Unified Fire Authority
NEVADA – Medicaid
http :// dhcfp . nv . gov 800.992.0900
NEW HAMPSHIRE – Medicaid
https :// www . dhhs . nh . gov / programs-services / medicaid / health-insurance-premium-program 603.271.5218 | Toll free number for the HIPP program : 800.852.3345 , ext . 5218
NEW JERSEY – Medicaid and CHIP
Medicaid : http :// www . state . nj . us / humanservices / dmahs / clients / medicaid 609.631.2392 CHIP : http :// www . njfamilycare . org / index . html 800.701.0710
NEW YORK – Medicaid
https :// www . health . ny . gov / health _ care / medicaid / 800.541.2831
NORTH CAROLINA – Medicaid
https :// dma . ncdhhs . gov 919.855.4100
NORTH DAKOTA – Medicaid
https :// www . hhs . nd . gov / healthcare 844.854.4825
OKLAHOMA – Medicaid and CHIP
http :// www . insureoklahoma . org 888.365.3742
OREGON – Medicaid and CHIP
http :// healthcare . oregon . gov / Pages / index . aspx 800.699.9075
PENNSYLVANIA – Medicaid and CHIP
https :// www . dhs . pa . gov / Services / Assistance / Pages / HIPP-Program . aspx 800.692.7462 CHIP Website : https :// www . dhs . pa . gov / CHIP / Pages / CHIP . aspx CHIP Phone : 800.986 . KIDS ( 5437 )
RHODE ISLAND – Medicaid and CHIP
http :// www . eohhs . ri . gov 855.697.4347 or 401.462.0311 ( Direct RIte Share Line )
SOUTH CAROLINA – Medicaid
http :// www . scdhhs . gov 888.549.0820
SOUTH DAKOTA – Medicaid
http :// dss . sd . gov 888.828.0059
TEXAS – Medicaid
http :// gethipptexas . com 800.440.0493
UTAH – Medicaid and CHIP
Medicaid : https :// medicaid . utah . gov CHIP : http :// health . utah . gov / chip 877.543.7669
VERMONT – Medicaid
Health Insurance Premium Payment ( HIPP ) Program | Department of Vermont Health Access 800.250.8427
VIRGINIA – Medicaid and CHIP
https :// coverva . dmas . virginia . gov / learn / premium-assistance / famis-select https :// coverva . dmas . virginia . gov / learn / premium-assistance / health-insurance-premium-payment-hipp-programs Medicaid and Chip : 800.432.5924
WASHINGTON – Medicaid
https :// www . hca . wa . gov / 800.562.3022
WEST VIRGINIA – Medicaid
https :// dhhr . wv . gov / bms / or http :// mywvhipp . com / Medicaid : 304.558.1700 CHIP Toll-free : 855 . MyWVHIPP ( 855.699.8447 )
WISCONSIN – Medicaid and CHIP
https :// www . dhs . wisconsin . gov / badgercareplus / p-10095 . htm 800.362.3002
WYOMING – Medicaid
https :// health . wyo . gov / healthcarefin / medicaid / programs-and-eligibility / 800.251.1269
To see if any other states have added a premium assistance program since January 31 , 2024 , or for more information on special enrollment rights , contact either :
U . S . Department of Labor Employee Benefits Security Administration www . dol . gov / agencies / ebsa 866.444 . EBSA ( 3272 ) U . S . Department of Health and Human Services Centers for Medicare & Medicaid Services www . cms . hhs . gov 877.267.2323 , Menu Option 4 , Ext . 61565
OMB Control Number 1210-0137 ( expires 1 / 31 / 2026 )
Paperwork Reduction Act Statement
According to the Paperwork Reduction Act of 1995 ( Pub . L . 104-13 ) ( PRA ), no persons are required to respond to a collection of information unless such collection displays a valid Office of Management and Budget ( OMB ) control number . The Department notes that a Federal agency cannot conduct or sponsor a collection of information unless it is approved by OMB under the PRA , and displays a currently valid OMB control number , and the public is not required to respond to a collection of information unless it displays a currently valid OMB control number . See 44 U . S . C . 3507 . Also , notwithstanding any other provisions of law , no person shall be subject to penalty for failing to comply with a collection of information if the collection of information does not display a currently valid OMB control number . See 44 U . S . C . 3512 .
The public reporting burden for this collection of information is estimated to average approximately seven minutes per respondent . Interested parties are encouraged to send comments regarding the burden estimate or any other aspect of this collection of information , including suggestions for reducing this burden , to the U . S . Department of Labor , Employee Benefits Security Administration , Office of Policy and Research , Attention : PRA Clearance Officer , 200 Constitution Avenue , N . W ., Room N-5718 , Washington , DC 20230 or email ebsa . opr @ dol . gov and reference the OMB Control Number 1210-0137 .
OMB Control Number 1210-0137 ( expires 1 / 31 / 2026 )
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