HEALTH PLAN NOTICES FOR BENEFITS ELIGIBLE EMPLOYEES PREMIUM ASSISTANCE UNDER MEDICAID AND THE CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP) (CONTINUED) Georgia Website: https://medicaid.georgia.gov/health-insurance- premium-payment-program-hipp Phone: 678-564-1162 Press 1 GA CHIPRA website: https://medicaid.georgia.gov/programs/third-oarty- liability/childrens-health-insurance-programs- reauthorization-act-2009-chipra phone: 678-562-1162, Press 2 Indiana Health Insurance Premium Payment Program All other Medicaid Website: https://www.in.gov/medicaid/ Family and Social Services Administration Phone: 1-800-403- 0864 All other Medicaid Website: http://www.in.gov/fssa/dfr Member Services Phone 1-800-457-4584 Iowa – Medicaid and CHIP (Hawki) Medicaid Website: Iowa Medicaid | Health & Human Services Medicaid Phone: 1-800-338-8366 Hawki Website: Hawki - Healthy and Well Kids in Iowa | Health & Human Services Hawki Phone: 1-800-257-8563 HIPP Website: Health Insurance Premium Payment (HIPP) | Health & Human Services (iowa.gov) HIPP Phone: 1-888-346-9562 Kentucky – Medicare Kentucky Integrated Health Insurance Premium Payment Program (KI-HIPP) Website: https://chfs.ky.gov/agencies/dms/member/Pages/kihipp.asp x Phone: 1-855-459-6328 Email: [email protected] KCHIP Website: https://kynect.ky.gov Phone: 1-877-524-4718 Kentucky Medicaid Website: https://chfs.ky.gov/agencies/dms Louisiana Website: www.medicaid.la.gov or www.ldh.la.gov/lahipp Phone: 1-888-342-6207 (Medicaid hotline) or 1-855-618- 5488 (LaHIPP) Maine Enrollment Website: https://www.mymaineconnection.gov/benefits/s/?language= en _US Phone: 1-800-442-6003 TTY: Maine relay 711 Private Health Insurance Premium Webpage: https://www.maine.gov/dhhs/ofi/applications-forms Phone: 1-800-977-6740 TTY: Maine relay 711 Massachusetts Website: https://www.mass.gov/masshealth/pa Phone: 1-800-862-4840 TTY: 711 Email: [email protected] Minnesota Website: https://mn.gov/dhs/health-care-coverage/ Phone: 1-800-657-3672 Missouri Website: http://www.dss.mo.gov/mhd/participants/pages/hipp.htm Phone: 573-751-2005 Montana Website: http://dphhs.mt.gov/MontanaHealthcarePrograms/HIPP Phone: 1-800-694-3084 Email: [email protected] Nebraska Website: http://www.ACCESSNebraska.ne.gov Phone: 1-855-632-7633 Lincoln: 402-473-7000 Omaha: 402-595-1178 Nevada Medicaid Website: http://dhcfp.nv.gov Medicaid Phone: 1-800-992-0900 New Hampshire Website: https://www.dhhs.nh.gov/oii/hipp.htm https://www.dhhs.nh.gov/programs- services/medicaid/health-insurance-premiums-program Phone: 603-271-5218 Toll free number for the HIPP program: 1-800-852-3345, ext. 5218 New Jersey Medicaid Website: http://www.state.nj.us/humanservices/ dmahs/clients/medicaid/ Phone: 1-800-356-1561 CHIP Premium Assistance Phone: 609-631-2392 CHIP Website: http://www.njfamilycare.org/index.html CHIP Phone: 1-800-701-0710 (TTY:711)