Chip Enrollment Form - Mississippi

Chip Enrollment Form - Mississippi

Chip Enrollment Form is a legal document that was released by the Mississippi Division of Medicaid - a government authority operating within Mississippi.

FAQ

Q: What is the Chip Enrollment Form?A: The Chip Enrollment Form is an application used to apply for the Children's Health Insurance Program (CHIP) in Mississippi.

Q: Who is eligible for CHIP in Mississippi?A: Children under the age of 19 whose families meet certain income requirements are eligible for CHIP in Mississippi.

Q: What does CHIP cover in Mississippi?A: CHIP in Mississippi provides health coverage for children, including doctor visits, immunizations, prescriptions, and hospital care.

Q: What documents do I need to include with the Chip Enrollment Form?A: You may need to include proof of income, proof of residency, and birth certificates for the children you are applying for.

Q: How long does it take to process the Chip Enrollment Form?A: The processing time for the Chip Enrollment Form can vary, but you should receive a response within a few weeks.

Q: What if my child is already enrolled in Medicaid?A: If your child is already enrolled in Medicaid, they may not be eligible for CHIP, but you can contact the Mississippi Division of Medicaid for more information.

Q: Is there a fee to apply for CHIP in Mississippi?A: No, there is no fee to apply for CHIP in Mississippi.

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Form Details:

  • Released on December 12, 2014;
  • The latest edition currently provided by the Mississippi Division of Medicaid;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Mississippi Division of Medicaid.

Download Chip Enrollment Form - Mississippi

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