Medicaid for Virginia. HEALTH INSURANCE PREMIUM PAYMENT (HIPP). The HIPP program was established under Section 1906 of the Social Security Act.
“What does it mean to have a case that is cost-effective?” A case is cost-effective if it is determined that the State will save money by paying the annual cost of your health insurance premium. Further, your case is cost-effective if the annual cost of your health insurance premium is less that the annual cost of your Medicaid dependent’s medical expenses, out-of-pocket costs, and applicable administrative costs. Your case has a good chance of being cost-effective if you have several Medicaid dependents, or if one or more of your Medicaid dependents has a high-cost medical condition. “Does my Medicaid dependent need to have a catastrophic illness to be eligible for HIPP?” No. Any individual with a high-cost medical condition will be considered for the HIPP program. “Will you give me some examples of a high-cost medical condition?” When a pre-qualified applicant has a high-cost medical condition, there is a good chance their case will be cost-effective, and therefore, eligible for HIPP enrollment.
An applicant with high medical costs may have a catastrophic illness, but high costs may also be associated with other types of conditions, including: • Asthma • Autism • Cancer • Cerebral palsy • Diabetes • Lou Gehrig’s disease • Low birth weight babies in Intensive Care Unit • Muscular dystrophy • Pregnancy.
HIPP FREQUENTLY ASKED QUESTIONS (FAQ) Questions: 1. Questions and Answers: • How can I contact the Department of Health Care Services (DHCS) Health Insurance Premium Payment (HIPP) program? You may contact HIPP by e-mail at or by fax at 916-440-5676. • Do I have to submit original documentation, or will copies be acceptable? Copies of all requested documentation are acceptable. Thuggish Ruggish Bone Mp3 Download Skull.
• How long does it take to process my application? New applications are processed within 30 days from receiving all of the required documentation. If my application is approved for HIPP, can I be reimbursed for months prior to approval for the program? If you are approved for the HIPP program, reimbursements begin the month of approval.
If premiums are past due, you must bring the premiums current before eligibility can be determined. • Can I cancel my private health coverage once approved for the HIPP program? If you drop your private health coverage, you will no longer be eligible for the HIPP program. • What do I send HIPP to receive reimbursements?
Proof of payment must be received every three months for reimbursement. That proof can be copies of paystubs, cancelled checks (front and back), bank statements, annuity letters, etc. • How long does it take to receive reimbursement? Reimbursement takes approximately eight weeks to process. • Why does it take so long to receive a reimbursement? HIPP prepares an invoice once your proof of payment has been received. Autodesk Autocad 2013 Serial Number And Product Key Free Download.
Invoices are reviewed and forwarded to DHCS Accounting for processing. Once processing has been completed, the invoice is forwarded to the State Controller's Office for a warrant to be issued. • How does the state budget affect my reimbursement? When a state budget has not been signed, HIPP reimbursements may be delayed. If HIPP payments are delayed, HIPP enrollees may be responsible for making their insurance premium payments. DHCS will reimburse those payments once a state budget has been signed. • What should I do if my insurance company sends me a refund check?
If you receive a refund check for payment that was made by the State, you should immediately forward that check to DHCS (see No. • Can I appeal a decision for termination from the HIPP program? In accordance with All County Welfare Directors Letter No. 95-82, there are no appeal rights for the HIPP program. • What is the mailing address? Department of Health Care Services Third Party Liability and Recovery Division HIPP Program- MS 4719 P.O.
Box 997425 Sacramento, CA.