City Council Study Session Agenda and Packet 2017 05 09

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PREMIUM ASSISTANCE UNDER MEDICAID & 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 www.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 www.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 www.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. You should contact your State for further information on eligibility. STATE PROGRAM WEBSITE PHONE NUMBER ALABAMA Medicaid http://myalhipp.com/ 1-855-692-5447 ALASKA Medicaid http://myakhipp.com/ 1-866-251-4861 ARKANSAS Medicaid http://myarhipp.com/ 1-855-MyARHIPP (855-692-7447) COLORADO Medicaid http://www.colorado.gov/hcpf 1-800-221-3943 FLORIDA Medicaid http://flmedicaidtplrecovery.com/hipp/ 1-877-357-3268 GEORGIA Medicaid http://dch.georgia.gov/medicaid 404-656-4507 INDIANA Medicaid http://www.indianamedicaid.com 1-800-403-0864 IOWA Medicaid http://www.dhs.state.ia.us/hipp/ 1-888-346-9562 KANSAS Medicaid http://www.kdheks.gov/hcf/ 1-785-296-3512 KENTUCKY Medicaid http://chfs.ky.gov/dms/default.htm 1-800-635-2570 LOUISIANA Medicaid http://dhh.louisiana.gov/index.cfm/subhome/1/n/331 1-888-695-2447 MAINE Medicaid http://www.maine.gov/dhhs/ofi/public-assistance/index.html 1-800-442-6003 TTY: Maine relay 711 MASSACHUSETTS Medicaid & CHIP http://www.mass.gov/MassHealth 1-800-462-1120 MINNESOTA Medicaid http://mn.gov/dhs/ma/ 1-800-657-3739 MISSOURI Medicaid http://www.dss.mo.gov/mhd/participants/pages/hipp.htm 573-751-2005 MONTANA Medicaid http://dphhs.mt.gov/MontanaHealthcarePrograms/HIPP 1-800-694-3084 NEBRASKA Medicaid http://dhhs.ne.gov/children_family_services/Pages/ children_family_services.aspx 1-855-632-7633 NEVADA Medicaid http://dwss.nv.gov/ 1-800-992-0900 NEW HAMPSHIRE Medicaid http://www.dhhs.nh.gov/oii/documents/hippapp.pdf 603-271-5218 NEW JERSEY Medicaid & CHIP http://www.state.nj.us/humanservices/dmahs/clients/medicaid/ 609-631-2392 NEW YORK Medicaid http://www.nyhealth.gov/health_care/medicaid/ 1-800-541-2831 NORTH CAROLINA Medicaid http://www.ncdhhs.gov/dma 919-855-4100 NORTH DAKOTA Medicaid http://www.nd.gov/dhs/services/medicalsery/medicaid/ 1-844-854-4825 OKLAHOMA Medicaid http://www.insureoklahoma.org 1-888-365-3742 OREGON Medicaid http://healthcare.oregon.gov/Pages/index.aspx 1-800-699-9075 PENNSYLVANIA Medicaid http://www.dhs.pa.gov/hipp 1-800-692-7462 RHODE ISLAND Medicaid http://www.eohhs.ri.gov/ 401-462-5300 SOUTH CAROLINA Medicaid http://www.scdhhs.gov 1-888-549-0820 SOUTH DAKOTA Medicaid http://dss.sd.gov 1-888-828-0059 TEXAS Medicaid http://gethipptexas.com/ 1-800-440-0493 UTAH Medicaid & CHIP http://health.utah.gov/medicaid http://health.utah.gov/chip 1-877-543-7669 VERMONT Medicaid http://www.greenmountaincare.org/ 1-800-250-8427 VIRGINIA Medicaid & CHIP http://www.coverva.org/programs_premium_assistance.cfm 1-800-432-5924 (Medicaid) 1-855-242-8282 (CHIP) WASHINGTON Medicaid http://www.hca.wa.gov/free-or-low-cost-health-care/ program-administration/premium-payment-program 1-800-562-3022 ext. 15473 WEST VIRGINIA Medicaid http://www.dhhr.wv.gov/bms/Medicaid%20Expansion/ Pages/default.aspx 1-877-598-5820, HMS Third Party Liability WISCONSIN Medicaid & CHIP https://www.dhs.wisconsin.gov/publications/p1/p10095.pdf 1-800-362-3002 WYOMING Medicaid https://wyequalitycare.acs-inc.com/ 307-777-7531 To see if any other states have added a premium assistance program since July 31, 2014, or for more information on special enrollment rights, contact either: U.S. Department of Labor Employee Benefits Security Administration www.dol.gov/ebsa 1 1-866-444-EBSA (3272) U.S. Department of Health and Human Services Centers for Medicare & Medicaid Services www.cms.hhs.gov 11-877-267-2323, Menu Option 4, Ext. 61565 OMB Control Number 1210-0137 (expires 10/31/2016) 15