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. 15218 | Email: DHHS. ThirdPartyLiabi @ dhhs. nh. gov
NEW JERSEY – Medicaid and CHIP
Medicaid: http:// www. state. nj. us / humanservices / dmahs / clients / medicaid 800.356.1561 CHIP: http:// www. njfamilycare. org / index. html 800.701.0710( TTY: 711) | Premium Assistance: 609.631.2392
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. pa. gov / en / services / dhs / apply-for-medicaid-health-insurancepremium-payment-program-hipp. html 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
https:// www. hhs. texas. gov / services / financial / health-insurance-premium-payment-hipp-program 800.440.0493
UTAH – Medicaid and CHIP
Utah’ s Premium Partnership for Health Insurance( UPP) https:// medicaid. utah. gov / upp / | Email: upp @ utah. gov | 888.222.2542 Adult Expansion: https:// medicaid. utah. gov / expansion / Utah Medicaid Buyout Program: https:// medicaid. utah. gov / buyout-program / CHIP: https:// chip. utah. gov /
VERMONT – Medicaid
https:// dvha. vermont. gov / members / medicaid / hipp-program 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 and CHIP
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 March 17, 2025, 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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