You may be asked if any of the people on your application want us to send their information to their state Medicaid agency, so they can check on their Medicaid and/or Children's Health Insurance Program (CHIP) eligibility: This question is asking if you want the Medicaid agency to review your application and make a decision about your eligibility. You may qualify to get more health services and pay less for your care. You could also get help paying for past medical bills.
You should check the box next to a person’s name if he or she:
- Has a medical, mental health, or substance use condition that limits the ability to work or go to school
- Needs or gets long-term care in your home or lives in a long-term care facility or nursing home
- Is terminally ill or needs special medical services
- Needs a lot of medical services or has high medical bills
- Has a family income close to the Medicaid income limit or if you think the household has less income than was calculated in the income section of this application
If you don’t ask for the Medicaid agency to review your application and make a formal decision about whether or not you’re eligible for Medicaid, you won’t be able to appeal the fact that you’re not being enrolled in the Medicaid program.
You must check the box next to a person’s name to ask the Medicaid agency to review his or her application in order to have the right to appeal a denial of Medicaid. You can check off more than one person’s name. If you’re not sure, you can check the box next to the person’s name, just in case it will help them.