Apply for Kid Care CHIP
You may complete a paper application and return it to us by mail, fax, or in person. Please note it can take up to 45 days to process applications.
Download an Application
Application in English
Application in Spanish
To request an application to be mailed to you, please call our Customer Service Center at 1-855-294-2127 or for TTY/TDD: 1-855-329-5204.
Children are enrolled for coverage lasting 12 continuous months. As long as eligibility requirements continue to be met, your child/children can be renewed each year until their 19th birthday.
Kid Care CHIP participants may not have additional health insurance. Some exceptions apply, such as Indian Health Services and School Sports Insurance.