Health Coverage: 1-855-840-4774

Health and Human Services: 1-855-697-4347

Employers: 1-855-683-6757

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Begin Application
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Health Coverage Questions
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Program Specific Questions
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Resources and Expenses
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Submit Application

Introduction
Household Profile
Personal and Financial Information

Tax Information
Access to Coverage
Appoint Authorized Representative
Review Answers
See Health Coverage Eligibility
Enroll in Health Plan

Acknowledgement of Responsibilities
Appoint Authorized Representative
Applicant Information
Information about Non-Custodial Parents
Disability Information
Child Care Information

Financial Resources
Other Resources
Employment Income and Information
Unearned Income Information
Housing and Utility Expenses
Other Expenses

Final Household Questions
Rights and Responsibilities
Submit Application

Due to the COVID-19 emergency, all Medicaid coverage in effect or beginning after March 18th, 2020 will remain active throughout the emergency unless you move out of state or wish to end your coverage. In the unfortunate event that someone in your household has passed away, that individual would no longer be covered but your remaining household members coverage will remain active throughout the emergency period. You may continue to report changes to your account as needed. Please note these changes will not result in the termination of your Medicaid health coverage.

Eligibility Determination

These are your possible health coverage choices, based on the information you have provided. Before you can enroll in coverage, you will need to provide more information.

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Eligibility Determination

Please Note: