HEALTH PLAN NOTICES FOR BENEFITS ELIGIBLE EMPLOYEES PREMIUM ASSISTANCE UNDER MEDICAID AND THE CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP) (CONTINUED) MASSACHUSETTS – Medicaid and CHIP Website: https://www.mass.gov/masshealth/pa Phone: 1 - 800 - 862 - 4840 TTY: 711 Email: masspremassistance@accenture.com MINNESOTA – Medicaid Website: https://mn.gov/dhs/health - care - coverage/ Phone: 1 - 800 - 657 - 3672 MISSOURI – Medicaid Website: http://www.dss.mo.gov/mhd/participants/pages/hipp.htm Phone: 573 - 751 - 2005 MONTANA – Medicaid Website: http://dphhs.mt.gov/MontanaHealthcarePrograms/HIPP Phone: 1 - 800 - 694 - 3084 Email: HHSHIPPProgram@mt.gov NEBRASKA – Medicaid Website: http://www.ACCESSNebraska.ne.gov Phone: 1 - 855 - 632 - 7633 Lincoln: 402 - 473 - 7000 Omaha: 402 - 595 - 1178 NEVADA – Medicaid Medicaid Website: http://dhcfp.nv.gov Medicaid Phone: 1 - 800 - 992 - 0900 NEW HAMPSHIRE – Medicaid 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 Email: DHHS.ThirdPartyLiabi@dhhs.nh.gov NEW JERSEY – Medicaid and CHIP Medicaid Website: http://www.state.nj.us/humanservices/dmahs/clients/medicai d/ 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) NEW YORK – Medicaid Website: https://www.health.ny.gov/health_care/medicaid/ Phone: 1 - 800 - 541 - 2831 NORTH CAROLINA – Medicaid Website: https://medicaid.ncdhhs.gov/ Phone: 919 - 855 - 4100 NORTH DAKOTA – Medicaid Website: http://www.hhs.nd.gov/healthcare Phone: 1 - 844 - 854 - 4825 OKLAHOMA – Medicaid and CHIP Website: http://www.insureoklahoma.org Phone: 1 - 888 - 365 - 3742 OREGON – Medicaid Website: http://healthcare.oregon.gov/Pages/index.aspx Phone: 1 - 800 - 699 - 9075 PENNSYLVANIA – Medicaid and CHIP Website: https://www.pa.gov/en/services/dhs/apply - formedicaid - health - insurance - premium - payment - programhipp.html Phone: 1 - 800 - 692 - 7462 CHIP Website: Children's Health Insurance Program (CHIP) (pa.gov) CHIP Phone: 1 - 800 - 986 - KIDS (5437) RHODE ISLAND – Medicaid and CHIP Website: http://www.eohhs.ri.gov/ Phone: 1 - 855 - 697 - 4347, or 401 - 462 - 0311 (Direct RIte Share Line) SOUTH CAROLINA – Medicaid Website: https://www.scdhhs.gov Phone: 1 - 888 - 549 - 0820 SOUTH DAKOTA – Medicaid Website: http://dss.sd.gov Phone: 1 - 888 - 828 - 0059