Juvenile Law Center

Covered Til 26: Applying for Coverage in Other States

Below is a list of application resources for Medicaid coverage for former foster youth for each state. If you live in Pennsylvania, click here. Note that Juvenile Law Center will continue to revise and update these tools. Please check this page for any updates and the most recent versions of these materials. 

Application Information for Other States (click to jumpo to a state)

Alabama

Alaska

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

Florida

Georgia

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Jersey

New Mexico

New York

North Carolina

North Dakota

Ohio

Oklahoma

Oregon

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

Washington

Washington, D.C.

West Virginia

Wisconsin

Wyoming

 

Alabama
Download the youth flyer here. To apply online visit the Department of Public Health’s website at https://insurealabama.adph.state.al.us/ or visit the Health Insurance Marketplace at www.healthcare.gov. To apply in person or by phone, contact the Department of Public Health at 888-373-KIDS (5437) or the Alabama Medicaid Agency at 800-362-1504. For application assistance or more information, call DPH (888-373-5437) or the Medicaid agency (800-362-1504). If you experience roadblocks in applying for coverage contact the Alabama Disabilities Advocacy Program (ADAP) at 800-826-1675 or by email at [email protected].

Alaska
Ways to apply:
o To download an application, visit http://dhss.alaska.gov/dpa/Pages/medicaid/default.aspx (applications are in the box on the middle, right side of the screen)
For application assistance or more information, contact the Medicaid Recipient Helpline at 800-780-9972 statewide Monday through Friday between 8 a.m. and 5 p.m. 
To view the section of the Family Medicaid Eligibility Manual that explains this new coverage visit: http://dpaweb.hss.state.ak.us/manuals/fam-med/fam-med.htm#5704/5704__former_foster_care_children.htm.
Arizona
Program information: http://azchildren.org/health-coverage-news-for-former-foster-youth 
Ways to apply:
o To apply online visit https://www.healthearizonaplus.gov/Default/Default.aspx (click on Get Started, then go to Apply for Public Programs)
o To apply in person contact the DES/Family Assistance Office at 1-855-HEA-PLUS to find their nearest office.
Arkansas
Ways to apply:
o To apply online visit: https://access.arkansas.gov/
o To download an application: http://humanservices.arkansas.gov/dco/dco_docs/DCO-152%20Voter%20Registration.pdf
For application assistance or more information, contact the help center at: 1-855-372-1084
Additional program information:
o http://humanservices.arkansas.gov/dco/Pages/MedicaidEligibility.aspx (Scroll all the way to the bottom, several Medicaid links there including eligibility and application forms)
o https://www.medicaid.state.ar.us/Download/general/MOBSFY2014.pdf 
California
Flyer for youth: http://www.childrennow.org/uploads/documents/Coveredtil26_YouthFlyer.pdf
Ways to apply:
o Instructions on how to apply, including the best way to apply in each county: http://coveredtil26.childrennow.org/how-to-sign-up
o To access the one page application click here: http://www.dhcs.ca.gov/formsandpubs/forms/Forms/MCED/MC_Forms/MC250A_Eng.pdf. 
o Once you complete the application, you can turn it in to your local office in person, by mail, or by fax.  You can also apply by giving the information requested on the one-page application over the phone. Click here to get the contact information for where to turn in your application or what number to call in your county: www.childrennow.org/files/4514/2861/8455/Coveredtil26_CountyContactList.pdf 
If you have trouble applying you can contact Children Now at [email protected]
Colorado
FAQ for youth: http://www.cohealthinfo.com/frequently-asked-questions-former-foster-care-youth/ 
Ways to apply:
o For a description of all the ways to apply, visit https://www.colorado.gov/pacific/hcpf/how-to-apply  
o To apply online, visit http://colorado.gov/PEAK
o To apply in person, visit your local county office. For a list of the county offices, visit http://www.colorado.gov/cs/Satellite/CDHS-Main/CBON/1251590215770 
For application assistance, contact the Medicaid Customer Contact Center at 1-800-221-3943/ TDD 1-800-659-2656.
Connecticut
Ways to apply:
o To apply online, visit https://www.accesshealthct.com/AHCT/LandingPageCTHIX  (click on Get Health Coverage). 
o To apply by phone, please call the Access Health CT call center at 1-855-805-HEALTH (4325).
Delaware
Ways to apply:
o For a description of all the ways to apply, visit http://www.benefits.gov/benefits/benefit-details/1623 
o To apply online visit https://assist.dhss.delaware.gov/ (click on Apply for Benefits)
o To download a print application visit http://www.dhss.delaware.gov/dss/files/form100e.pdf
For application assistance, contact the Customer Relations Unit at 1-800-372-2022.
Florida
Program information: http://www.floridaschildrenfirst.org/wp-content/uploads/2014/02/Former-Foster-Youth-Medicaid-QA.pdf
Ways to apply:
o To apply online, visit https://dcf-access.dcf.state.fl.us/access/index.do?performAction=init 
o You can also contact your local Department of Children Families ACCESS Office. (To find the nearest local office, call 211 from any telephone in Florida.) 
For application assistance, call the ACCESS Customer Call Center (CCC) at (866) 762-2237. 
If you cannot get help from ACCESS Customer Call Center, contact Amy Guinan at: 1-800-436-6001 or [email protected] 
Georgia
Ways to apply:
o For a description of all the ways to apply, visit http://dch.georgia.gov/applying-medicaid (the eligibility information on this site is not up-to-date and does not reflect the former foster youth eligibility category)
o For information on submitting a paper application, visit http://www.healthinsurance.org/georgia-medicaid/ 
Hawaii
Ways to apply:
o To apply online, visit https://medical.mybenefits.hawaii.gov/web/kolea/home-page 
o To apply by phone, call at 1-877-628-5076
o To apply by mail, send an application to your local Med-QUEST Division Eligibility Office. For office locations, visit http://humanservices.hawaii.gov/wp-content/uploads/2013/09/MQD-Application-Benefit-Offices.pdf 
Idaho
Ways to apply:
o General information on applying for Medicaid: http://www.healthandwelfare.idaho.gov/Medical/Medicaid/tabid/123/Default...  
o To apply online visit https://www.yourhealthidaho.org/ (click Create Account & Apply)
o To request an application, call the Idaho CareLine (2-1-1) or (800) 926-2588.
o To apply over the phone, call the customer service line at (877) 456-1233. 
o To apply by mail, by email or by fax, print the application form at http://healthandwelfare.idaho.gov/FoodCashAssistance/HealthCoverageAssis... (includes English and Spanish forms)
Fax your application to (208) 334-6912.
Email your application to [email protected] 
Mail your application to: Department of Health and Welfare, PO Box 83720, Boise, ID 83720
Illinois
Program information: http://www.dhs.state.il.us/page.aspx?item=66651 
Ways to apply:
o Application guide: http://www.dhs.state.il.us/page.aspx?item=67366 
o To apply online, visit https://abe.illinois.gov/abe/access/ 
Indiana
Ways to apply:
o General information on applying for Medicaid: http://member.indianamedicaid.com/apply-for-medicaid.aspx
o To apply online, visit https://www.ifcem.com/CitizenPortal/application.do
o To apply in person, visit a local Division of Family Resources (DFR) office. For a list of offices, visit http://www.in.gov/fssa/dfr/2999.htm 
o To apply by phone, call 1-800-403-0834.
Iowa
Ways to apply:
o To apply online, visit the DHS website at www.dhs.iowa.gov  or at https://dhsservices.iowa.gov/apspssp/ssp.portal  (click on Apply for Benefits)
o To apply in person, by mail, by e-mail, or fax, submit an application to a Department office. 
English application: http://dhs.iowa.gov/sites/default/files/470-5170.pdf
Spanish application: http://dhs.iowa.gov/sites/default/files/470-5170S.pdf 
For a list of offices, visit: http://dhs.iowa.gov/dhs_office_locator 
o To apply by phone, call 1-855-889-7985 (DHS Contact Center) Monday-Friday 7am-6pm. 
Kansas
Ways to apply:
o General information on applying for Medicaid: http://www.kancare.ks.gov/apply.htm 
o To apply online, visit: http://www.kdheks.gov/hcf/medical_assistance/apply_for_assistance.html
o To obtain a paper application, call 1-800-792-4884 or visit your local Department of Children and Families office. For a list of offices, visit http://www.dcf.ks.gov/services/Pages/DCFOfficeLocatorMap.aspx. 
Kentucky
Ways to apply:
o To apply online, visit https://kynect.ky.gov/ (Go to the Individuals & Families tab)
o To apply by phone, call 1-855-459-6328.
o To apply in person, visit your local Department for Community Based Services (DCBS) office or call (502) 564-3703 to speak to your local office. 
For application assistance, contact Kentucky Youth Advocates toll free at 888.825.5592. 
Louisiana
Flyer for youth: http://dhh.louisiana.gov/assets/medicaid/MedicaidEligibilityForms/FosterCareYouthFlyerEng.pdf 
Ways to apply:
o For enrollment information, call 1-888-342-6207 
o To apply online, visit http://dhh.louisiana.gov/index.cfm/page/237
Maine
Flyer for youth: http://www.ylat.org/wp-content/uploads/2013/12/flier-for-youth-up-to-26.pdf
Ways to apply:
o To apply online, visit www1.maine.gov/benefits/account/login.html
o To apply by phone, call 1-855-797-4357 (DHHS Office of Family Independence).
o To apply in-person, go to your nearest DHHS office. You can find your local office online at http://gateway.maine.gov/dhhs-apps/office_finder/.
For application assistance, call 211 or go to www.enroll207.org. You can also call the Help Line at 1-800-965-7476 at Consumers for Affordable Health Care.
Maryland
Ways to apply:
o To apply online, visit: https://www.marylandhealthconnection.gov/get-help-enrolling/
o To apply by phone, call 855-642-8572.
Massachusetts
Ways to apply:
o To apply online, visit https://www.mahealthconnector.org/
o For a print application, visit: http://www.mass.gov/eohhs/docs/masshealth/membappforms/aca-3-english.pdf
Michigan
Ways to apply:
o Contact your foster care worker for a referral. If you are not sure who that person is or how to contact them, contact your local DHS office. For a list of DHS county offices, visit http://michigan.gov/dhs/0,4562,7-124-5459_5461---,00.html
o To apply directly, contact the Foster Care Transitional Medicaid (FCTMA) Unit at (517) 335-3627.
Minnesota
Ways to apply:
o To apply online, visit http://www.mnsure.org/. Click where it says “enroll in Medical Assistance at any time.” 
o For a print application, visit https://edocs.dhs.state.mn.us/lfserver/Public/DHS-6696-ENG
For application assistance, call 855-366-7873.
Mississippi
Ways to apply:
o You can submit your completed application by:
Emailing it to: [email protected].  
Mailing it to:
MS Division of Medicaid ATTN: Office of Eligibility
550 High Street, Suite 1000
Jackson, MS 39201-1399
Bringing it to your local office. For a list of local offices, visit http://www.medicaid.ms.gov/about/office-locations/.
For assistance, call 1-800-421-2408. 
Missouri
Flyer for youth: https://dss.mo.gov/cd/chafee/files/free-health-insurance-former-foster-care-youth.pdf
Ways to apply:
o Contact your local Children’s Division office to request a Mo HealthNet card. For a list of offices, visit http://dss.mo.gov/cd/office/ 
Montana
Ways to apply:
o To apply online, visit: https://apply.mt.gov/
o To apply in person or by mail, visit your local Office of Public Assistance for a print application. For a list of offices, visit http://dphhs.mt.gov/hcsd/OfficeofPublicAssistance.
For assistance, contact the Montana Public Assistance Helpline at 1-888-706-1535.
Nebraska
Flyer for youth from the State: http://dhhs.ne.gov/medicaid/Documents/Foster-Care-Health-flyer.pdf 
Flyer for youth from Nebraska Appleseed: https://www.neappleseed.org/wp-content/uploads/downloads/2013/11/The-ACA-And-You-Fact-Sheet-for-Youth-Nov-2013.pdf
Ways to apply:
o To apply online, visit www.AccessNebraska.ne.gov or HealthCare.gov   
o To apply by phone or request a paper application, call the Nebraska Medicaid Customer Service Center. 
Toll Free: (855) 632-7633
In Lincoln: (402) 473-7000
In Omaha: (402) 595-1178
o To print a paper application, visit http://public-dhhs.ne.gov/Forms/DisplayPDF.aspx?item3097 and mail or return to your local Department of Health and Human Services (DHHS) office. 
o To apply in person, stop by any local DHHS office to request a paper application, which can be completed and returned on site or, when completed, can be mailed, faxed, or electronically submitted to DHHS. (Fax number: (402) 595-1901)
Nevada
Flyer for youth: http://dcfs.nv.gov/uploadedFiles/dcfsnvgov/content/Programs/CWS/IL/Medicaid%20until%2026(6).pdf
Ways to apply:
o One-page application for former foster youth: http://dcfs.nv.gov/uploadedFiles/dcfsnvgov/content/Programs/CWS/IL/Aged%20Out%20Medicaid%20App%20for%20Website(3).pdf 
o Mail application and supporting documentation to:
Department of Welfare and Supportive Services
Carson City District Office
ATTN: Aging Out Program
2533 Carson Street #200
Carson City, NV 89706 
New Hampshire
Ways to apply:
o To apply online, visit https://nheasy.nh.gov 
o To apply in person, visit your local Department of Health and Human Services (DHHS) Office. For a list of offices, visit http://www.dhhs.nh.gov/contactus/districtoffices.htm
For application assistance, contact your local DHHS District Office or DCYF. 
New Jersey
Ways to apply:
o Contact Medicaid Extension for Young Adults at 1-888-235-4766 for application information. 
New Mexico
Ways to apply:
o To apply online, visit: https://www.yes.state.nm.us/yesnm/home/index;jsessionid=D07ABD5FD680C8BD3D3DD31AE9FC5AF4
o For a print application, visit: http://www.hsd.state.nm.us/uploads/files/Looking%20for%20Assistance_Apply%20for%20Benefits/Apply%20for%20Benefits/NewMexicoStreamlinedApplicationFINAL092413%20(English).pdf
o To apply in person, visit your local field office. Find your office here: https://www.google.com/maps/d/viewer?t=m&source=embed&ie=UTF8&msa=0&z=7&mid=zJhiONx2I5As.kJpGenUpXTi0
If you need help applying call the Customer Service Hot Line at 888-997-2583.  
New York
Brochure for Youth--Everything You Need to Know About Getting Health Insurance After Foster Care: http://www.scaany.org/wp-content/uploads/2014/12/Everything_You_Need_to_Know.pdf
Ways to apply:
o Contact the Department of Social Services in the county where you currently live. A directory is available here or on the OCFS website. 
o You can also go to New York State of Health, New York’s health care marketplace, to enroll.
o If you need help call the Community Health Advocates at 888-614-5400
Additional resources:
o Schuyler Center’s website--Medicaid to 26—Get Covered! http://www.scaany.org/scaa-resources/medicaid-to-26/
o Videos by youth explain the importance of the provision:
https://www.youtube.com/watch?v=fswJeIpRUro&feature=player_embedded
https://www.youtube.com/watch?v=GadVs-rflZY&feature=player_embedded
North Carolina
Ways to apply:
o To apply online, visit: https://www.epass.nc.gov/CitizenPortal/application.do. Click on Apply for Medical Benefits. 
o For a print application, visit http://info.dhhs.state.nc.us/olm/forms/dma/dma-5200-ia.pdf and submit it to your county social service office.  You can find your local office here: http://www.ncdhhs.gov/dss/local/index.htm
North Dakota
Ways to apply:
o Visit your county social service office. Here is a list of offices: http://www.nd.gov/dhs/locations/countysocialserv/index.html
o To apply online, visit http://www.nd.gov/eforms/Doc/sfn01909.pdf
Ohio
Program information: http://medicaid.ohio.gov/FOROHIOANS/Programs/FosterCare.aspx#1159467-how-can-i-apply 
Ways to apply:
o To apply online, visit https://benefits.ohio.gov/  
o Apply by mail, or in person, at your local County Department of Job and Family Services (CDJFS), using a paper application found here: http://medicaid.ohio.gov/Portals/0/Resources/Publications/Forms/ODM07216.pdf 
o To find out where your local CDJFS is located, click here  http://jfs.ohio.gov/County/County_Directory.pdf 
Oklahoma
Ways to apply:
o General information on how to apply for Medicaid: http://www.okhca.org/individuals.aspx?id=92&menu=40&parts=11601
o To apply online, visit http://www.okhca.org/individuals.aspx?id=11698
o For a print application, visit https://marketplace.cms.gov/applications-and-forms/marketplace-application-for-family.pdf
o To apply in person, visit your local Department of Human Services office. For a list of offices, visit http://www.okdhs.org/okdhslocal/
For application assistance, call the SoonerCare Helpline at 1-800-987-7767.
Oregon
Program information: http://www.oregon.gov/dhs/children/fostercare/docs/FFCY%20Medical%20FAQ's.pdf 
Flyer for youth: http://www.oregon.gov/dhs/children/fostercare/docs/FFCY%20Medical%20Flyer.pdf
Ways to apply:
o You can request a FFCY application from your DHS caseworker, Independent Living Program (ILP) provider or FosterClub Dedicated Outreach Representative. 
o Other options include: 
Phone: The DHS Children’s Medical Unit (CMED) can take applications over the phone by calling: 503-945-5720 or 503-947-2598. 
Email: Applications can be requested or submitted via email to: [email protected] 
Mail: Applications are also available online on the DHS Independent Living Program website. To submit application print, complete and mail application to CMED, 500 Summer Street NE, E-69, Salem, Oregon 97301 
Fax: Completed applications can be faxed to 503-945-7032
o Additional information on how to apply: https://www.youtube.com/watch?v=aRQF9YwOsqY&feature=youtu.be
If you have questions or problems, you can also contact foster care ombudsman: http://www.oregon.gov/dhs/aboutdhs/Pages/fostercare-ombudsman.aspx
Rhode Island
Program information: http://economicprogressri.org/Portals/0/Uploads/Documents/Affordable%20Health%20Care/2014%20Workshop/RI%20HCP%20Former%20Foster%20Youth%20Resource.pdf
Flyer for youth: http://www.rikidscount.org/Portals/0/Uploads/Documents/Health%20(Coverage,%20Issues,%20Oral)/RI%20HCP%20FFY%20Flyer%20-%20English%20-%20Dec%202014.pdf 
Ways to apply:
o To enroll, youth should call the RI DCYF enrollment specialist that matches the first few letters of their last name (see below) Monday-Friday, 8:30 a.m. to 4:00 p.m. 
A – De ... Call 401-528-3638, Lisa McInnis
Df – Lag ... Call 401-528-3653, Lauren Joaquin
Lah – Ral ... Call 401-528-3643, Steven Woodruff
Ram – Z ... Call 401-528-3654, Daisy Castrillon 
South Carolina
Program information: https://www.scdhhs.gov/eligibility-groups/former-foster-care-age-26
Ways to apply:
o To apply online, visit https://apply.scdhhs.gov/CitizenPortal/application.do 
o Youth can also obtain a paper application here: https://www.scdhhs.gov/sites/default/files/FM%203400.pdf 
South Dakota
Ways to apply:
o Enrollment referrals are normally made by Division of Child Protection Services staff. You can find a list of local offices here: http://dss.sd.gov/childprotection/offices.aspx.
o Call 1-800-305-3064 for further information.
Tennessee
Flyer for youth: http://www.tn.gov/youth/fostercare/TennCareForAgedOutYouth.pdf
Ways to apply:
o If you think you may be eligible, call your Regional DCS office and talk to the Health Care Advocacy Representative. For a list of the regional offices, visit: http://state.tn.us/youth/dcsguide/regionaladmin.htm. 
Texas
Program information: http://www.texasfosteryouth.org/downloads/medicaid_aged_out_foster_youth.pdf 
Ways to apply:
o To receive a copy of a Medicaid application, call 2-1-1 and ask to speak to someone about Medicaid for former foster youth. 
o If they do not help you at that number, try calling 1-512-908-9612 between 8 a.m. and 5 p.m. central time.
o To apply online visit: http://www.dads.state.tx.us/search/gsearch.html?cx=015921339483614075310... (then click DADS or HHSC Form)
o Once the form is filled out, mail the form to: 
Centralized Benefit Services (954-X)
Texas Health and Human Services Commission
P.O. Box 149030
Austin, TX 78714-9947
If you are having difficulties getting on Transitional Medicaid, you can contact the Texas Foster Youth Justice Project for assistance at 877-313-3688
Utah
Program Information: https://medicaid.utah.gov/foster-care-medicaid 
Ways to apply:
o General instructions: https://medicaid.utah.gov/apply-medicaid 
o To apply online, visit https://jobs.utah.gov/mycase/ (Click on Apply for Benefits)
o For a print application, visit https://medicaid.utah.gov/apply-medicaid. For a Spanish application, visit https://medicaid.utah.gov/como-y-donde-pedir-la-asistencia-medica
Mail completed application to:
Department of Workforce Services
PO Box 143245
Salt Lake City, UT 84114-3245
Fax the completed application to:
Department of Workforce Services
Fax: (801) 526-9505
Toll-free Fax: 1-888-522-9505
o To apply in person, visit any Department of Workforce Services office. Visit https://jobs.utah.gov/regions/ec.html to find the nearest office. 
Vermont
Ways to apply:
o Contact the Youth Development Program at 802-229-9151, or visit http://www.vtyouthdevelopmentprogram.org/ for district-specific contact information.
Youth Development Program Flyer: http://legislature.vermont.gov/assets/Documents/2014/WorkGroups/Senate%20Health%20and%20Welfare/Youth%20Services/W~Kreig%20Pinkham~Youth%20Development%20Program~4-9-2014.pdf 
Virginia
Program Information: http://www.coverva.org/main_programs.cfm 
Flyer for youth: http://www.coverva.org/mat/Former_Foster_Care_Information.pdf
Ways to apply:
o To apply online, visit https://commonhelp.virginia.gov/access/.
o To apply by phone, call the Cover Virginia Call Center at 1-855-242-8282.
o For a paper application, visit http://www.coverva.org/mat/magi_1.pdf?03262015, or visit http://www.coverva.org/mat/magi_1_spanish.pdf for a Spanish version. Send by mail or fax the completed application to your local Department of Social Services (LDSS) or visit LDSS in person.
Washington
Program information: http://independence.wa.gov/programs/medicaid-to-26/ 
Ways to apply:
o Contact the Foster Care Medical Team at 1-800-562-3022 ext. 15480 for eligibility/enrollment information.
Washington D.C.
Ways to apply:
o To apply online, visit DCHealthLink.com (click on Individuals and Families Tab, then scroll down to and click on Medicaid, then scroll down and click on Enroll) 
o To apply over the phone call DC Health Link Customer Service toll-free at (855) 532-5465/TTY (855) 532-5465
o To apply in person, go to any ESA Service Center, or fax a completed DC Health Link application to (202) 671-4400. 
West Virginia
Program information: http://www.itsmymove.org 
Ways to apply:
o Call 1-877-716-1212
Wisconsin
Ways to apply:
o To apply online, visit https://access.wisconsin.gov
o To apply in person, visit your local/tribal Income Maintenance office. For a list of offices, visit https://www.dhs.wisconsin.gov/forwardhealth/imagency/consortia.htm
o For a print application, visit: https://www.dhs.wisconsin.gov/forms/f1/f10182.pdf
For more information, youth can also contact their local child welfare agency.  
Wyoming 
Program information: http://www.health.wyo.gov/healthcarefin/medicaideligibility/WYECChildren.html
Ways to apply:
o To apply online, visit http://www.wesystem.wyo.gov/ 
o For a print application, visit http://www.health.wyo.gov/Media.aspx?mediaId=14455
o To apply by phone, call 855-294-212

Alaska
To download an application, visit http://dhss.alaska.gov/dpa/Pages/medicaid/default.aspx (applications are in the box on the middle, right side of the screen). For application assistance or more information, contact the statewide Medicaid Recipient Helpline at 800-780-9972, available Monday through Friday between 8 a.m. and 5 p.m. To view the section of the Family Medicaid Eligibility Manual that explains this new coverage visit: http://dpaweb.hss.state.ak.us/manuals/fam-med/fam-med.htm#5704/5704__for....

Arizona
Program information is available here. To apply online visit https://www.healthearizonaplus.gov/Default/Default.aspx. Click on "Get Started," then go to "Apply for Public Programs." To apply in person contact the DES/Family Assistance Office at 1-855-HEA-PLUS to find their nearest office.

Arkansas
For eligibility and enrollment information, visit: http://humanservices.arkansas.gov/dco/Pages/MedicaidEligibility.aspx. Scroll to the bottom to find several Medicaid links, including eligibility and application forms.Download the Arkansas Medicaid Program Overview here. To apply online visit: https://access.arkansas.gov/. Download an application here. For application assistance or more information, contact the help center at: 1-855-372-1084.

California
Download the flyer for youth here. For instructions on how to apply, including the best way to apply in each county, visit: http://coveredtil26.childrennow.org/how-to-sign-up. Download the one-page application here. Once you complete the application, you can turn it in to your local office in person, by mail, or by fax. You can also apply by giving the information requested on the one-page application over the phone. Click here to get the contact information for where to turn in your application or what number to call in your county. If you have trouble applying you can contact Children Now at [email protected].

Colorado
Click here for FAQ for youth. There are lots of ways to apply, click here to read how you can apply. To apply online, visit http://colorado.gov/PEAK. To apply in person, visit your local county office. For a list of the county offices, visit: http://www.colorado.gov/cs/Satellite/CDHS-Main/CBON/1251590215770. For application assistance, contact the Medicaid Customer Contact Center at 1-800-221-3943/ TDD 1-800-659-2656.

Connecticut
To apply online, visit https://www.accesshealthct.com/AHCT/LandingPageCTHIX and click on "Get Health Coverage." To apply by phone, please call the Access Health CT call center at 1-855-805-HEALTH (4325).

Delaware
There are lots of ways to apply, click here to learn how you can apply. To apply online visit https://assist.dhss.delaware.gov/ and click on "Apply for Benefits." To download and print an application, click here. For application assistance, contact the Customer Relations Unit at 1-800-372-2022.

Florida
For program information, click here. To apply online, visit https://dcf-access.dcf.state.fl.us/access/index.do?performAction=init. You can also contact your local Department of Children Families ACCESS Office. To find the nearest local office, call 211 from any telephone in Florida. For application assistance, call the ACCESS Customer Call Center (CCC) at (866) 762-2237.  If you cannot get help from ACCESS Customer Call Center, contact Amy Guinan at: 1-800-436-6001 or [email protected] 

Georgia
There are lots of ways to apply, more information on how you can apply is available here. For information on submitting a paper application, visit http://www.healthinsurance.org/georgia-medicaid/.

Hawaii
To apply online, visit https://medical.mybenefits.hawaii.gov/web/kolea/home-page. To apply by phone, call 1-877-628-5076. To apply by mail, send an application to your local Med-QUEST Division Eligibility Office. Click here to find office locations.

Idaho
For general information on applying for Medicaid visit: http://www.healthandwelfare.idaho.gov/Medical/Medicaid/tabid/123/Default.... To apply online visit https://www.yourhealthidaho.org/ and click "Create Account & Apply."

 To request an application, call the Idaho CareLine (2-1-1) or (800) 926-2588. To apply over the phone, call the customer service line at (877) 456-1233.  To apply by mail, by email or by fax, print the application form.Fax your application to (208) 334-6912. Email your application to [email protected]. Mail your application to: Department of Health and Welfare, PO Box 83720, Boise, ID 83720

Illinois
Click here for general program information. Read the application guide here: http://www.dhs.state.il.us/page.aspx?item=67366. To apply online, visit https://abe.illinois.gov/abe/access/.

Indiana
Click here for general information on applying for Medicaid. To apply online, visit https://www.ifcem.com/CitizenPortal/application.do. To apply in person, visit a local Division of Family Resources (DFR) office. Click here for a list of offices. To apply by phone, call 1-800-403-0834.

Iowa
To apply online, visit the DHS website at www.dhs.iowa.gov or at https://dhsservices.iowa.gov/apspssp/ssp.portal  and click on "Apply for Benefits." To apply in person, by mail, by e-mail, or fax, submit an application to a Department office. Applications are available in both English and Spanish. For a list of Department offices, visit: http://dhs.iowa.gov/dhs_office_locator. To apply by phone, call 1-855-889-7985 (DHS Contact Center), available Monday-Friday between 7am-6pm. 

Kansas
Click here for general information on applying for Medicaid. To apply online, visit http://www.kdheks.gov/hcf/medical_assistance/apply_for_assistance.html. To obtain a paper application, call 1-800-792-4884 or visit your local Department of Children and Families office. For a list of offices, visit http://www.dcf.ks.gov/services/Pages/DCFOfficeLocatorMap.aspx. 

Kentucky
To apply online, visit https://kynect.ky.gov/ and click on the :Individuals & Families" tab. To apply by phone, call 1-855-459-6328. To apply in person, visit your local Department for Community Based Services (DCBS) office or call (502) 564-3703 to speak to your local office. For application assistance, contact Kentucky Youth Advocates toll free at 1-888-825-5592. 

Louisiana
Click here to download the lyer for youth. For enrollment information, call 1-888-342-6207. To apply online, visit http://dhh.louisiana.gov/index.cfm/page/237. Download and print the application here.

Maine
Download the flyer for youth here. To apply online, visit www1.maine.gov/benefits/account/login.html. To apply by phone, call 1-855-797-4357 (DHHS Office of Family Independence). To apply in-person, go to your nearest DHHS office. You can find your local office online at http://gateway.maine.gov/dhhs-apps/office_finder/. For application assistance, call 211 or go to www.enroll207.org. You can also call the Help Line at 1-800-965-7476 at Consumers for Affordable Health Care.

Maryland
To apply online, visit: https://www.marylandhealthconnection.gov/get-help-enrolling/. To apply by phone, call 855-642-8572.

Massachusetts
To apply online, visit https://www.mahealthconnector.org/. Click here to download and print the application. 

Michigan
Contact your foster care worker for a referral. If you are not sure who that person is or how to contact them, contact your local DHS office. For a list of DHS county offices, visit http://michigan.gov/dhs/0,4562,7-124-5459_5461---,00.html. To apply directly, contact the Foster Care Transitional Medicaid (FCTMA) Unit at (517) 335-3627.

Minnesota
To apply online, visit http://www.mnsure.org/ and click on “enroll in Medical Assistance at any time.” To download and print an application, click here. For application assistance, call 855-366-7873.

Mississippi
Download and print an application here. You can submit your application in 3 ways:

  • Emailing it to: [email protected].  
  • Mailing it to: MS Division of Medicaid ATTN: Office of Eligibility, 550 High Street, Suite 1000, Jackson, MS 39201-1399
  • Bringing it to your local office. For a list of local offices, visit http://www.medicaid.ms.gov/about/office-locations/.

For assistance, call 1-800-421-2408. 

Missouri
Click here to download the flyer for youth. Contact your local Children’s Division office to request a Mo HealthNet card. For a list of offices, visit http://dss.mo.gov/cd/office/.

Montana
To apply online, visit: https://apply.mt.gov/. To apply in person or by mail, visit your local Office of Public Assistance for a print application. For a list of offices, visit http://dphhs.mt.gov/hcsd/OfficeofPublicAssistance. For assistance, contact the Montana Public Assistance Helpline at 1-888-706-1535.

Nebraska
Click here to download the state flyer for youth. Nebraska Appleseed's youth flyer is available here. To apply online, visit www.AccessNebraska.ne.gov or HealthCare.gov. To apply by phone or request a paper application, call the Nebraska Medicaid Customer Service Center:

  • Toll Free: (855) 632-7633
  • In Lincoln: (402) 473-7000
  • In Omaha: (402) 595-1178

Click here to download and print a paper application, then mail or return to your local Department of Health and Human Services (DHHS) office. To apply in person, stop by any local DHHS office to request a paper application, which can be completed and returned or can be mailed, faxed, or electronically submitted to DHHS (Fax number: 402-595-1901).

Nevada
Click here to downlaod the flyer for youth. To download and print the one-page application for former foster youth, click here. Mail application and supporting documentation to:

Department of Welfare and Supportive Services
Carson City District Office
ATTN: Aging Out Program
2533 Carson Street #200
Carson City, NV 89706 

New Hampshire
To apply online, visit https://nheasy.nh.gov. To apply in person, visit your local Department of Health and Human Services (DHHS) Office. For a list of offices, visit http://www.dhhs.nh.gov/contactus/districtoffices.htm. For application assistance, contact your local DHHS District Office or DCYF. 

New Jersey
Contact Medicaid Extension for Young Adults at 1-888-235-4766 for application information. 

New Mexico
To apply online, visit: https://www.yes.state.nm.us/yesnm/home/index;jsessionid=D07ABD5FD680C8BD3D3DD31AE9FC5AF4. Download and print an application here. To apply in person, visit your local field office. Click here to find your local field office. If you need help applying call the Customer Service Hot Line at 888-997-2583.  

New York
Click here to download the brochure for youth, "Everything You Need to Know About Getting Health Insurance After Foster Care." Contact the Department of Social Services in the county where you currently live. A directory is available here or on the OCFS website. You can also go to New York State of Health, New York’s health care marketplace, to enroll. If you need help call the Community Health Advocates at 888-614-5400.

Additional resources:

  • Schuyler Center’s website--Medicaid to 26—Get Covered! - http://www.scaany.org/scaa-resources/medicaid-to-26/
  • Watch videos by youth explain the importance of the provision here and here.

North Carolina
To apply online, visit: https://www.epass.nc.gov/CitizenPortal/application.do and click on "Apply for Medical Benefits." Download and print an application here and submit it to your county social service office. You can find your local office here: http://www.ncdhhs.gov/dss/local/index.htm.

North Dakota
Visit your county social service office for information. Click here for a list of offices. To apply online, visit http://www.nd.gov/eforms/Doc/sfn01909.pdf.

Ohio
Click here for program information. To apply online, visit https://benefits.ohio.gov/. Apply by mail, or in person, at your local County Department of Job and Family Services (CDJFS), by using a paper application. To find out where your local CDJFS is located, visit http://jfs.ohio.gov/County/County_Directory.pdf.

Oklahoma
Click here for general information on how to apply for Medicaid. To apply online, visit http://www.okhca.org/individuals.aspx?id=11698. Download and print an application here. To apply in person, visit your local Department of Human Services office. For a list of offices, visit http://www.okdhs.org/okdhslocal/. For application assistance, call the SoonerCare Helpline at 1-800-987-7767.

Oregon
Click here for program information. Download the flyer for youth here. You can request a FFCY application from your DHS caseworker, Independent Living Program (ILP) provider or FosterClub Dedicated Outreach Representative. You an also apply by phone by calling the DHS Children's Medical Unit (CMED) at 503-945-5720 or 503-947-2598. You can ask for Margaret Roberts of Leslee Star.

If you want to print out the Former Foster Youth Medical Referral Form, click here. After you print out the form and complete it, you can submit it in any of the ways listd below:

  • Email: applications can be requested or submitted via email to [email protected] 
  • Mail: print, complete and mail application to CMED, 500 Summer Street NE, E-69, Salem, Oregon 97301 
  • Fax: 503-945-7032

Additional information on how to apply is available here. If you have questions or problems, you can also contact foster care ombudsman: http://www.oregon.gov/dhs/aboutdhs/Pages/fostercare-ombudsman.aspx.

Rhode Island
Click here for program information. Download the flyer for youth here. To enroll, call the Rhode Island DCYF enrollment specialist, available Monday-Friday, 8:30 am to 4:00 pm. To determine which specialist to call, find where your last name falls in the alphabetical list below and call the corresponding number:

A – De ... Call 401-528-3638, Lisa McInnis
Df – Lag ... Call 401-528-3653, Lauren Joaquin
Lah – Ral ... Call 401-528-3643, Steven Woodruff
Ram – Z ... Call 401-528-3654, Daisy Castrillon 

South Carolina
Click here for program information. To apply online, visit https://apply.scdhhs.gov/CitizenPortal/application.do. Youth can also obtain a paper application here.

South Dakota
For program information, click here. Enrollment referrals are normally made by Division of Child Protection Services staff. You can find a list of local offices here. Call 1-800-305-3064 for further information. If you are having problems enrolling, you can call Sam Masten at 605-773-5173. 

Tennessee
Download the flyer for youth here. If you think you may be eligible, call your Regional DCS office and talk to the Health Care Advocacy Representative. For a list of the regional offices, visit: http://state.tn.us/youth/dcsguide/regionaladmin.htm. 

Texas
Click here for program information. For detailed application information, click here. To apply online, visit www.yourtexasbenefits.com and select “Apply for benefits.”  If you need more information or would like help applying, you can contact the Texas Foster Youth Justice Project at 877-313-3688.

Utah
Click here for program information. For general instructions, click here. To apply online, visit https://jobs.utah.gov/mycase/ and click on "Apply for Benefits." For a print application, visit https://medicaid.utah.gov/apply-medicaid. For a Spanish application, visit https://medicaid.utah.gov/como-y-donde-pedir-la-asistencia-medica.

Mail completed application to:
Department of Workforce Services
PO Box 143245
Salt Lake City, UT 84114-3245

Fax the completed application to:
Department of Workforce Services
Fax: (801) 526-9505
Toll-free Fax: 1-888-522-9505

To apply in person, visit any Department of Workforce Services office. Visit https://jobs.utah.gov/regions/ec.html to find the nearest office. 

Vermont
Apply online here. Contact the Youth Development Program at 802-229-9151, or visit http://www.vtyouthdevelopmentprogram.org/ for district-specific contact information. Click here to download the Youth Development Program Flyer. 

Virginia
Click here for program information. Download the flyer for youth here. To apply online, visit https://commonhelp.virginia.gov/access/. To apply by phone, call the Cover Virginia Call Center at 1-855-242-8282. For a paper application, visit http://www.coverva.org/mat/magi_1.pdf?03262015 (English) or http://www.coverva.org/mat/magi_1_spanish.pdf (Spanish). Send the application by mail or fax the completed application to your local Department of Social Services (LDSS) or visit LDSS in person.

Washington
Click here for program information. Contact the Foster Care Medical Team at 1-800-562-3022 ext. 15480 for eligibility/enrollment information.

Washington, D.C.
Click here for program information. To apply online, visit DCHealthLink.com and click on "Individuals and Families Tab," then scroll down to and click on "Medicaid," then scroll down and click on "Enroll." To apply over the phone call DC Health Link Customer Service toll-free at (855) 532-5465/TTY (855) 532-5465. To apply in person, go to any ESA Service Center, or fax a completed DC Health Link application to (202) 671-4400. 

West Virginia
Click here for program information. Call 1-877-716-1212.

Wisconsin
To apply online, visit https://access.wisconsin.gov. To apply in person, visit your local/tribal Income Maintenance office. For a list of offices, visit https://www.dhs.wisconsin.gov/forwardhealth/imagency/consortia.htm. For a print application, visit: https://www.dhs.wisconsin.gov/forms/f1/f10182.pdf. For more information, youth can also contact their local child welfare agency.  

Wyoming
Program information: http://www.health.wyo.gov/healthcarefin/medicaideligibility/WYECChildren.... To apply online, visit http://www.wesystem.wyo.gov/. For a print application, visit http://www.health.wyo.gov/Media.aspx?mediaId=14455. To apply by phone, call 855-294-2127.

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