GEORGIA – Medicaid INDIANA – Medicaid GA HIPP Website: Healthy Indiana Plan for low-income adults 19-64 https://medicaid.georgia.gov/health-insurance- http://www.in.gov/fssa/hip/ Website: premium-payment-program-hipp Phone: 1-877-438-4479 Phone: 678-564-1162, Press 1 All other Medicaid GA CHIPRA Website: https://www.in.gov/medicaid/ Website: https://medicaid.georgia.gov/programs/third-party- Phone 1-800-457-4584 liability/childrens-health-insurance-program- reauthorization-act-2009-chipra Phone: (678) 564-1162, Press 2 IOWA – Medicaid and CHIP (Hawki) KANSAS – Medicaid Medicaid Website: Website: https://www.kancare.ks.gov/ https://dhs.iowa.gov/ime/members Phone: 1-800-792-4884 Medicaid Phone: 1-800-338-8366 HIPP Phone: 1-800-766-9012 Hawki Website: http://dhs.iowa.gov/Hawki Hawki Phone: 1-800-257-8563 HIPP Website: https://dhs.iowa.gov/ime/members/medicaid-a-to- z/hipp HIPP Phone: 1-888-346-9562 KENTUCKY – Medicaid LOUISIANA – Medicaid Kentucky Integrated Health Insurance Premium Website: www.medicaid.la.gov or Payment Program (KI-HIPP) Website: www.ldh.la.gov/lahipp https://chfs.ky.gov/agencies/dms/member/Pages/kih Phone: 1-888-342-6207 (Medicaid hotline) or ipp.aspx 1-855-618-5488 (LaHIPP) Phone: 1-855-459-6328 Email: [email protected] KCHIP Website: https://kidshealth.ky.gov/Pages/index.aspx Phone: 1-877-524-4718 https://chfs.ky.gov Kentucky Medicaid Website: MAINE – Medicaid MASSACHUSETTS – Medicaid and CHIP https://www.mass.gov/masshealth/pa Enrollment Website: Website: https://www.mymaineconnection.gov/benefits/s/?lan Phone: 1-800-862-4840 guage=en_US TTY: (617) 886-8102 Phone: 1-800-442-6003 TTY: Maine relay 711 Private Health Insurance Premium Webpage: https://www.maine.gov/dhhs/ofi/applications-forms Phone: 1-800-977-6740 TTY: Maine relay 711 MINNESOTA – Medicaid MISSOURI – Medicaid Website: Website: https://mn.gov/dhs/people-we-serve/children-and- http://www.dss.mo.gov/mhd/participants/pages/hipp families/health-care/health-care- .htm programs/programs-and-services/other-insurance.jsp Phone: 573-751-2005 Phone: 1-800-657-3739 MONTANA – Medicaid NEBRASKA – Medicaid Website: Website: http://www.ACCESSNebraska.ne.gov http://dphhs.mt.gov/MontanaHealthcarePrograms/H Phone: 1-855-632-7633 IPP Lincoln: 402-473-7000 Phone: 1-800-694-3084 Omaha: 402-595-1178 Email: [email protected] Page 12 | ACME| Plan Year 2024 Open Enrollment This Compliance Overview is not intended to be exhaustive nor should any discussion or opinions be construed as legal advice. Readers should contact legal counsel for legal advice.