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 HR 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 Programs

If you live outside of Michigan, you are entitled to the same special enrollment events discussed above, but you may be eligible for assistance paying your employer health plan premiums if you live in a state offering a premium assistance program. Many states use premium assistance programs to enhance health insurance rates by subsidizing employer premiums. Premium assistance programs are targeted at low‐income families and typically use Medicaid or State Children’s Health Insurance Program (SCHIP) funds.

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 visit 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, your employer’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 employer’s plan—and you must request coverage within sixty (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 your employer health plan premiums.  The following list of states is current as of July 31, 2012.  You should contact your state for further information on eligibility.

ALABAMA – Medicaid

http://www.medicaid.alabama.gov

Phone: 1-855-692-5447

NEW HAMPSHIRE – Medicaid

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

Phone: 603-271-5218

 

ALASKA – Medicaid

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

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

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

Phone (Maricopa County): 602-417-5437

NEW YORK – Medicaid

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

Phone: 1-800-541-2831

 

 

COLORADO – Medicaid and CHIP

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

http://www.ncdhhs.gov/dma

Phone:  919-855-4100

FLORIDA – Medicaid

https://www.flmedicaidtplrecovery.com/

Phone: 1-877-357-3268

 

NORTH DAKOTA - Medicaid

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

Phone: 1-800-755-2604

GEORGIA – Medicaid

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

Phone: 1-800-869-1150

OKLAHOMA – Medicaid and CHIP

http://www.insureoklahoma.org

Phone: 1-888-365-3742

 

 

 

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

OREGON – Medicaid and CHIP

http://www.oregon.healthykids.gov

http://www.hijossaludablesoregon.gov

Phone: 1-877-314-5678

 

 

INDIANA – Medicaid

http://www.in.gov/fssa

Phone: 1-800-889-9948

PENNSYLVANIA – Medicaid

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

Phone: 1-800-692-7462

 

IOWA – Medicaid

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

Phone: 1-888-346-9562

RHODE ISLAND – Medicaid

www.ohss.ri.gov

Phone: 401-462-5300

 

 

KANSAS – Medicaid

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

Phone: 1-800-792-4884

SOUTH CAROLINA – Medicaid

http://www.scdhhs.gov

Phone: 1-888-549-0820

KENTUCKY – Medicaid

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

Phone: 1-800-635-2570

SOUTH DAKOTA - Medicaid

http://dss.sd.gov

1-888-828-0059

LOUISIANA – Medicaid

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

Phone: 1-888-695-2447

TEXAS – Medicaid

https://www.gethipptexas.com/

Phone: 1-800-440-0493

MAINE – Medicaid

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

Phone: 1-800-977-6740

TTY: 1-800-977-6741

UTAH – Medicaid and CHIP

http://health.utah.gov/upp

Phone: 1-866-435-7414

MASSACHUSETTS – Medicaid and CHIP

Medicaid & CHIP Website: http://www.mass.gov/MassHealth

Medicaid & CHIP Phone: 1-800-462-1120

VERMONT– Medicaid

http://www.greenmountaincare.org/

Phone: 1-800-250-8427

 

 

MINNESOTA – Medicaid

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.dmas.virginia.gov/rcp-HIPP.htm

Medicaid Phone:  1-800-432-5924

CHIP Website: http://www.famis.org/

CHIP Phone: 1-866-873-2647

MISSOURI – Medicaid

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

Phone: 573-751-2005

WASHINGTON – Medicaid

http://hrsa.dshs.wa.gov/premiumpymt/
Apply.shtm

Phone:  1-800-562-3022 ext. 15473

MONTANA – Medicaid

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

Phone: 1-800-694-3084

WEST VIRGINIA - Medicaid

www.dhhr.wv.gov/bms/

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

NEBRASKA – Medicaid

www.ACCESSNebraska.ne.gov

Phone: 1-800-383-4278

WISCONSIN - Medicaid

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

1-800-362-3002

NEVADA – Medicaid

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

Medicaid Phone: 1-800-992-0900

WYOMING - Medicaid

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

1- 307-777-7531

To see if any more states have added a premium assistance program since July 31, 2012, 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

Insure Kids NowInsureKidsNow.gov

To find state-specific information about Medicaid and CHIP go to Programs in Your State or call 1-877 KIDS NOW (1-877-543-7669) to be connected directly to your state’s program. The call is free and confidential.