Alaska Denali Kid Care Program Benefits 2024BenefitsAlaska Denali Kid Care Program Benefits 2024

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What is Alaska Denali Kid Care (CHIP)?

Denali Kid Care is a new Alaska program to ensure that children and teens of both working and non-working families can have the health insurance they need. Denali Kid Care provides excellent health insurance coverage for Alaska children and teens through age 18, and for pregnant women who meet income guidelines.

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Purpose of the Alaska Denali Kid Care Program

The Alaska Denali Kid Care program is a state-sponsored initiative designed to provide affordable health coverage for children and pregnant women in Alaska. The program aims to ensure that eligible individuals have access to essential health services, preventive care, and medical assistance. Here are the key purposes of the Alaska Denali Kid Care program:

• Ensure Access to Healthcare: The primary purpose of Denali Kid Care is to ensure that children and pregnant women in Alaska have access to comprehensive healthcare services. By providing affordable coverage, the program aims to reduce barriers to essential medical care.
• Cover Children and Pregnant Women: Denali Kid Care specifically targets two vulnerable populations—children and pregnant women. The program seeks to address the healthcare needs of these groups to promote healthy pregnancies and support the well-being of children.
• Affordability and Financial Assistance: The program is designed to be affordable for low- and moderate-income families. Denali Kid Care provides financial assistance to eligible individuals, ensuring that healthcare costs do not become a barrier to accessing necessary medical services.
• Preventive Care Services: Denali Kid Care emphasizes preventive care by covering a range of health services aimed at maintaining and promoting overall health. This includes well-child check-ups, immunizations, and screenings to detect potential health issues early.
• Medical Services Coverage: The program covers a broad range of medical services, including doctor visits, hospital stays, prescription medications, dental care, vision care, and other essential healthcare needs.
• Support Healthy Pregnancies: Denali Kid Care supports healthy pregnancies by providing coverage for prenatal care, maternity services, and related medical services for pregnant women. This focus on prenatal care contributes to positive birth outcomes and maternal health.
• Prevent and Manage Chronic Conditions: The program helps prevent and manage chronic health conditions in children by ensuring regular access to healthcare services. This focus on early intervention and ongoing care aims to improve health outcomes and quality of life.
• Ease Financial Strain on Families: By offering affordable health coverage, Denali Kid Care aims to ease the financial strain on families with children and pregnant women, ensuring that medical expenses do not create financial hardships.
• Promote Health Equity: Denali Kid Care contributes to health equity by providing coverage to those who may face barriers to healthcare due to economic circumstances. The program helps address disparities in healthcare access and outcomes.
• Federal-State Collaboration: Denali Kid Care operates through a partnership between the state of Alaska and the federal government. This collaboration leverages federal funding to support the provision of healthcare services to eligible Alaskan residents.

In summary, the Alaska Denali Kid Care program plays a crucial role in promoting the health and well-being of children and pregnant women by ensuring access to affordable and comprehensive healthcare services. The program aligns with broader efforts to enhance public health, support healthy development, and reduce healthcare disparities in the state.

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What is Denali Kid Care?

Denali Kid Care provides health coverage for children and teens under age 19 and for pregnant women who meet income and other eligibility requirements.

How do I apply?

Complete and sign the application, attach the required verification, and send it all to the Denali Kid Care office. You may also drop it off at the Denali Kid Care Office, your local Public Assistance Office, or fee agent.

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Does it cost me any money?

There is no cost for medical services for eligible children under age 18 and pregnant women. An 18 year old may have to pay a small amount for some medical services.

Whose income counts for a child’s eligibility?

The income of the child and the child’s natural or adoptive parent(s) counts. The income of grandparents, stepparents, aunts, uncles, boyfriends or girlfriends is not counted.

Do assets count for eligibility?

No. The family car, house, savings and other assets are not used to determine eligibility.

What will happen if my children or I are covered by Tribal or Indian Health Service?

Children and pregnant women covered by Tribal or Indian Health Service may still be eligible. Denali Kid Care may provide additional services not available through Tribal or Indian Health Services.

What will happen if my children or I already have other health insurance?

You must list your other health coverage on the application. Your children with other health insurance may still be eligible for Denali Kid Care. If you are pregnant and have other health insurance, you may still be eligible for Denali Kid Care coverage through your pregnancy and for two months afterwards, and your new born will be covered for one year.

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What will happen if I dropped health insurance I had before I applied for Medicaid?

There is a 12-month waiting period for some children whose family voluntarily drops insurance for them without good cause. Good cause for terminating health insurance is limited to:

• Changing to a new employer
• Death of the child’s insured parent
• Expiration of coverage under a COBRA continuation provision
• The cost of continuing coverage would have caused a severe economic hardship on your household
• Involuntary termination of health benefits due to long-term disability or other medical condition, or termination of employment

How long will it take?

It may take up to 30 days to process your application. If eligible, benefits for Denali Kid Care start on the first day in the month you applied, and may cover medical costs for up to three months before you applied.

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What proof do I need to send in with my application?

To avoid delays, be sure to include with your application the items on the following checklist. If you do not have all of the items, we may be able to help you get them.

What proof do I need to send in with my application?

To avoid delays, be sure to include with your application the items on the following checklist. If you do not have all of the items, we may be able to help you get them.

Who is eligible for Alaska Denali Kid Care (CHIP)?

To be eligible for this benefit program, you must be a resident of Alaska and a U.S. Citizen, National, or a Non-Citizen legally admitted into the U.S. You must be uninsured (and ineligible for Medicaid) and meet one of the following:

• 18 years of age and under, or
• Pregnant, or
• A primary care giver with a child(ren) 18 years of age and under.

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Alaska Denali Kid Care Income Limits

In order to qualify, you must have an annual household income (before taxes) that is below the following amounts:

For households with more than eight people, add $11,252 per additional person. Always check with the appropriate managing agency to ensure the most accurate guidelines.

Checklist:

‰ Proof of child support paid in the last 30 days.
‰ Proof of pregnancy (statement from your health care provider).
‰ Proof of child or dependent care expenses paid in the last 30 days.
‰ A copy of the front and back of the health insurance card(s), if any.
‰ Proof that a Social Security Number has been applied for if the person for whom you are applying does not have a Social Security Number.
‰ Proof of lawful immigration status, such as an Alien Registration Card, for anyone in your household who is an immigrant and applying for
benefits.
‰ Proof of income and child or dependent care expenses for the last 3 months if you have unpaid bills for medical care received in any of the last three months
‰ Proof of U.S. citizenship, such as a birth certificate for each person who will be receiving Denali Kid Care. This proof must be an original or a
certified copy by the issuing agency.
‰ Identification for children age 16 and older, such as a photo ID card or a Certificate of Indian Blood or other U.S. American Indian/Alaska Native Tribal document, for each person who will be receiving Denali Kid Care.
‰ Proof of income from each source received by everyone in your household for the last 30 days. This can be done by sending the most recent pay stubs or a work statement from an employer. If self-employed, provide income and expense records, income tax records,

profit and loss statements, or other business records. Provide proof of unearned income, like unemployment benefits, SSI, Social Security, Veteran’s benefits, child support, worker’s compensation, school grants or loans, and rental income.

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What if I disagree with a decision made?

You have the right to discuss any action taken on your application or case with a caseworker or supervisor. If you disagree with an action taken on your application by the Denali Kid Care caseworker that affects the benefits you receive, you can ask for a fair hearing. You may do this by phone, in person, or in writing by contacting anyone in the Denali Kid Care office.

If you disagree with a medical billing or medical services, contact the Recipient Information Helpline at 1-800-780-9972. Usually, you must ask for a fair hearing within 30 days from the date of the notice. At the hearing you may represent yourself or be represented by a legal representative, friend, or relative.

You may qualify for free legal advice and representation by contacting the Alaska Legal Services Corporation. You may continue to receive Denali Kid Care program benefits until a hearing decision is made. If the hearing decision is not in your favor, you may be required to repay the benefits you received while you waited for the decision.

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How to use Denali Kid Care

You will receive a notice saying that a child or a pregnant woman has been enrolled. Soon after that, you will receive a Denali Kid Care card that is good for 6-months for a child. Pregnant women will receive a Recipient ID Card with peel-off coupons (stickers) on it each month. When you are enrolled in Denali Kid Care, follow these steps to ensure your health care provider gets paid:

• Ask your health care provider if they are an enrolled Alaska provider and if they will accept you or your child as a Denali Kid Care patient. Ask these questions when you make your appointments.
• Arrive on time for your appointment. Call your health care provider if you are unable to make it on time. If you need to cancel, call them 24 hours before your appointment time. You are responsible for paying for appointments that you miss and have not cancelled.
• Show your Denali Kid Care card or coupons to your health care provider when you need services. They need to know who is paying for your medical care.
• Ask your health care provider for a receipt for your records to show the date your Denali Kid Care Card or coupon was accepted for payment.

If you need help finding a provider, please call the Recipient Information Helpline at 1 (800) 780-9972. If you need help with transportation, please call the Travel Program at 1 (888) 276-0606 (outside Anchorage) or 269- 4575 (in Anchorage).

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The best way to be sure that your baby is born healthy is to see your prenatal health care provider regularly during your pregnancy.

Can the State of Alaska take my estate?

The estate of an individual who received Medicaid benefits may be subject to a claim for recovery. This is limited to the reimbursement of medical services received while the recipient was in a medical institution, including a nursing home or other medical institution, or was receiving home and community-based services.

Under limited conditions, the State of Alaska may place a lien on a recipient’s home. Most estate recovery is conducted after the death of the recipient or the recipient’s surviving spouse, if any, and only at a time when the recipient has no surviving child under age 21 and no surviving child who is blind or disabled. 

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How do I apply for Alaska Denali Kid Care (CHIP)?

To apply for Alaska Denali Kid Care, which is Alaska’s Children’s Health Insurance Program (CHIP), you can follow these general steps. Keep in mind that specific details may vary, so it’s recommended to contact the Alaska Department of Health and Social Services or the Denali Kid Care office for the most accurate and up-to-date information:

• Check Eligibility:
  • Before applying, verify that you meet the eligibility criteria for Denali Kid Care. The program generally covers children under the age of 19 and pregnant women who meet income and other requirements.
• Gather Required Information:
  • Collect necessary information and documents, including proof of income, proof of citizenship or immigration status, social security numbers for all household members, and any other documents requested by the application.
• Online Application:
  • Visit the Alaska Department of Health and Social Services website or the Denali Kid Care website to access the online application portal. Many states offer an online application process for CHIP programs.
• Create an Account:
  • If required, create an account on the online application portal. This account will allow you to save your progress, check the status of your application, and receive updates.
• Complete the Application:
  • Fill out the online application form with accurate and up-to-date information about your household, income, and other relevant details. Answer all questions thoroughly.
• Submit Supporting Documents:
  • Upload or submit any required supporting documents as part of the application process. This may include pay stubs, tax returns, or other documentation to verify your income.
• Mail or Submit Paper Application (if applicable):
  • If you prefer or if online access is challenging, you may have the option to download a paper application form from the website. Mail the completed form and any required documents to the address provided.
• Visit a Local Office (if preferred):
  • If you prefer in-person assistance, visit a local Denali Kid Care office. Staff at these offices can help you with the application process, answer questions, and provide guidance.
• Check Application Status:
  • After submitting your application, you can check the status online or contact the Denali Kid Care office to inquire about the status of your application.
• Receive Enrollment Information:
  • If approved, you will receive enrollment information, including details about coverage, benefits, and how to access healthcare services through Denali Kid Care.

Remember that the application process and required documents may vary, so it’s crucial to contact the Alaska Department of Health and Social Services or the Denali Kid Care office for specific guidance and assistance. They can provide the most accurate information and help ensure a smooth application process.

How to Apply For Alaska Denali Kid Care (CHIP)?

The fastest way to apply for Medicaid benefits is through www.healthcare.gov. Options are listed on our Medicaid page. Individuals may also apply by:

• Submitting an Application for Services (GEN 50C) via mail, fax, email, in-person/lobby drop box, direct secure messaging, or through a fee agent.
• Contact the Virtual Contact Center 800-478-7778 (TDD/Alaska Relay: 7-1-1) and apply for benefits over the phone
• See our Contact Us page for more information.

Covered Services

For questions about covered services, recipients can refer to the Medicaid Recipient Handbook, or contact HMS (Healthcare Management Solutions)​ by calling the helpline at 800-770-5650, option 2, toll-free statewide Monday through Friday between 8:00am and 5:00pm.

Alaska Denali Kid Care Phone Number

For more information on this program, please visit the Alaska CHIP page. E-mail inquiries can be sent to: Denali_Kid_Care@health.state.ak.us. Or you may call 1-888-318-8890 (statewide except Anchorage); in Anchorage, call 907-269-6529.

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FAQs. Alaska Denali Kid Care Program Benefits

Q 1. What is Alaska Denali Kid Care?

Alaska Denali Kid Care is the state’s Children’s Health Insurance Program (CHIP), providing affordable health coverage for eligible children and pregnant women in Alaska.

Q 2. Who is eligible for Denali Kid Care benefits?

Eligibility for Denali Kid Care benefits is typically based on factors such as income, family size, and other criteria. Children under the age of 19 and pregnant women may qualify if they meet the program’s requirements.

Q 3. What types of benefits does Denali Kid Care provide?

Denali Kid Care offers a range of health benefits, including preventive care, doctor visits, hospital services, prescription medications, dental care, vision care, and other essential healthcare services for eligible children and pregnant women.

Q 4. Are preventive services covered by Denali Kid Care?

Yes, Denali Kid Care covers preventive services to help maintain overall health. This may include well-child check-ups, immunizations, screenings, and other preventive measures.

Q 5. How do I access medical services through Denali Kid Care?

Once enrolled, you can access medical services through the healthcare providers and facilities that participate in Denali Kid Care. It’s important to check the provider directory and follow the program’s guidelines for accessing services.

Q 6. Is there a cost to enroll in Denali Kid Care?

While Denali Kid Care is designed to be affordable for eligible families, there may be some costs associated with the program, such as co-payments for certain services. The specific costs depend on the family’s income and circumstances.

Q 7. What documents are needed to apply for Denali Kid Care?

Required documents may include proof of income, proof of citizenship or immigration status, social security numbers for household members, and other documentation to verify eligibility. Check with the program for a complete list of required documents.

Q 8. Is dental coverage included in Denali Kid Care benefits?

Yes, Denali Kid Care provides dental coverage for eligible children, including routine dental check-ups, cleanings, and necessary dental treatments.

Q 9. Can pregnant women enroll in Denali Kid Care?

Yes, pregnant women who meet the eligibility criteria can enroll in Denali Kid Care. The program covers maternity services, prenatal care, and other related healthcare needs.

Q 10. How do I renew my Denali Kid Care benefits?

The renewal process for Denali Kid Care benefits may vary. Typically, participants will receive renewal notices with instructions on how to renew coverage. It’s important to respond to renewal notices promptly to avoid any interruption in benefits.

Q 11. Can I appeal a Denali Kid Care decision if my application is denied?

Yes, if your application is denied or if there are changes to your benefits that you disagree with, you have the right to appeal the decision. Contact Denali Kid Care for information on the appeals process.