The below list contains details regarding all the different avenues to confirm Medicaid Eligibility by State given the limitations by HealthPlan. We have included instructions to set up agent portals, links, and agent support phone numbers to call the health plan directly.
- Aetna Medicaid Eligibility lookup available for:
- AL, AR, CA, CO, CT, FL, GA, KS, KY, LA, MD, MI, MS, MO, NC, NV, NY, OH, PA, SC, SD, TX, WV
- Think Agent Portal construction requires self-initiation; agents will receive an error in attempting to gain access, but Aetna will manually create accounts if you call into 866-714-9301 (option 5 in phone tree for ThinkAgent support)
- ThinkAgent Link: https://app.thinkagent.com/sign-in
- Anthem Medicaid Eligibility lookup available for:
- CA, CO, CT, FL, CA, IA, IN, KY, LA, MO, NC, NJ, NV, NY, OH, TN, TX, VA, WA, WI
- Anthem Agent Support: 844-274-6355
- Cigna for brokers (self-sign-up process) / individual lookup available for:
- AL, AR, CO, CT, FL, GA, MS, PA, MD
- Cigna: https://cignaforbrokers.com/public/login
- Phone calls into Cigna: DE, MO, OH, TN, TX
- Cigna Agent Support 866-442-7516
- WellCare via Change Healthcare lookup available for:
- AL, AR, TN, IL, AZ, CA, FL, GA, IN, KY, MO, MS, NC, CT, NJ, NY, OH, TX, WA, WI
- Wellcare Agent Support: 866-211-0544
- UHC Medicaid Eligibility lookup available for:
- DC, DE, GA, MT, NC, OH, SD, TX
- UHC Agent Support: 888-381-8581
State | Aetna | Anthem | Cigna | WellCare | UHC |
AL | AL | AL | AL | ||
AK | |||||
AZ | AZ | ||||
AR | AR | AR | AR | ||
CA | CA | CA | CA | ||
CO | CO | CO | CO | ||
CT | CT | CT | CT | CT | |
DE | DE | DE | |||
DC | DC | ||||
FL | FL | FL | |||
GA | GA | GA | GA | GA | |
HI | |||||
ID | |||||
IL | IL | ||||
IN | IN | IN | |||
IA | IA | ||||
KS | KS | ||||
KY | KY | KY | KY | ||
LA | LA | LA | |||
ME | |||||
MD | MD | MD | |||
MA | |||||
MI | MI | ||||
MN | |||||
MS | MS | MS | MS | ||
MO | MO | MO | MO | MO | |
MT | MT | ||||
NE | |||||
NV | NV | NV | |||
NH | |||||
NJ | NJ | ||||
NM | |||||
NY | NY | NY | NY | ||
NC | NC | NC | NC | ||
ND | |||||
OH | OH | OH | OH | OH | OH |
OK | |||||
OR | |||||
PA | PA | PA | PA | ||
RI | |||||
SC | SC | SC | |||
SD | SD | SD | SD | ||
TN | TN | TN | |||
TX | TX | TX | TX | TX | TX |
UT | |||||
VT | |||||
VA | VA | ||||
WA | WA | ||||
WV | WV | WV | |||
WI | WI | ||||
WY |