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HEALTH PLAN NOTICES FOR BENEFITS ELIGIBLE EMPLOYEES PREMIUM ASSISTANCE UNDER MEDICAID AND THE CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP) (CONTINUED) Georgia Email: [email protected] Missouri Website: https://medicaid.georgia.gov/health-insurance- KCHIP Website: https://kidshealth.ky.gov/Pages/index.aspx Website: premium-payment-program-hipp Phone: 1-877-524-4718 http://www.dss.mo.gov/mhd/participants/pages/hipp.htm Phone: 678-564-1162 Press 1 Kentucky Medicaid Website: Phone: 573-751-2005 GA CHIPRA website: https://chfs.ky.gov/agencies/dms https://medicaid.georgia.gov/programs/third-oarty- Louisiana Montana liability/childrens-health-insurance-programs- Website: reauthorization-act-2009-chipra Website: www.medicaid.la.gov or www.ldh.la.gov/lahipp http://dphhs.mt.gov/MontanaHealthcarePrograms/HIPP phone: 678-562-1162, Press 2 Phone: 1-888-342-6207 (Medicaid hotline) or 1-855-618- Phone: 1-800-694-3084 5488 Email: [email protected] Indiana (LaHIPP) Healthy Indiana Plan for low-income adults 19-64 Maine Nebraska Website: http://www.in.gov/fssa/hip/ Enrollment Website: Website: http://www.ACCESSNebraska.ne.gov Phone: 1-877-438-4479 https://www.maine.gov/dhhs/ofi/applications-forms Phone: 1-855-632-7633 All other Medicaid Phone: 1-800-442-6003 Lincoln: 402-473-7000 Website: https://www.in.gov/medicaid/ TTY: Maine relay 711 Omaha: 402-595-1178 Phone 1-800-457-4584 Private Health Insurance Premium Webpage: Iowa Nevada https://www.maine.gov/dhhs/ofi/applications-forms Medicaid Website: http://dhcfp.nv.gov Medicaid Website: Phone: -800-977-6740. Medicaid Phone: 1-800-992-0900 https://dhs.iowa.gov/ime/members TTY: Maine relay 711 Medicaid Phone: 1-800-338-8366 Massachusetts New Hampshire Hawki Website: Website: https://www.mass.gov/masshealoh/pa Website: https://www.dhhs.nh.gov/programs- http://dhs.iowa.gov/Hawki Phone: 1-800-862-4840 services/medicaid/health-insurance-premiums-program Hawki Phone: 1-800-257-8563 Phone: 603-271-5218 HIPP Website: TTY: 711 https://dhs.iowa.gov/ime/members/medicaid-a Email: masspremassistance@accenture Toll free number for the HIPP program: 1-800-852-3345, to-z/hipp ext. 5218 HIPP Phone: 1-888-346-9562 Minnesota New Jersey Kentucky Website: Medicaid Website: https://mn.gov/dhs/people-we-serve/children-and http://www.state.nj.us/humanservices/ Kentucky Integrated Health Insurance Premium Payment families/health-care/health-care-programs/programs-and dmahs/clients/medicaid/ Program (KI-HIPP) Website: services/other-insurance.jsp Medicaid Phone: 609-631-2392 https://chfs.ky.gov/agencies/dms/member/Pages/kihipp.as Phone: 1-800-657-3739 CHIP Website: http://www.njfamilycare.org/index.html px CHIP Phone: 1-800-701-0710 Phone: 1-855-459-6328

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