Page 2 - Nortek CHIP Notice
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ALABAMA—Medicaid MAINE—Medicaid OKLAHOMA—Medicaid and CHIP
http://www.medicaid.alabama.gov www.maine.gov/dhhs/oi/public- http://www.insureoklahoma.org
1-855-692-5447 assistance/index.html 1-888-365-3742
ALASKA—Medicaid 1-800-977-6740 OREGON—Medicaid and CHIP
http://health.hss.state.ak.us/ TTY 1-800-977-6741 http://www.oregonhealthykids.gov
dpa/programs/medicaid/ MASSACHUSETTS—Medicaid and http://www.hijossaludablesoregon.gov
(Outside of Anchorage): 1-888-318- CHIP 1-800-699-9075
8890 http://www.mass.gov/MassHealth PENNSYLVANIA—Medicaid
(Anchorage): 907-269-6529 1-800-462-1120 http://www.dpw.state.pa.us/hipp
ARIZONA—CHIP MINNESOTA—Medicaid 1-800-692-7462
http://www.azahcccs.gov/applicants http://www.dhs.state.mn.us/ RHODE ISLAND—Medicaid
(Outside of Maricopa County): 1-877- Click on Health Care, then Medical www.ohhs.ri.gov
764-5437 Assistance 401-462-5300
(Maricopa County): 602-417-5437 1-800-657-3629
COLORADO—Medicaid MISSOURI—Medicaid SOUTH CAROLINA—Medicaid
http://www.scdhhs.gov
http://www.colorado.gov/ www.dss.mo.gov/mhd/participants/ 1-888-549-0820
(In state): 1-800-866-3513 pages/hipp.htm
(Out of state): 1-800-221-3943 573-751-2005 SOUTH DAKOTA - Medicaid
FLORIDA—Medicaid MONTANA—Medicaid http://dss.sd.gov
1-888-828-0059
https://www.lmedicaidtplrecovery.com/ http://medicaidprovider.hhs.mt.gov/
1-877-357-3268 clientpages/clientindex.shtml TEXAS—Medicaid
GEORGIA—Medicaid 1-800-694-3084 https://www.gethipptexas.com/
1-800-440-0493
http://dch.georgia.gov/ NEBRASKA—Medicaid
Click on Programs, then Medicaid, then www.ACCESSNebraska.ne.gov UTAH—Medicaid and CHIP
Health Insurance Premium Payment 1-800-383-4278 http://health.utah.gov/upp
(HIPP) NEVADA—Medicaid 1-866-435-7414
1-800-869-1150 http://dwss.nv.gov/ VERMONT– Medicaid
IDAHO—Medicaid and CHIP 1-800-992-0900 http://www.greenmountaincare.org/
Medicaid: www.accesstohealthinsurance. NEW HAMPSHIRE—Medicaid 1-800-250-8427
idaho.gov http://www.dhhs.nh.gov/oii/ VIRGINIA—Medicaid and CHIP
Medicaid:1-800-926-2588 documents/hippapp.pdf Medicaid:
CHIP: www.medicaid.idaho.gov 603-271-5218 http://www.dmas.virginia.gov/rcp-HIPP.
CHIP:1-800-926-2588 htm
INDIANA—Medicaid NEW JERSEY—Medicaid and CHIP Medicaid: 1-800-432-5924
Medicaid:
http://www.in.gov/fssa http://www.state.nj.us/humanservices/ CHIP: http://www.famis.org/
1-800-889-9949 dmahs/clients/medicaid/ CHIP: 1-866-873-2647
IOWA—Medicaid Medicaid: 609-631-2392 WASHINGTON—Medicaid
www.dhs.state.ia.us/hipp/ CHIP: http://www.njfamilycare.org/ http://hrsa.dshs.wa.gov/
1-888-346-9562 index.html premiumpymt/Apply.shtm
KANSAS—Medicaid CHIP:1-800-701-0710 1-800-562-3022 ext. 15473
http://www.kdheks.gov/hcf/ NEW YORK—Medicaid WEST VIRGINIA—Medicaid
1-800-792-4884 http://www.nyhealth.gov/health_care/ www.dhhr.wv.gov/bms/
KENTUCKY—Medicaid medicaid/ 1-877-598-5820, HMS Third Party
Liability
http://chfs.ky.gov/dms/default.htm 1-800-541-2831
1-800-635-2570 NORTH CAROLINA—Medicaid WISCONSIN—Medicaid
LOUISIANA—Medicaid http://www.ncdhhs.gov/dma http://www.badgercareplus.org/
pubs/p-10095.htm
http://www.lahipp.dhh.louisiana.gov 919-855-4100 1-800-362-3002
1-888-695-2447 NORTH DAKOTA—Medicaid
http://www.nd.gov/dhs/services/ WYOMING—Medicaid
medicalserv/medicaid/ http://health.wyo.gov/
1-800-755-2604 healthcarein/equalitycare
307-777-7531
© 2014 Lockton, Inc. All rights reserved.
Images © 2014 Thinkstock. All rights reserved.
[Rev 08/25/14] \NORTE08\Nortek Consolidated Group\EE Communications\Legal Notices\2015\Chip.pdf
http://www.medicaid.alabama.gov www.maine.gov/dhhs/oi/public- http://www.insureoklahoma.org
1-855-692-5447 assistance/index.html 1-888-365-3742
ALASKA—Medicaid 1-800-977-6740 OREGON—Medicaid and CHIP
http://health.hss.state.ak.us/ TTY 1-800-977-6741 http://www.oregonhealthykids.gov
dpa/programs/medicaid/ MASSACHUSETTS—Medicaid and http://www.hijossaludablesoregon.gov
(Outside of Anchorage): 1-888-318- CHIP 1-800-699-9075
8890 http://www.mass.gov/MassHealth PENNSYLVANIA—Medicaid
(Anchorage): 907-269-6529 1-800-462-1120 http://www.dpw.state.pa.us/hipp
ARIZONA—CHIP MINNESOTA—Medicaid 1-800-692-7462
http://www.azahcccs.gov/applicants http://www.dhs.state.mn.us/ RHODE ISLAND—Medicaid
(Outside of Maricopa County): 1-877- Click on Health Care, then Medical www.ohhs.ri.gov
764-5437 Assistance 401-462-5300
(Maricopa County): 602-417-5437 1-800-657-3629
COLORADO—Medicaid MISSOURI—Medicaid SOUTH CAROLINA—Medicaid
http://www.scdhhs.gov
http://www.colorado.gov/ www.dss.mo.gov/mhd/participants/ 1-888-549-0820
(In state): 1-800-866-3513 pages/hipp.htm
(Out of state): 1-800-221-3943 573-751-2005 SOUTH DAKOTA - Medicaid
FLORIDA—Medicaid MONTANA—Medicaid http://dss.sd.gov
1-888-828-0059
https://www.lmedicaidtplrecovery.com/ http://medicaidprovider.hhs.mt.gov/
1-877-357-3268 clientpages/clientindex.shtml TEXAS—Medicaid
GEORGIA—Medicaid 1-800-694-3084 https://www.gethipptexas.com/
1-800-440-0493
http://dch.georgia.gov/ NEBRASKA—Medicaid
Click on Programs, then Medicaid, then www.ACCESSNebraska.ne.gov UTAH—Medicaid and CHIP
Health Insurance Premium Payment 1-800-383-4278 http://health.utah.gov/upp
(HIPP) NEVADA—Medicaid 1-866-435-7414
1-800-869-1150 http://dwss.nv.gov/ VERMONT– Medicaid
IDAHO—Medicaid and CHIP 1-800-992-0900 http://www.greenmountaincare.org/
Medicaid: www.accesstohealthinsurance. NEW HAMPSHIRE—Medicaid 1-800-250-8427
idaho.gov http://www.dhhs.nh.gov/oii/ VIRGINIA—Medicaid and CHIP
Medicaid:1-800-926-2588 documents/hippapp.pdf Medicaid:
CHIP: www.medicaid.idaho.gov 603-271-5218 http://www.dmas.virginia.gov/rcp-HIPP.
CHIP:1-800-926-2588 htm
INDIANA—Medicaid NEW JERSEY—Medicaid and CHIP Medicaid: 1-800-432-5924
Medicaid:
http://www.in.gov/fssa http://www.state.nj.us/humanservices/ CHIP: http://www.famis.org/
1-800-889-9949 dmahs/clients/medicaid/ CHIP: 1-866-873-2647
IOWA—Medicaid Medicaid: 609-631-2392 WASHINGTON—Medicaid
www.dhs.state.ia.us/hipp/ CHIP: http://www.njfamilycare.org/ http://hrsa.dshs.wa.gov/
1-888-346-9562 index.html premiumpymt/Apply.shtm
KANSAS—Medicaid CHIP:1-800-701-0710 1-800-562-3022 ext. 15473
http://www.kdheks.gov/hcf/ NEW YORK—Medicaid WEST VIRGINIA—Medicaid
1-800-792-4884 http://www.nyhealth.gov/health_care/ www.dhhr.wv.gov/bms/
KENTUCKY—Medicaid medicaid/ 1-877-598-5820, HMS Third Party
Liability
http://chfs.ky.gov/dms/default.htm 1-800-541-2831
1-800-635-2570 NORTH CAROLINA—Medicaid WISCONSIN—Medicaid
LOUISIANA—Medicaid http://www.ncdhhs.gov/dma http://www.badgercareplus.org/
pubs/p-10095.htm
http://www.lahipp.dhh.louisiana.gov 919-855-4100 1-800-362-3002
1-888-695-2447 NORTH DAKOTA—Medicaid
http://www.nd.gov/dhs/services/ WYOMING—Medicaid
medicalserv/medicaid/ http://health.wyo.gov/
1-800-755-2604 healthcarein/equalitycare
307-777-7531
© 2014 Lockton, Inc. All rights reserved.
Images © 2014 Thinkstock. All rights reserved.
[Rev 08/25/14] \NORTE08\Nortek Consolidated Group\EE Communications\Legal Notices\2015\Chip.pdf
