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:
- You or your dependent’s Medicaid or state Children’s Health Insurance Program ("CHIP") coverage is cancelled 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.
- 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.
If you have any questions regarding your eligibility for U-M benefits, call the HR/Payroll Service Center Monday - Friday, 8 a.m. – 5 p.m. at 5-2000 from the Ann Arbor campus, 734-615-2000 locally, or call toll free 866-647-7657.
* The state Children’s Health Insurance Program in Michigan is called MIChild.
Low-Cost Health Coverage to Children and Families
If you are eligible for health coverage from the University of Michigan, but are unable to afford the premiums, some States have premium assistance programs that can help pay for coverage. These States use funds from their Medicaid or CHIP programs to help people who are eligible for employer-sponsored health coverage, but need assistance in paying their health premiums.
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 or dial 1-877-KIDS NOW or www.insurekidsnow.gov to find out how to apply. 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, the University of Michigan’s health plan is required to permit you and your dependents to enroll in the plan – as long as you and your dependents are eligible, but not already enrolled in the University’s plan. This is called a “special enrollment” opportunity, and you must request coverage within 60 days of being determined eligible for premium assistance.
If you live in one of the following states, you may be eligible for assistance paying the University of Michigan health plan premiums. The following list of states is current as of July 31, 2011. You should contact your state for further information on eligibility.
ALABAMA – Medicaid http://www.medicaid.alabama.gov Phone: 1-800-362-1504 |
NEBRASKA – Medicaid http://www.dhhs.ne.gov/ Phone: 1-877-255-3092 |
ALASKA – Medicaid http://health.hss.state.ak.us/dpa/ Phone (Outside of Anchorage): Phone (Anchorage): 907-269-6529 |
NEVADA – Medicaid Medicaid Website: Medicaid Phone: 1-800-992-0900
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ARIZONA – CHIP http://www.azahcccs.gov/ Phone (Outside of Maricopa County): 1-877-764-5437 |
NEW HAMPSHIRE – Medicaid www.dhhs.nh.gov/ombp/index.htm Phone: 603-271-4238
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CALIFORNIA – Medicaid www.dhcs.ca.gov/services/Pages/ Phone: 1-866-298-8443 |
NEW JERSEY – Medicaid and CHIP Medicaid Website: http://www.state.nj.us/ Medicaid Phone: 1-800-356-1561 CHIP Website: http://www.njfamilycare.org/ CHIP Phone: 1-800-701-0710 |
COLORADO – Medicaid and CHIP Medicaid Website: Medicaid Phone (In state): CHIP Website: http://www.CHPplus.org CHIP Phone: 303-866-3243 |
NEW MEXICO – Medicaid and CHIP Medicaid Website: http://www.hsd.state.nm.us/mad Medicaid Phone: 1-888-997-2583 CHIP Website: CHIP Phone: 1-888-997-2583
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FLORIDA – Medicaid https://www.flmedicaidtplrecovery.com/ Phone: 1-877-357-3268 |
NEW YORK – Medicaid http://www.nyhealth.gov/ Phone: 1-800-541-2831
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GEORGIA – Medicaid http://dch.georgia.gov/ Phone: 1-800-869-1150 |
NORTH CAROLINA – Medicaid Phone: 919-855-4100
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IDAHO – Medicaid and CHIP www.accesstohealthinsurance.idaho.gov Medicaid Phone: 1-800-926-2588 CHIP Website: www.medicaid.idaho.gov CHIP Phone: 1-800-926-2588 |
NORTH DAKOTA - Medicaid http://www.nd.gov/dhs/services/ Phone: 1-800-755-2604 |
INDIANA – Medicaid Phone: 1-800-889-9948 |
OKLAHOMA – Medicaid and CHIP Phone: 1-888-365-3742
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IOWA – Medicaid Phone: 1-888-346-9562 |
OREGON – Medicaid and CHIP http://www.oregon.gov/OHA/OPHP/ Phone: 1-888-564-9669 |
KANSAS – Medicaid Phone: 1-800-792-4884 |
PENNSYLVANIA – Medicaid http://www.dpw.state.pa.us/hipp Phone: 1-800-692-7462 |
KENTUCKY – Medicaid http://chfs.ky.gov/dms/default.htm Phone: 1-800-635-2570 |
RHODE ISLAND – Medicaid Phone: 401-462-5300 |
LOUISIANA – Medicaid http://www.lahipp.dhh.louisiana.gov Phone: 1-888-695-2447 |
SOUTH CAROLINA – Medicaid Phone: 1-888-549-0820 |
MAINE – Medicaid http://www.maine.gov/dhhs/OIAS/public-assistance/index.html Phone: 1-800-572-3839 |
TEXAS – Medicaid Phone: 1-800-440-0493
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MASSACHUSETTS – Medicaid and CHIP Medicaid & CHIP Website: http://www.mass.gov/MassHealth Medicaid & CHIP Phone: 1-800-462-1120 |
UTAH – Medicaid and CHIP Phone: 1-866-435-7414 |
MINNESOTA – Medicaid http://www.dhs.state.mn.us/ Phone (Outside of Twin City area): 800-657-3739 Phone (Twin City area): 651-431-2670 |
VERMONT– Medicaid http://www.greenmountaincare.org/ Phone: 1-800-250-8427 |
MISSOURI – Medicaid http://www.dss.mo.gov/mhd/participants/ Phone: 573-751-2005 |
VIRGINIA – Medicaid and CHIP Medicaid Website: http://www.dmas.virginia.gov/rcp-HIPP.htm CHIP Website: http://www.famis.org/ CHIP Phone: 1-866-873-2647 |
MONTANA – Medicaid http://medicaidprovider.hhs.mt.gov/ Phone: 1-800-694-3084 |
WASHINGTON – Medicaid http://hrsa.dshs.wa.gov/premiumpymt/ Phone: 1-800-562-3022 ext. 15473 |
To see if any more States have added a premium assistance program since July 31, 2011, 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