HIPP 常见问题
2. Do I have to submit original documentation, or will copies be acceptable?
3. How long does it take to process my application?
5. Can I cancel my private health coverage once approved for the HIPP program?
6. What happens if I lose or change my private health coverage?
7. What happens if I change my address or name?
8. What do I send HIPP to receive reimbursement?
9. How long does it take to receive reimbursement?
10. Why does it take so long to receive a reimbursement?
11. How does the state budget affect my reimbursement?
12. Can I submit proof of payment every month instead of quarterly?
13. What documents do I have to submit for cost-sharing reimbursement?
14. What should I do if my insurance company sends me a refund check?
15. Can I appeal a decision for termination from the HIPP program?
16. Who can I contact for assistance with transitioning to a Medi-Cal Managed Care Plan?
17. What is the mailing address?
18. Under what authority does DHCS have to operate the program?
19. When did the HIPP program begin?
问答：
- How can I contact the Department of Health Care Services (DHCS) Health Insurance Premium Payment (HIPP) program?
您可以通过电子邮件
HIPP@dhcs.ca.gov
、传真（916）440-5676 或以下地址联系
：第三方责任和追偿部门
Program – MS 4719
信箱 997425
Sacramento ，CA 95899-7425
- Do I have to submit original documentation, or will copies be acceptable?
Copies of all requested documentation are acceptable.
- How long does it take to process my application?
New applications are processed within 30 days from receiving all of the required documentation.
- If my application is approved for HIPP, can I be reimbursed for months prior to approval for the program?
If you are approved for the HIPP program, reimbursements begin the month of approval.
If premiums are past due, you must bring the premiums current before eligibility can be determined.
- Can I cancel my private health coverage once approved for the HIPP program?
If you drop your private health coverage, you will no longer be eligible for the HIPP program.
- What happens if I lose or change my private health coverage
If you lose your private health coverage, you will no longer be eligible for the HIPP program. If you change your private health coverage, you will need to inform the HIPP program.
- What happens if I change my address or name?
You will need to complete a new Payee Data Record (STD 204) and submit the form to HIPP for processing.
- What do I send HIPP to receive reimbursements?
每三个月必须收到付款证明才能获得报销。该证明可以是工资
复印件、已作废的支票（正反面） 、银行对账单、年金证明信
- How long does it take to receive reimbursement?
Reimbursement takes approximately eight weeks to process.
- Why does it take so long to receive a reimbursement?
HIPP 在收到您的付款证明后会准备发票。发票经审核后，
会转发给 DHCS 会计部门进行处理。处理完成后，发票将
转发至州审计长办公室，以便签发付款凭证。
- How does the state budget affect my reimbursement?
When a state budget has not been signed, HIPP reimbursements may be delayed. If HIPP payments
are delayed, HIPP enrollees may be responsible for making their insurance premium payments. DHCS
will reimburse those payments once a state budget has been signed.
- Can I submit proof of payment every month instead of quarterly?
This is acceptable; however, HIPP reserves the right to hold proof of payment until an entire quarter
is received for reimbursement.
- What documents do I have to submit for cost-sharing reimbursement?
Three types of documents are needed for each service requested for cost sharing obligation reimbursement:
- Proof of payment – the point of sales receipt, cancelled check, or bank statement
showing the actual payment/deduction for service(s). - Provider Invoice – Invoice from the provider of the service detailing the service
provided and the cost. - Explanation of Benefits – document from the health insurance provider showing
the coverage of the service, the amount paid by the carrier, and the amount
the member is responsible for.
- Proof of payment – the point of sales receipt, cancelled check, or bank statement
- What should I do if my insurance company sends me a refund check?
If you receive a refund check for payment that was made by the State, you should immediately forward that
check to DHCS at the address below:
Third Party Liability and Recovery Division
HIPP Program – MS 4719
P.O. Box 997425
Sacramento, CA 95899-7425
- Can I appeal a decision for termination from the HIPP program?
In accordance with All County Welfare Directors Letter No. 95-82, there are no appeal rights for the HIPP program.
- Who can I contact for assistance with transitioning to a Medi-Cal Managed Care Plan?
If you are transitioning from the HIPP program into a Medi-Cal Managed Care program and are in a 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 managed care can be found using the link below:
Medi-Cal Managed Care
- What is the mailing address?
Department of Health Care Services
Third Party Liability and Recovery Division
HIPP Program- MS 4719
P.O. Box 997425
Sacramento, CA 95899-7425
- Under what authority does DHCS have to operate the program?
Title 42, Section 1396e(a)of the United States Code grants broad authority to administer a premium assistance program.
DHCS further relies on W&I code 14124.91and CCR 50778 as guidance and authority to operate the HIPP program.
- When did HIPP program begin?
The HIPP program became operational on August 1st of 1989.