The fastest way to renew your HIPP Program is to work directly with your local Medication Assistance Program Enrollment Worker. Clients who are enrolled in a health plan through Covered California and want to maintain enrollment into the HIPP Program must submit:
Within two days of renewing your health plan through Covered California, you must submit your health plan documents to your local Medication Assistance Program Enrollment Worker, or directly to the CDPH Medication Assistance Program.
Please note: Clients who enroll in a health plan through Covered California must submit documents to the CDPH Medication Assistance Program by November 30, 2022 for a January 1, 2023 start date. If you submit documents to CDPH after this date, it is recommended you make the initial premium payment to secure your health insurance. Otherwise, you may not receive a January 1, 2023 effective date.
How to Submit Documents
Work with your local Medication Assistance Program Enrollment Worker to submit documents electronically (this is the fastest and preferred method), or
Email, fax, or mail the documents to CDPH:
- Email: CDPH MedAssistFax@cdph.ca.gov
- Fax: (844) 421-8008
- Mail: CDPH ā Insurance Assistance
P.O. Box 997426, MS 7704
Sacramento, CA 95899
Open Enrollment Dates for Covered California
Open enrollment for Covered California is November 1, 2022 through January 31, 2023.
Tax Credit/Premium Subsidy
You may qualify for an APTC and/or the State Premium Assistance Subsidy Program to help pay for your insurance premium.
If you qualify for APTC or State Premium Assistance Subsidy Program, you must accept the full amount to qualify for the HIPP Program.
Clients who received an APTC must file a federal tax return in order to determine if the APTC amount on their tax return is less than or more than their APTC. The client will either have a balance due or receive a refund. If an ADAP client has a liability to be paid or is owed a refund, these requests may be submitted directly to Pool Administrators Inc. (PAI).
- APTC Refund ā This means that OA-HIPP overpaid the monthly premiums, therefore the APTC refund (for the applicable months) needs to be returned to OA-HIPP.
- APTC Tax Liability ā This means that OA-HIPP underpaid in premiums because your actual income was higher than the income you reported to Covered California and you received too much financial assistance. Therefore, OA-HIPP will send a payment to the Internal Revenue Service (IRS) to cover the tax liability (for the applicable months) on the client's behalf upon receipt of the tax documentation and identification of the tax liability.
- Clients must provide the documentation listed below to PAI. Taxes filed electronically must also include the electronic signature page.
- Form 8962 (Premium Tax Credit)
- Form 1095 A (Health Insurance Marketplace statement provided to the client by Covered California)
- IRS tax return including the client's social security number and the joint filer's social security number.
These documents may be submitted to PAI via the following methods:
- Fax: (860) 986-6205
- Email: PAI_CDPH@pooladmin.com
- Mail: Pool Administrators Inc., ATTN: CDPH
628 Hebron Avenue
Suite 502
Glastonbury, CT 06033