LAPRA 2018 Legally Required Notices

8 To see if any other states have added a premium assistance program since January 31, 2018, or for more information on special enrollment rights, contact either: U.S. Department of Labor U.S. Department of Health and Human Services Employee Benefits Security Administration Centers for Medicare & Medicaid Services www.dol.gov/ebsa www.cms.hhs.gov 1-866-444-EBSA (3272) 1-877-267-2323, Menu Option 4, Ext. 61565 State Website Telephone 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/eohhs/gov/departments/masshealth/ 1-800-862-4840 Minnesota – Medicaid http://mn.gov/dhs/people-we-serve/seniors/health-care/ health-care-programs/programs-and-services/medical-assistance.jsp 1-800-657-3739 Missouri – Medicaid https://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://www.ACCESSNebraska.ne.gov Phone: 855-632-7633 Lincoln: 402-473-7000 Omaha: 402-595-1178 Nevada – Medicaid https://dhcfp.nv.gov 1-800-992-0900 New Hampshire – Medicaid https://www.dhhs.nh.gov/ombp/nhhpp/ 603-271-5218 Hotline: NH Medicaid Service Center at 1-888-901-4999 New Jersey – Medicaid & CHIP Medicaid: http://www.state.nj.us/humanservices/dmahs/clients/medicaid/ CHIP: http://www.njfamilycare.org/index.html Medicaid: 609-631-2392 CHIP: 1-800-701-0710 New York – Medicaid https://www.health.ny.gov/health_care/medicaid/ 1-800-541-2831 North Carolina – Medicaid https://dma.ncdhhs.gov/ 919-855-4100 North Dakota – Medicaid http://www.nd.gov/dhs/services/medicalserv/medicaid/ 1-844-854-4825 Oklahoma – Medicaid and CHIP http://www.insureoklahoma.org 1-888-365-3742 Oregon – Medicaid http://healthcare.oregon.gov/Pages/index.aspx http://www.oregonhealthcare.gov/index-es.html 1-800-699-9075 Pennsylvania – Medicaid http://www.dhs.pa.gov/provider/medicalassistance/ healthinsurancepremiumpaymenthippprogram/index.htm 1-800-692-7462 Rhode Island – Medicaid http://www.eohhs.ri.gov/ 855-697-4347 South Carolina – Medicaid https://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 Medicaid: https://medicaid.utah.gov/ CHIP: http://health.utah.gov/chip 1-877-543-7669 Vermont – Medicaid http://www.greenmountaincare.org/ 1-800-250-8427 Virginia – Medicaid & CHIP Medicaid: http://www.coverva.org/programs_premium_assistance.cfm CHIP: http://www.coverva.org/programs_premium_assistance.cfm Medicaid: 1-800-432-5924 CHIP: 1-855-242-8282 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://mywvhipp.com/ Toll-free phone: 1-855-MyWVHIPP (1-855-699-8447) Wisconsin – Medicaid & CHIP https://www.dhs.wisconsin.gov/publications/p1/p10095.pdf 1-800-362-3002 Wyoming – Medicaid Website: https://wyequalitycare.acs-inc.com/ 307-777-7531

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