ME/CFS San Diego is now a 501c3 public charity!
July 24, 2025
Understanding Medicaid, Medicare, and CHIP
Why this matters:
Many people in the U.S. living with ME/CFS are on, or eligible for, Medicare, Medicaid or CHIP. Medicare is the same in every state (it doesn't have a different name), but plan options and assistance programs can vary by location.
For Medicaid and/or CHIP insurance names and programs can vary by state, and it’s not always obvious that your coverage is through Medicaid or includes CHIP. This guide is meant to help clarify that.
Key Program Differences
Medicare has the same name in every state (it doesn't have a different name), but plan options and assistance programs can vary by location.
A Federal health insurance program for:
People 65 and older
Individuals under 65 with certain disabilities
People with End-Stage Renal Disease (ESRD)
Parts of Medicare:
Part A – Hospital insurance
Part B – Medical insurance
Part C – Medicare Advantage (private plans approved by Medicare)
Part D – Prescription drug coverage
What varies by state:
Part C and Part D plan availability (offered by private insurers, vary by county)
Medicare Savings Programs (MSPs) – help with premiums and cost-sharing
State Health Insurance Assistance Programs (SHIPs) – offer free guidance
Dual Eligibility – people with both Medicare and Medicaid may have different benefits depending on the state
Medicaid
A joint federal and state program that provides free or low-cost health coverage for:
Eligible low-income adults
Children
Pregnant individuals
People with disabilities
CHIP (Children’s Health Insurance Program)
Covers children in families with incomes too high for Medicaid but still needing affordable insurance.
In many states CHIP is combined with Medicaid, so families may not see “CHIP” listed separately on their insurance cards.
Why We’re Sharing This
ME/CFS San Diego created this guide to help the ME/CFS community and their families better understand which program they're covered under—especially since names and details can vary by state.
AK Medicaid (branded Denali Care)
AL Alabama Medicaid (some refer to “Alabama Care”)
AZ Arizona Health Care Cost Containment System (AHCCCS)
AR Arkansas Medicaid (aka ConnectCare)
CA Medi‑Cal
CO Health First Colorado
CT HuskyHealth (Medicaid + CHIP)
DE Diamond State Health Plan (Plus)
FL Statewide Medicaid Managed Care Program (SMMC, MMA & LTC)
GA Georgia Medicaid (a.k.a. PeachState plan)
HI Med‑QUEST
ID Idaho Medicaid
IL Medical Assistance Program (Part of Illinois Medicaid)
IN Indiana Medicaid (branded programs: Hoosier Healthwise, Hoosier Care Connect, HIP etc.)
IA IA Health Link
KS KanCare / Kansas Medical Assistance Program
KY Kentucky Medicaid
LA Healthy Louisiana (Bayou Health)
ME MaineCare
MD Maryland Medicaid (Medical Assistance)
MA MassHealth
MI Michigan Medicaid Program (includes Healthy Michigan, MMAP)
MN Minnesota Medical Assistance / MinnesotaCare
MS MississippiCAN (Mississippi Coordinated Access Network)
MO MO HealthNet
MT Montana Medicaid
NE ACCESSNebraska / Nebraska Medical Assistance Program
NV Nevada Medicaid
NH New Hampshire Medicaid (Medical Assistance)
NJ NJ FamilyCare
NM Centennial Care
NY New York State Medicaid / Medicaid Managed Care
NC North Carolina Medicaid / Division of Health Benefits
ND North Dakota Medicaid Expansion Program
OH Ohio Medicaid
OK SoonerCare
OR Oregon Health Plan
PA Medical Assistance
RI RI Medical Assistance Program
SC Healthy Connections
SD South Dakota Medicaid
TN TennCare
TX Texas Medicaid (STAR / STAR+PLUS)
UT Utah Medicaid (Dept. of Health & Human Services)
VT Vermont Medicaid / Dr. Dynasaur (Green Mountain Care)
VA Virginia Medicaid (Cardinal Care / Apple Health branding mix-up)
WA Apple Health
WV West Virginia Medicaid
WI BadgerCare Plus / Wisconsin Medicaid
WY Wyoming Medicaid
DC DC Medicaid (Healthy Families)
Puerto Rico Mi Salud, Medicare Platino
U.S. Virgin Islands Medical Assistance Program (MAP
Guam Guam Medicaid
American Samoa American Samoa Medicaid
Northern Mariana Islands CNMI Medicaid (§1902(j) waiver)
Alabama ALL Kids
Alaska Denali KidCare
Arizona KidsCare
Arkansas ARKids First!
California Medi‑Cal for Kids
Colorado Child Health Plan Plus (CHP+)
Connecticut HUSKY B (under HUSKYHealth)
District of Columbia DC Healthy Families
Delaware Diamond State Health Plan Plus
Florida Florida KidCare
Georgia PeachCare for Kids
Hawaii Med‑QUEST
Idaho Idaho Medicaid (includes CHIP)
Illinois All Kids
Indiana Hoosier Healthwise
Iowa Healthy and Well Kids in Iowa (hawk-i)
Kansas KanCare (includes CHIP component)
Kentucky Kentucky CHIP (KCHIP)
Louisiana LaCHIP
Maine Cub Care
Maryland Maryland Children’s Health Program (MCHP)
Massachusetts MassHealth (includes CHIP)
Michigan MIChild
Minnesota MinnesotaCare (includes CHIP)
Mississippi Mississippi CHIP
Missouri MO HealthNet for Kids
Montana Healthy Montana Kids
Nebraska Kids Connection
Nevada Nevada Check Up
New Hampshire NH Medicaid (includes CHIP)
New Jersey NJ FamilyCare (includes CHIP)
New Mexico Centennial Care for Children
New York Child Health Plus (ChPlus)
North Carolina NC Health Choice for Children
North Dakota Healthy Steps
Ohio Healthy Start (CHIP)
Oklahoma SoonerCare (includes CHIP)
Oregon Oregon Health Plan (includes CHIP)
Pennsylvania CHIP
Rhode Island RIte Care (includes CHIP)
South Carolina Healthy Connections Kids
South Dakota CHIP
Tennessee CoverKids
Texas Children's Health Insurance Program (under HHSC)
Utah Utah CHIP
Vermont Dr. Dynasaur
Virginia FAMIS (Family Access to Medical Insurance Security)
Washington Apple Health for Kids
West Virginia WV CHIP
Wisconsin BadgerCare Plus (includes CHIP)
Wyoming KidCare CHIP
Puerto Rico: Mi Salud (Medicaid + CHIP integrated)
Guam: Guam CHIP Program
American Samoa: American Samoa CHIP
Northern Mariana Islands: CNMI CHIP (waiver under §1902(j))
U.S. Virgin Islands: Medical Assistance Program (includes CHIP)