If you have questions about your eligibility for benefit programs or completing your re-evaluation, or if you are experiencing technical problems with the website, please contact us at 1-877-456-1233 between the hours of 8 a.m. and 6 p.m. Mountain Time, Monday thru Friday, except holidays, or click here.
If you are experiencing technical problems with the website or unable to log in, please contact us at 1-877-456-1233 between the hours of 8 a.m. and 6 p.m., Monday thru Friday, except holidays or complete the feedback form below and submit.
Please provide the customer's name and email address.
If you are experiencing issues registering for idalink as an Agent Authorized Representative, please complete the form below and submit.
You can view the notices we sent you in the last three months for any active program by clicking on the hyperlinks below. To access notifications sent for active programs more than three months ago, change the Search Date criteria above and click Search.
| Notice | Date | |
|---|---|---|
| {{ notice.name }} | {{notice.createDate | date:'MM/dd/yyyy'}} | View Notice |
| No notices found for user between {{ noticeStartDateDisplay }} and {{ noticeEndDateDisplay }}. | ||
Medicaid provides health coverage assistance according to individual needs.
To apply for Medicaid for yourself or a member of your family, click here.
The Report a Change/Add a Person form should be used to report a change to existing benefits or to add a person to an existing program.
To Report a Change, click here.
The Provide Documents form allows you to submit documents necessary to make determinations about your benefits.
To provide documents, click here.
Review your contact information here.
Update your contact information by reporting a change.
Listed below are the actions that you can perform in order to provide information to us. If you do not see any actions, it is because there may be a Medicaid application in a pending status.
| Date | Description | |
|---|---|---|
| {{t.date|date:'MMM dd, yyyy'}} {{t.date|date:'h:mm a'}} | {{t.description}} | Download |
Activity that you have performed on idalink such as submitting a Medicaid Application, reporting a change or providing documentation will display under Account Activity. If you have not performed any activities on idalink, no records will display in this section.
Loading contact information...
We do not have contact information on file for you because we have not yet received and processed your application for Benefits.
Click here to begin an application for Medicaid.
If you need help applying for other benefit programs, contact us in one of the following ways:
Update your contact information by reporting a change.
If you need help updating your contact information, contact us in one of the following ways:
Below is a list of the most commonly used forms. You may download and print any form from this page by clicking on the link.
If you need assistance completing any of these forms, please contact us at 1-877-456-1233, between the hours of 8:00 AM and 6:00 PM (Mountain Standard Time), Monday through Friday.
| form name | description |
|---|---|
| Additional Correspondence Recipient (ACR) Request Form | Use this form to request that copies of notices from your benefits program(s) are mailed to a person who is not part of your household. |
| Contribution Statement (HW0517) | Use this form to verify money you receive as a contribution or gift from someone outside your household. |
| Child Care Provider Form | Use this form to verify the monthly amount you pay for child care. |
| Rent Verification (HW0410) | Use this form to verify your rent and utility costs. |
| Verification of Termination of Employment (HW0516) | Use this form to verify that your employment has ended. |
| Work Verification (HW0411) | Use this form to verify your new or current employment. |
