs_premium_
assistance.cfm

Medicaid Phone:  1-800-432-5924

CHIP Website: http://www.coverva.org/programs_
premium _assistance.cfm

CHIP Phone: 1-855-242-8282

MISSOURI – Medicaid

Website: http://www.dss.mo.gov/mhd/participants/
pages/hipp.htm

Phone: 573-751-2005

WASHINGTON – Medicaid

Website: http://www.hca.wa.gov/medicaid/premiumpymt/
pages/index.aspx

Phone:  1-800-562-3022 ext. 15473

MONTANA – Medicaid

Website: http://medicaidprovider.hhs.mt.gov/
clientpages/clientindex.shtml

Phone: 1-800-694-3084

WEST VIRGINIA - Medicaid

Website: www.dhhr.wv.gov/bms/

Phone: 1-877-598-5820, HMS Third Party Liability

NEBRASKA – Medicaid

Website: www.ACCESSNebraska.ne.gov

Phone: 1-800-383-4278

WISCONSIN - Medicaid

Website: http://www.badgercareplus.org/pubs/
p-10095.htm

Phone: 1-800-362-3002

NEVADA – Medicaid

Medicaid Website: http://dwss.nv.gov/

Medicaid Phone: 1-800-992-0900

WYOMING - Medicaid

Website: http://health.wyo.gov/healthcarefin/equalitycare

Phone: 1-307-777-7531

To see if any more states have added a premium assistance program since July 31, 2014, or for more information on special enrollment rights, you can contact either:

U.S. Department of Labor
Employee Benefits Security Administration
www.dol.gov/ebsa
1-866-444-EBSA (3272)

U.S. Department of Health and Human Services
lefts for Medicare & Medicaid Services
www.cms.hhs.gov 
1-877-267-2323, Ext. 61565