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 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.
- 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 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.
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
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ALASKA – Medicaid http://health.hss.state.ak.us/dpa/ Phone (Outside of Anchorage): Phone (Anchorage): 907-269-6529 |
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
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ARIZONA – CHIP http://www.azahcccs.gov/ Phone (Outside of Maricopa County): 1-877-764-5437 |
NEW YORK – Medicaid http://www.nyhealth.gov/ Phone: 1-800-541-2831
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COLORADO – Medicaid and CHIP Medicaid Website: Medicaid Phone (In state):
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NORTH CAROLINA – Medicaid Phone: 919-855-4100 |
FLORIDA – Medicaid https://www.flmedicaidtplrecovery.com/ Phone: 1-877-357-3268 |
NORTH DAKOTA - Medicaid http://www.nd.gov/dhs/services/ Phone: 1-800-755-2604 |
GEORGIA – Medicaid http://dch.georgia.gov/ Phone: 1-800-869-1150 |
OKLAHOMA – Medicaid and CHIP Phone: 1-888-365-3742
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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 |
OREGON – Medicaid and CHIP http://www.oregon.healthykids.gov http://www.hijossaludablesoregon.gov Phone: 1-877-314-5678
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INDIANA – Medicaid Phone: 1-800-889-9948 |
PENNSYLVANIA – Medicaid http://www.dpw.state.pa.us/hipp Phone: 1-800-692-7462
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IOWA – Medicaid Phone: 1-888-346-9562 |
RHODE ISLAND – Medicaid Phone: 401-462-5300
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KANSAS – Medicaid Phone: 1-800-792-4884 |
SOUTH CAROLINA – Medicaid Phone: 1-888-549-0820 |
KENTUCKY – Medicaid http://chfs.ky.gov/dms/default.htm Phone: 1-800-635-2570 |
SOUTH DAKOTA - Medicaid 1-888-828-0059 |
LOUISIANA – Medicaid http://www.lahipp.dhh.louisiana.gov Phone: 1-888-695-2447 |
TEXAS – Medicaid 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 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
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MINNESOTA – Medicaid http://www.dhs.state.mn.us/ Phone: 1-800-657-3739 |
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 |
MISSOURI – Medicaid http://www.dss.mo.gov/mhd/participants/ Phone: 573-751-2005 |
WASHINGTON – Medicaid http://hrsa.dshs.wa.gov/premiumpymt/ Phone: 1-800-562-3022 ext. 15473 |
MONTANA – Medicaid http://medicaidprovider.hhs.mt.gov/ Phone: 1-800-694-3084 |
WEST VIRGINIA - Medicaid 1-877-598-5820, HMS Third Party Liability |
NEBRASKA – Medicaid Phone: 1-800-383-4278 |
WISCONSIN - Medicaid 1-800-362-3002 |
NEVADA – Medicaid Medicaid Website: Medicaid Phone: 1-800-992-0900 |
WYOMING - Medicaid 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
InsureKidsNow.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.