www.dhcs.ca.gov
Open in
urlscan Pro
158.96.244.178
Public Scan
Submitted URL: http://dhcs.ca.gov/hipp
Effective URL: https://www.dhcs.ca.gov/services/Pages/TPLRD_CAU_cont.aspx
Submission: On October 22 via api from US — Scanned from CA
Effective URL: https://www.dhcs.ca.gov/services/Pages/TPLRD_CAU_cont.aspx
Submission: On October 22 via api from US — Scanned from CA
Form analysis 1 forms found in the DOM
POST /services/Pages/TPLRD_CAU_cont.aspx
<form method="post" action="/services/Pages/TPLRD_CAU_cont.aspx" onsubmit="javascript:return WebForm_OnSubmit();" id="aspnetForm">
<div class="aspNetHidden">
<input type="hidden" name="_wpcmWpid" id="_wpcmWpid" value="">
<input type="hidden" name="wpcmVal" id="wpcmVal" value="">
<input type="hidden" name="MSOWebPartPage_PostbackSource" id="MSOWebPartPage_PostbackSource" value="">
<input type="hidden" name="MSOTlPn_SelectedWpId" id="MSOTlPn_SelectedWpId" value="">
<input type="hidden" name="MSOTlPn_View" id="MSOTlPn_View" value="0">
<input type="hidden" name="MSOTlPn_ShowSettings" id="MSOTlPn_ShowSettings" value="False">
<input type="hidden" name="MSOGallery_SelectedLibrary" id="MSOGallery_SelectedLibrary" value="">
<input type="hidden" name="MSOGallery_FilterString" id="MSOGallery_FilterString" value="">
<input type="hidden" name="MSOTlPn_Button" id="MSOTlPn_Button" value="none">
<input type="hidden" name="__EVENTTARGET" id="__EVENTTARGET" value="">
<input type="hidden" name="__EVENTARGUMENT" id="__EVENTARGUMENT" value="">
<input type="hidden" name="__REQUESTDIGEST" id="__REQUESTDIGEST" value="0x9AAB7F15F4BA66128A2F34CA142412D85F6FDBB2611AF4F28F53DB5D17465068C0EA22C0118D48CAE81B4FCEA2A320E00CF42C8ABE1940ACFD2FE229236AA979,22 Oct 2022 00:02:39 -0000">
<input type="hidden" name="MSOSPWebPartManager_DisplayModeName" id="MSOSPWebPartManager_DisplayModeName" value="Browse">
<input type="hidden" name="MSOSPWebPartManager_ExitingDesignMode" id="MSOSPWebPartManager_ExitingDesignMode" value="false">
<input type="hidden" name="MSOWebPartPage_Shared" id="MSOWebPartPage_Shared" value="">
<input type="hidden" name="MSOLayout_LayoutChanges" id="MSOLayout_LayoutChanges" value="">
<input type="hidden" name="MSOLayout_InDesignMode" id="MSOLayout_InDesignMode" value="">
<input type="hidden" name="_wpSelected" id="_wpSelected" value="">
<input type="hidden" name="_wzSelected" id="_wzSelected" value="">
<input type="hidden" name="MSOSPWebPartManager_OldDisplayModeName" id="MSOSPWebPartManager_OldDisplayModeName" value="Browse">
<input type="hidden" name="MSOSPWebPartManager_StartWebPartEditingName" id="MSOSPWebPartManager_StartWebPartEditingName" value="false">
<input type="hidden" name="MSOSPWebPartManager_EndWebPartEditing" id="MSOSPWebPartManager_EndWebPartEditing" value="false">
<input type="hidden" name="__LASTFOCUS" id="__LASTFOCUS" value="">
<input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE"
value="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">
</div>
<script type="text/javascript">
//<![CDATA[
var theForm = document.forms['aspnetForm'];
if (!theForm) {
theForm = document.aspnetForm;
}
function __doPostBack(eventTarget, eventArgument) {
if (!theForm.onsubmit || (theForm.onsubmit() != false)) {
theForm.__EVENTTARGET.value = eventTarget;
theForm.__EVENTARGUMENT.value = eventArgument;
theForm.submit();
}
}
//]]>
</script>
<script src="/WebResource.axd?d=7XyBj5Dda8QGIAld_fD3QmCBSTfQ9NtYuq5ue1wB_FZLNznm35LifmqSS2VBO7pYWnDkrT0BwWl3eqP4TK52hffNjWLYyshEnM0jxQpz-4A1&t=637729336233813844" type="text/javascript"></script>
<script type="text/javascript">
//<![CDATA[
var MSOWebPartPageFormName = 'aspnetForm';
var g_presenceEnabled = true;
var g_wsaEnabled = false;
var g_correlationId = 'c8f270a0-3ab7-a05c-4136-b10fc86be4c2';
var g_wsaQoSEnabled = false;
var g_wsaQoSDataPoints = [];
var g_wsaRUMEnabled = false;
var g_wsaLCID = 1033;
var g_wsaListTemplateId = 850;
var g_wsaSiteTemplateId = 'CMSPUBLISHING#0';
var _fV4UI = true;
var _spPageContextInfo = {
webServerRelativeUrl: "\u002fservices",
webAbsoluteUrl: "https:\u002f\u002fwww.dhcs.ca.gov\u002fservices",
siteAbsoluteUrl: "https:\u002f\u002fwww.dhcs.ca.gov",
serverRequestPath: "\u002fservices\u002fPages\u002fTPLRD_CAU_cont.aspx",
layoutsUrl: "_layouts\u002f15",
webTitle: "services",
webTemplate: "39",
tenantAppVersion: "0",
isAppWeb: false,
Has2019Era: true,
webLogoUrl: "_layouts\u002f15\u002fimages\u002fsiteicon.png",
webLanguage: 1033,
currentLanguage: 1033,
currentUICultureName: "en-US",
currentCultureName: "en-US",
clientServerTimeDelta: new Date("2022-10-22T00:02:39.6347383Z") - new Date(),
updateFormDigestPageLoaded: new Date("2022-10-22T00:02:39.6347383Z"),
siteClientTag: "855$$16.0.5356.1000",
crossDomainPhotosEnabled: false,
webUIVersion: 15,
webPermMasks: {
High: 16,
Low: 196673
},
pageListId: "{7b758ea9-a289-4706-98a8-c9c23bfb9b87}",
pageItemId: 338,
pagePersonalizationScope: 1,
alertsEnabled: true,
customMarkupInCalculatedFieldDisabled: true,
siteServerRelativeUrl: "\u002f",
allowSilverlightPrompt: 'True',
isSiteAdmin: false
};
var L_Menu_BaseUrl = "/services";
var L_Menu_LCID = "1033";
var L_Menu_SiteTheme = "null";
document.onreadystatechange = fnRemoveAllStatus;
function fnRemoveAllStatus() {
removeAllStatus(true)
};
function DoCallBack(filterText) {
WebForm_DoCallback('ctl00$PlaceHolderMain$ctl01$ctl00', filterText, UpdateFilterCallback, 0, CallBackError, true)
}
function CallBackError(result, clientsideString) {}
Flighting.ExpFeatures = [480215056, 1880287568, 1561350208, 302071836, 3212816, 69472768, 4194310, -2113396707, 268502022, -872284160, 1049232, -2147421952, 65536, 65536, 2097472, 917504, -2147474174, 1372324107, 67108882, 0, 0, -2147483648,
2097152, 0, 0, 32768, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 32768
]; //]]>
</script>
<script src="/_layouts/15/blank.js?rev=11xYKEacDte40%2FcTHYMJrA%3D%3DTAG0" type="text/javascript"></script>
<script type="text/javascript">
//<![CDATA[
(function() {
if (typeof(_spBodyOnLoadFunctions) === 'undefined' || _spBodyOnLoadFunctions === null) {
return;
}
_spBodyOnLoadFunctions.push(function() {
SP.SOD.executeFunc('core.js', 'FollowingDocument', function() {
FollowingDocument();
});
});
})();
(function() {
if (typeof(_spBodyOnLoadFunctions) === 'undefined' || _spBodyOnLoadFunctions === null) {
return;
}
_spBodyOnLoadFunctions.push(function() {
SP.SOD.executeFunc('core.js', 'FollowingCallout', function() {
FollowingCallout();
});
});
})();
if (typeof(DeferWebFormInitCallback) == 'function') DeferWebFormInitCallback();
function WebForm_OnSubmit() {
UpdateFormDigest('\u002fservices', 1440000);
if (typeof(_spFormOnSubmitWrapper) != 'undefined') {
return _spFormOnSubmitWrapper();
} else {
return true;
};
return true;
}
//]]>
</script>
<div class="aspNetHidden">
<input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="BAB98CB3">
</div>
<script type="text/javascript">
//<![CDATA[
Sys.WebForms.PageRequestManager._initialize('ctl00$ScriptManager', 'aspnetForm', [], [], [], 90, 'ctl00');
//]]>
</script>
<!-- Google Tag Manager (noscript) -->
<noscript>
<iframe src="https://www.googletagmanager.com/ns.html?id=GTM-5K2JLS" height="0" width="0" style="display:none;visibility:hidden">
</iframe>
</noscript>
<!-- End Google Tag Manager (noscript) -->
<div>
<a class="ms-accessible ms-acc-button" href="#main-content">Skip to Main Content
</a>
<div id="TurnOnAccessibility" style="" class="s4-notdlg noindex">
<a id="linkTurnOnAcc" href="#" class="ms-accessible ms-acc-button" onclick="SetIsAccessibilityFeatureEnabled(true);UpdateAccessibilityUI();document.getElementById('linkTurnOffAcc').focus();return false;">
Turn on more accessible mode
</a>
</div>
<div id="TurnOffAccessibility" style="display:none" class="s4-notdlg noindex">
<a id="linkTurnOffAcc" href="#" class="ms-accessible ms-acc-button" onclick="SetIsAccessibilityFeatureEnabled(false);UpdateAccessibilityUI();document.getElementById('linkTurnOnAcc').focus();return false;">
Turn off more accessible mode
</a>
</div>
</div>
<div>
<div id="s4-bodyContainer">
<header role="banner" id="header" class="global-header fixed">
<div id="ms-designer-ribbon">
<div>
<div id="s4-ribbonrow" style="visibility:hidden;display:none"></div>
</div>
</div>
<div id="skip-to-content">
<a href="#main-content">Skip to Main Content
</a>
</div>
<!-- Important Banner -->
<div role="alert" class="alert alert-warning alert-banner">
<div class="container" style="line-height:26px;">
<span class="label label-pill label-warning">Important</span>
<span style="color:#000">Are you enrolled in Medi-Cal? Has your contact information changed in the past two years? Give your local county office your updated contact information so you can stay enrolled.
<a href="/services/medi-cal/Pages/CountyOffices.aspx" aria-label="Find your local county office."><u><strong>Find your local county office.</strong></u></a></span>
</div>
</div>
<!-- Location Bar -->
<!-- Include Utility Header -->
<!--include virtual="/ssi/utility-header.html" -->
<div class="utility-header">
<div class="container">
<div class="group">
<div class="half leftUtilityBar">
<ul class="utility-links social-media-links">
<li>
<a href="/" alt="Home">
<span class="ca-gov-icon-home" aria-hidden="true">
</span>
<span class="sr-only">Home
</span>
</a>
</li>
<li>
<a class="ca-gov-icon-facebook" title="Facebook channel" alt="Facebook channel" tabindex="0" href="https://www.facebook.com/DHCS.CA">
<span class="hidden">#
</span>
</a>
</li>
<li>
<a class="ca-gov-icon-twitter" title="Twitter channel" alt="Twitter channel" tabindex="0" href="https://twitter.com/DHCS_CA">
<span class="hidden">#
</span>
</a>
</li>
<li>
<a class="ca-gov-icon-share-linkedin" title="Linkedin channel" alt="Linkedin channel" tabindex="0" href="https://www.linkedin.com/company/california-department-of-health-care-services">
<span class="hidden">#
</span>
</a>
</li>
<!--<li>
<a class="ca-gov-icon-share-youtube" title="YouTube Channel" alt="YouTube Channel" tabindex="0" href="#">
<span class="hidden">#</span>
</a>
</li>-->
</ul>
</div>
<div class="half rightUtilityBar settings-links">
<ul class="utility-links ">
<li>
<a href="/">Home
</a>
</li>
<li>
<a href="/Pages/AboutUs.aspx">About DHCS
</a>
</li>
<li>
<a href="/pages/translate.aspx">
<span class="ca-gov-icon-globe">
</span>
Translate </a>
</li>
</ul>
</div>
</div>
</div>
</div>
<!-- Include Branding -->
<!--include virtual="/ssi/branding.html" -->
<!-- header branding -->
<div class="branding">
<div class="header-cagov-logo">
<a href="https://www.ca.gov">
<img class="ca-gov-icon-img" src="/_catalogs/masterpage/images/Ca-Gov-Logo-Gold.svg" alt="CA.gov logo">
</a>
</div>
<div class="header-organization-banner">
<a href="/">
<img id="dhcssvglogo" src="/_catalogs/masterpage/images/DHCSlogo.svg" alt="DHCS logo">
</a>
</div>
</div>
<!-- Include Mobile Controls -->
<!--include virtual="/ssi/mobile-controls.html" -->
<!-- mobile navigation controls -->
<div class="mobile-controls">
<span class="mobile-control toggle-menu" aria-expanded="false">
<span class="ca-gov-icon-menu" aria-hidden="true">
</span>
<span class="sr-only">Menu </span>
</span>
<span class="mobile-control-group mobile-header-icons">
<!-- Add more mobile controls here. These will be on the right side of the mobile page header section -->
</span>
<span class="mobile-control toggle-search">
<span class="ca-gov-icon-search" aria-hidden="true">
</span>
<span class="sr-only">Search </span>
</span>
<span class="mobile-control-group mobile-menu-icons">
<!-- Add more mobile controls here. These will be on the top right section of the expanded mobile menu -->
</span>
</div>
<div class="navigation-search">
<!-- Search Results -->
<!-- Include Navigation -->
<!--include virtual="/ssi/navigation.html" -->
<nav id="navigation" class="main-navigation megadropdown auto-highlight mobile-closed" role="navigation">
<ul id="nav_list" class="top-level-nav nav-menu">
<li class="home-link nav-item">
<a href="/" class="first-level-link" id="accessible-menu-1666396961246-1" aria-expanded="false">
<span id="nav_home_container" class="ca-gov-icon-home" aria-hidden="true">
</span>
Home </a>
</li>
<li class="nav-item">
<a href="/services" class="first-level-link" id="accessible-menu-1666396961247-2" aria-expanded="false">
<span class="ca-gov-icon-state">
</span>
Services </a>
</li>
<li class="nav-item">
<a href="/individuals" class="first-level-link" id="accessible-menu-1666396961247-3" aria-expanded="false">
<span class="ca-gov-icon-info-bubble" aria-hidden="true">
</span>
Individuals </a>
</li>
<li class="nav-item">
<a href="/provgovpart" class="first-level-link" id="accessible-menu-1666396961248-4" aria-expanded="false">
<span class="ca-gov-icon-flowchart" aria-hidden="true">
</span>
Providers & <br class="special">
Partners </a>
</li>
<li class="nav-item">
<a href="/formsandpubs/laws/Pages/LawsandRegulations.aspx" class="first-level-link" id="accessible-menu-1666396961248-5" aria-expanded="false">
<span class="ca-gov-icon-capitol" aria-hidden="true">
</span>
Laws & <br class="special">
Regulations </a>
</li>
<li class="nav-item">
<a href="/dataandstats" class="first-level-link" id="accessible-menu-1666396961249-6" aria-expanded="false">
<span class="ca-gov-icon-bar-chart" aria-hidden="true">
</span>
Data & <br class="special">
Statistics </a>
</li>
<li class="nav-item">
<a href="/formsandpubs" class="first-level-link" id="accessible-menu-1666396961249-7" aria-expanded="false">
<span class="ca-gov-icon-page" aria-hidden="true">
</span>
Forms & <br class="special">
Publications </a>
</li>
<li class="nav-item" id="nav-item-search">
<a href="javascript:;" class="first-level-link" id="accessible-menu-1666396961250-8" aria-expanded="false">
<span class="ca-gov-icon-search" aria-hidden="true">
</span>
Search </a>
</li>
</ul>
</nav>
<div id="head-search" class="search-container in play-animation">
<div class="container">
<div class="searchform">
<label class="hidden" for="search-text">Search for this site: </label>
<input name="text1" id="search-text" onkeypress="return TrapEnterKey( document.getElementById('search-button'), event);" onfocus="if(this.value=='Search')this.value=''" onblur="if(this.value=='')this.value='Search'" type="text"
value="Search">
<input name="Button1" id="search-button" onclick="doSearch(false);" type="button" alt="Search" value="" aria-label="Close">
</div>
</div>
</div>
</div>
</header>
<div id="main-content" class="main-content" style="padding-top: 200px;">
<!--<main class="main-primary">-->
<div class="main-primary">
<div data-name="ContentPlaceHolderMain">
<span id="DeltaPlaceHolderMain">
<!---PageFromDOcLayout.aspx--->
<div class="article article-body">
<div class="container text-left">
<div class="article-content">
<div id="ctl00_PlaceHolderMain_ctl00_label" style="display:none">Page Content</div>
<div id="ctl00_PlaceHolderMain_ctl00__ControlWrapper_RichHtmlField" class="ms-rtestate-field" style="display:inline" aria-labelledby="ctl00_PlaceHolderMain_ctl00_label">
<h1> Health Insurance Premium Payment Program/Cost Avoidance</h1>
<p>The Health Insurance Premium Payment (HIPP) program is a voluntary program for qualified beneficiaries with full scope Medi-Cal coverage. HIPP approved Medi-Cal eligible beneficiaries shall receive services that are
unavailable from third party coverage and offered by Medi-Cal. Beneficiaries with restricted Medi-Cal coverage or who are no longer covered under the same existing commercial health
insurance plan they were on at the time they enrolled into Medi-Cal are not eligible for the HIPP program.</p>
<p>Requirements for HIPP:</p>
<p dir="ltr">Any existing, medically confirmed, medical condition determined by the Department of Health Care Services (DHCS) to be a <strong>cost-effective </strong>condition is deemed to meet the cost-effectiveness
criteria for the HIPP program. If this does not apply, then the following requirements will be used to determine cost-effectiveness:</p>
<ol>
<li>Enrollment in an existing individual or group health insurance plan shall be considered cost-effective when the cost of paying premiums, coinsurance, deductibles, other cost-sharing obligations, and administrative
costs, are projected to be less than the amount paid for an equivalent set of Medi-Cal services.</li>
<ul>
<li>The confirmed medical condition must be covered under the existing individual or group health insurance plan upon date of application.</li>
</ul>
<li>When determining cost-effectiveness of existing individual or group health insurance plans, DHCS shall consider the following information:</li>
<ul>
<li>The cost of the insurance premium, coinsurance, deductible;</li>
<li>The average yearly anticipated Medi-Cal utilization for the confirmed medical condition;</li>
<li>The specific health-related circumstances of the persons covered under the insurance plan; and</li>
<li>Annual administrative expenditures.</li>
</ul>
<li>In any month that a HIPP enrollee has not met his/her monthly spend-down obligation, the enrollee will not be reimbursed.</li>
<li>In order to meet the cost-effectiveness criteria, HIPP enrollees are required to be in fee-for-service (FFS) Medi-Cal.</li>
</ol>
<p> You are <strong>NOT</strong> eligible for HIPP if you are eligible for or enrolled in the following:</p>
<ul>
<li>Medicare</li>
<li>TRI-CARE (formerly known as CHAMPUS)</li>
<li>Medi-Cal Managed Care<br></li>
</ul>
<p>If you are transitioning from the HIPP program into a Medi-Cal Managed Care program and are in need of assistance, please contact the HIPP program using one of the methods below:<br></p>
<strong>Email</strong>: HIPP@dhcs.ca.gov<br>
<strong>Fax</strong>: (916) 440-5676<br>
<div style="text-align:left;">
<strong>Address</strong>:
</div>
<div style="text-align:left;">Third Party Liability and Recovery Division </div>HIPP Program- MS 4719<br>P.O. Box 997425<br>Sacramento, CA 95899-7425<br><br>
<p dir="ltr" style="margin-right:0px;">The HIPP staff will assist with putting you in contact with your selected Managed Care program staff. <br></p>
<p dir="ltr" style="margin-right:0px;">Additional information about Medi-Cal Managed Care can be found using the link below:</p>
<p dir="ltr" style="margin-right:0px;"><strong><a href="/services/Pages/Medi-CalManagedCare.aspx">Medi-Cal Managed Care</a></strong></p>
<table class="ms-rteTable-3" summary=" Quick Reference Links " style="height:93%;width:32%;">
<tbody>
<tr class="ms-rteTableHeaderRow-3">
<th class="ms-rteTableHeaderEvenCol-3" rowspan="1" colspan="1">
<p><strong>Quick Reference Links</strong></p>
</th>
</tr>
<tr class="ms-rteTableOddRow-3">
<td width="245" class="ms-rteTableEvenCol-3" style="height:41px;"><a href="https://apps.dhcs.ca.gov/AutoForm2/default.aspx?af=2633" target="_blank"><p>HIPP Application Form - Fillable</p></a></td>
</tr>
<tr class="ms-rteTableEvenRow-3">
<td width="245" class="ms-rteTableEvenCol-3" style="height:74px;">
<p><a href="/services/Pages/HIPPOnlineForms.aspx">HIPP Application and Forms (PDF)</a><br>Solicitud y Formas para el Programa HIPP</p>
</td>
</tr>
<tr class="ms-rteTableOddRow-3">
<td width="245" class="ms-rteTableEvenCol-3">
<p><a href="/services/Pages/HIPPFAQ.aspx">Frequently Asked Questions (FAQ)</a></p>
</td>
</tr>
<tr class="ms-rteTableEvenRow-3">
<td width="245" height="14" class="ms-rteTableEvenCol-3">
<p><a href="/formsandpubs/laws/Documents/StatePlan-Attachment-4-22-C.pdf">HIPP State Plan Amendment (PDF) <br>SPA 21-0057 </a><br></p>
</td>
</tr>
</tbody>
</table>
<p> </p>
<p><span style="font-size:1em;">Back to </span><a href="/services/Pages/ThirdPartyLiability.aspx" style="background-color:#ffffff;font-size:1em;">TPLRD Home Page</a><br></p>
</div>
</div>
<div id="ctl00_PlaceHolderMain_ctl01__ControlWrapper_SummaryLinkFieldControl" style="display:inline">
<div id="slwp_ctl00_PlaceHolderMain_ctl01_ctl00" class="slm-layout-main slwpmarker" xmlns:pcm="urn:PageContentManager"><!--empty--></div>
</div>
<!--This displays the title field only when the page is in edit mode. -->
<div class="last-modified">Last modified date: 5/3/2022 1:25 PM</div>
</div>
</div>
<div style="display:none" id="hidZone">
<menu class="ms-hide">
<ie:menuitem id="MSOMenu_Help" iconsrc="/_layouts/15/images/HelpIcon.gif" onmenuclick="MSOWebPartPage_SetNewWindowLocation(MenuWebPart.getAttribute('helpLink'), MenuWebPart.getAttribute('helpMode'))" text="Help" type="option"
style="display:none">
</ie:menuitem>
</menu>
</div>
</span>
<!-- End Main Content -->
<!--/main-->
</div>
</div>
<!-- Global Footer -->
<footer id="footer" class="global-footer">
<div class="container">
<br>
<br>
<a href="/Pages/Language_Access.aspx">
<strong>Non-Discrimination Policy and Language Access
</strong>
</a>
<br>
<br>
<a href="/Pages/Health_Care_Language_Assistance_Services.aspx">Access Health Care Language Assistance Services (SB 223)
</a>
<br>
<br>
<br>
<p style="color:white;">
<a href="/Pages/Language_Access.aspx#arabic">العربية
</a> | <a href="/Pages/Language_Access.aspx#armenian">Հայերեն
</a> | <a href="/Pages/Language_Access.aspx#cambodian">ខ្មែរ
</a> | <a href="/Pages/Language_Access.aspx#chinese">繁體中文
</a> | <a href="/Pages/Language_Access.aspx#farsi">فارسی
</a> | <a href="/Pages/Language_Access.aspx#hindi">हिंदी
</a> | <a href="/Pages/Language_Access.aspx#hmong">Hmoob
</a> | <a href="/Pages/Language_Access.aspx#japanese">日本語
</a> | <a href="/Pages/Language_Access.aspx#korean">한국어
</a> | <a href="/Pages/Language_Access.aspx#laotian">ລາວ
</a> | <a href="/Pages/Language_Access.aspx#punjabi">ਪੰਜਾਬੀ
</a> | <a href="/Pages/Language_Access.aspx#russian">Русский
</a> | <a href="/Pages/Language_Access.aspx#spanish">Español
</a> | <a href="/Pages/Language_Access.aspx#tagalog">Tagalog
</a> | <a href="/Pages/Language_Access.aspx#thai">ภาษาไทย
</a> | <a href="/Pages/Language_Access.aspx#vietnamese">Tiếng Việt
</a>
</p>
<br>
<p style="color:white; text-align: center;">
<a href="/Pages/AboutUs.aspx">About Us
</a> | <a href="/services/admin/jobs/Pages/default.aspx">Careers
</a> | <a href="/pages/use.aspx">Conditions of Use
</a> | <a href="/pages/privacy.aspx">Privacy Policy
</a> | <a href="/Pages/contact_us.aspx">Contact Us
</a> | <a href="/Documents/Web-Accessibility-Cert.pdf">Accessibility Certification
</a>
</p>
</div>
<!-- Copyright Statement -->
<div class="copyright">
<div class="container">Copyright © <script language="JavaScript">
//<![CDATA[
update = new Date(document.lastModified)
theYear = update.getFullYear()
document.writeln(theYear)
//]]>
</script>2022 State of California <br>
<!-- Last modified date: -->
</div>
</div>
</footer>
<!-- Extra Decorative Content -->
<div class="decoration-last">
</div>
<script type="text/javascript">
//<![CDATA[
(function() {
var cx = '001779225245372747843:vhylo_moui4';
var gcse = document.createElement('script');
gcse.type = 'text/javascript';
gcse.async = true;
gcse.src = (document.location.protocol == 'https:' ? 'https:' : 'http:') + '//www.google.com/cse/cse.js?cx=' + cx;
var s = document.getElementsByTagName('script')[0];
s.parentNode.insertBefore(gcse, s);
})()
function doSearch(byNewWindow) {
var searchInput = document.getElementById("search-text").value;
searchInput = $.trim(searchInput);
if (searchInput == "Search") {
searchInput = 'Please enter your search keyword or phrase';
} else if (searchInput == "") {
searchInput = 'Please enter your search keyword or phrase';
}
searchInput = encodeURIComponent(searchInput);
if (byNewWindow) window.open("/Pages/Search.aspx?q=" + searchInput);
else location = "/Pages/Search.aspx?q=" + searchInput;
}
function TrapEnterKey(btn, e) {
var evt = ((e) ? e : window.event);
if (document.all) {
if (evt && evt.keyCode == 13) {
evt.returnValue = false;
evt.cancel = true;
btn.click();
return false;
}
} else if (document.getElementById) {
if (evt && evt.which == 13) {
evt.returnValue = false;
evt.cancel = true;
btn.click();
return false;
}
}
}
(function() {
var sz = document.createElement('script');
sz.type = 'text/javascript';
sz.async = true;
sz.src = '//siteimproveanalytics.com/js/siteanalyze_6004868.js';
var s = document.getElementsByTagName('script')[0];
s.parentNode.insertBefore(sz, s);
})();
//]]>
</script>
<script>
//<![CDATA[
//Fall back to local copy if no jquery found
if (typeof jQuery == 'undefined') {
document.write(unescape("%3Cscript src='js/libs/jquery-1.11.1.min.js' type='text/javascript'%3E%3C/script%3E"));
}
//]]>
</script>
<!-- Load template core -->
<script src="/_catalogs/masterpage/js/cagov.core.js">
//<![CDATA[
//]]>
</script>
<script>
//<![CDATA[$(document).ready(function() {
// Backward compatability fix for removing wrapper on new "sections"
$('.main-primary > .section').closest('div.wrapper').removeClass('wrapper');
});
//]]>
</script>
<!--Google Translate -->
<script type="text/javascript">
//<![CDATA[
function googleTranslateElementInit() {
new google.translate.TranslateElement({
pageLanguage: 'en',
layout: google.translate.TranslateElement.InlineLayout.HORIZONTAL
}, 'google_translate_element');
}
//]]>
</script>
<script type="text/javascript" src="https://translate.google.com/translate_a/element.js?cb=googleTranslateElementInit">
//<![CDATA[
//]]>
</script>
<!-- Google Translate End-->
<span class="return-top"></span>
</div>
</div>
</div>
<div id="DeltaFormDigest">
<script type="text/javascript">
//<![CDATA[
var formDigestElement = document.getElementsByName('__REQUESTDIGEST')[0];
if (!((formDigestElement == null) || (formDigestElement.tagName.toLowerCase() != 'input') || (formDigestElement.type.toLowerCase() != 'hidden') || (formDigestElement.value == null) || (formDigestElement.value.length <= 0))) {
formDigestElement.value = '0x9AAB7F15F4BA66128A2F34CA142412D85F6FDBB2611AF4F28F53DB5D17465068C0EA22C0118D48CAE81B4FCEA2A320E00CF42C8ABE1940ACFD2FE229236AA979,22 Oct 2022 00:02:39 -0000';
_spPageContextInfo.updateFormDigestPageLoaded = new Date();
}
//]]>
</script>
</div>
<script type="text/javascript">
//<![CDATA[
var _spFormDigestRefreshInterval = 1440000;
var callBackFrameUrl = '/WebResource.axd?d=CZDZZaBD_FtSCUutR6g8zLHN40G4CA90X-bMtXcgl5bewnG2g-0cVyDv9qU6S2RH6206VYIeC71xby8IOka5O6DfkH4sDGE7LAxRHUnOSuA1&t=637729336233813844';
WebForm_InitCallback();
var _fV4UI = true;
function _RegisterWebPartPageCUI() {
var initInfo = {
editable: false,
isEditMode: false,
allowWebPartAdder: false,
listId: "{7b758ea9-a289-4706-98a8-c9c23bfb9b87}",
itemId: 338,
recycleBinEnabled: true,
enableMinorVersioning: true,
enableModeration: true,
forceCheckout: true,
rootFolderUrl: "\u002fservices\u002fPages",
itemPermissions: {
High: 16,
Low: 196673
}
};
SP.Ribbon.WebPartComponent.registerWithPageManager(initInfo);
var wpcomp = SP.Ribbon.WebPartComponent.get_instance();
var hid;
hid = document.getElementById("_wpSelected");
if (hid != null) {
var wpid = hid.value;
if (wpid.length > 0) {
var zc = document.getElementById(wpid);
if (zc != null) wpcomp.selectWebPart(zc, false);
}
}
hid = document.getElementById("_wzSelected");
if (hid != null) {
var wzid = hid.value;
if (wzid.length > 0) {
wpcomp.selectWebPartZone(null, wzid);
}
}
};
function __RegisterWebPartPageCUI() {
ExecuteOrDelayUntilScriptLoaded(_RegisterWebPartPageCUI, "sp.ribbon.js");
}
_spBodyOnLoadFunctionNames.push("__RegisterWebPartPageCUI");
var __wpmExportWarning =
'This Web Part Page has been personalized. As a result, one or more Web Part properties may contain confidential information. Make sure the properties contain information that is safe for others to read. After exporting this Web Part, view properties in the Web Part description file (.WebPart) by using a text editor such as Microsoft Notepad.';
var __wpmCloseProviderWarning =
'You are about to close this Web Part. It is currently providing data to other Web Parts, and these connections will be deleted if this Web Part is closed. To close this Web Part, click OK. To keep this Web Part, click Cancel.';
var __wpmDeleteWarning = 'You are about to permanently delete this Web Part. Are you sure you want to do this? To delete this Web Part, click OK. To keep this Web Part, click Cancel.';
var g_clientIdDeltaPlaceHolderMain = "DeltaPlaceHolderMain";
var g_clientIdDeltaPlaceHolderUtilityContent = "DeltaPlaceHolderUtilityContent";
//]]>
</script>
</form>Text Content
Skip to Main Content
Turn on more accessible mode
Turn off more accessible mode
Skip to Main Content
Important Are you enrolled in Medi-Cal? Has your contact information changed in
the past two years? Give your local county office your updated contact
information so you can stay enrolled. Find your local county office.
* Home
* #
* #
* #
* Home
* About DHCS
* Translate
Menu Search
* Home
* Services
* Individuals
* Providers &
Partners
* Laws &
Regulations
* Data &
Statistics
* Forms &
Publications
* Search
Search for this site:
Page Content
HEALTH INSURANCE PREMIUM PAYMENT PROGRAM/COST AVOIDANCE
The Health Insurance Premium Payment (HIPP) program is a voluntary program for
qualified beneficiaries with full scope Medi-Cal coverage. HIPP approved
Medi-Cal eligible beneficiaries shall receive services that are unavailable from
third party coverage and offered by Medi-Cal. Beneficiaries with restricted
Medi-Cal coverage or who are no longer covered under the same existing
commercial health insurance plan they were on at the time they enrolled
into Medi-Cal are not eligible for the HIPP program.
Requirements for HIPP:
Any existing, medically confirmed, medical condition determined by the
Department of Health Care Services (DHCS) to be a cost-effective condition is
deemed to meet the cost-effectiveness criteria for the HIPP program. If
this does not apply, then the following requirements will be used to determine
cost-effectiveness:
1. Enrollment in an existing individual or group health insurance plan shall be
considered cost-effective when the cost of paying premiums, coinsurance,
deductibles, other cost-sharing obligations, and administrative costs, are
projected to be less than the amount paid for an equivalent set of Medi-Cal
services.
* The confirmed medical condition must be covered under the
existing individual or group health insurance plan upon date of
application.
2. When determining cost-effectiveness of existing individual or group health
insurance plans, DHCS shall consider the following information:
* The cost of the insurance premium, coinsurance, deductible;
* The average yearly anticipated Medi-Cal utilization for the confirmed
medical condition;
* The specific health-related circumstances of the persons covered under
the insurance plan; and
* Annual administrative expenditures.
3. In any month that a HIPP enrollee has not met his/her monthly spend-down
obligation, the enrollee will not be reimbursed.
4. In order to meet the cost-effectiveness criteria, HIPP enrollees are
required to be in fee-for-service (FFS) Medi-Cal.
You are NOT eligible for HIPP if you are eligible for or enrolled in the
following:
* Medicare
* TRI-CARE (formerly known as CHAMPUS)
* Medi-Cal Managed Care
If you are transitioning from the HIPP program into a Medi-Cal Managed Care
program and are in need of assistance, please contact the HIPP program using one
of the methods below:
Email: HIPP@dhcs.ca.gov
Fax: (916) 440-5676
Address:
Third Party Liability and Recovery Division
HIPP Program- MS 4719
P.O. Box 997425
Sacramento, CA 95899-7425
The HIPP staff will assist with putting you in contact with your selected
Managed Care program staff.
Additional information about Medi-Cal Managed Care can be found using the link
below:
Medi-Cal Managed Care
Quick Reference Links
HIPP Application Form - Fillable
HIPP Application and Forms (PDF)
Solicitud y Formas para el Programa HIPP
Frequently Asked Questions (FAQ)
HIPP State Plan Amendment (PDF)
SPA 21-0057
Back to TPLRD Home Page
Last modified date: 5/3/2022 1:25 PM
Non-Discrimination Policy and Language Access
Access Health Care Language Assistance Services (SB 223)
العربية | Հայերեն | ខ្មែរ | 繁體中文 | فارسی | हिंदी | Hmoob
| 日本語 | 한국어 | ລາວ | ਪੰਜਾਬੀ | Русский | Español |
Tagalog | ภาษาไทย | Tiếng Việt
About Us | Careers | Conditions of Use | Privacy Policy |
Contact Us | Accessibility Certification
Copyright © 2022 State of California
ORIGINAL TEXT
Contribute a better translation
--------------------------------------------------------------------------------