Medicaid & CHIP
State coverage, run day to day by Veranta.
In seven states, Veranta administers Medicaid and CHIP benefits under contract with the state. The state decides who qualifies and what is covered. We handle everything that happens after that: the card, the doctors, the rides, the phone call at 9pm.
Where Veranta administers Medicaid
Medicaid is a state program. Each state writes its own rules, sets its own income limits, and contracts with a handful of managed-care organizations to run it. That means the plan name, the covered extras, and the renewal process all differ depending on where you live.
| State | Plan name | Includes CHIP | Contract since |
|---|---|---|---|
| Connecticut | Veranta Community CT | Yes | 2011 |
| Ohio | Veranta Community OH | Yes | 2014 |
| Michigan | Veranta Community MI | Yes | 2016 |
| Georgia | Veranta Community GA | Yes | 2018 |
| Texas | Veranta Community TX | No, CHIP is separate | 2019 |
| Arizona | Veranta Community AZ | Yes | 2021 |
| New Mexico | Veranta Community NM | Yes | 2024 |
What is covered
- Doctor visits and specialist care
- Hospital and emergency care
- Prescriptions on the state drug list
- Mental health and substance use treatment
- Pregnancy, birth, and postpartum care
- Well-child visits and immunizations
- Dental and vision for children
- Laboratory, imaging, and screenings
- Family planning
- Long-term services and supports, where the state includes them
- Non-emergency transport to appointments
- Interpretation in over 200 languages
Keeping your coverage
Medicaid renews once a year. Your state checks whether you still qualify, using the information it already has where it can and asking you for the rest. That request goes to the address on file, and if it comes back undelivered, coverage can end even when the household still qualifies.
Almost every avoidable loss of coverage we see comes down to one of three things: mail going to an old address, a renewal packet that was never returned, or a change in income that was never reported.
Tell us and the state when you move. Not one or the other. The state sends the renewal packet, and it uses its own address record rather than ours.
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Watch for the renewal packet
It arrives roughly 60 days before your renewal date, in an envelope from the state rather than from Veranta.
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Return it even if nothing has changed
Some states can renew automatically from data they already hold. Most cannot, and silence is treated as a failure to renew.
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If you no longer qualify, check the marketplace the same week
Losing Medicaid opens a 60-day special enrollment period for an individual plan, and there are usually subsidies at that income level.
Questions we get asked
How do I know if I qualify?
Your state decides, based on household size, income, and in some cases age, disability, or pregnancy. Veranta cannot approve or deny eligibility. Apply through your state's Medicaid agency, and if you are approved you may then be able to choose Veranta as your plan.
I was approved. How do I pick Veranta?
Most states send an enrollment packet listing the managed-care plans available in your county, with a deadline to choose. If you do not choose, the state assigns one. You can usually switch plans within the first 90 days, and once a year after that.
Does my child need a separate application for CHIP?
In most of our states, no. The same application covers both, and the state places each family member in whichever program fits. Texas runs CHIP as a separate program with its own application.
What if my income goes up mid-year?
Report it to the state. Depending on how much it changed, you may stay eligible, move to CHIP, or need to move to a marketplace plan. Reporting it late can create an overpayment that has to be sorted out afterwards.
Can I see any doctor?
Any provider in the Veranta Community network in your state. The networks are large but they are not everyone, and out-of-network care is generally not covered outside emergencies.
Veranta Health is a fictional organization used for demonstration purposes. The states, plan names, contract dates, and member figures on this page are invented. Nothing here describes a real Medicaid or CHIP program.
Not sure where to start?
Member Services can tell you which state agency to contact and what to have ready before you call. Monday through Friday, 8am–8pm ET, and interpretation is available in over 200 languages.