Because states have flexibility in structuring their Medicaid programs, there are variations from state to state. People can generally apply for Medicaid at local welfare or social service offices. Many states have now made it possible to apply in other locations, such as hospitals and public health clinics, or in some cases by mail. Children's Health Insurance Program HCFA, along with the Health Resources and Services Administration, runs the Children's Health Insurance Program. States set eligibility and coverage, following broad federal guidelines.
States also have flexibility in the way they provide services.
Recipients in all states must have low incomes, be otherwise ineligible for Medicaid, and be uninsured. Some states may provide additional benefits. Benefits are not yet available in all States. People can apply for Children's Health Insurance Program benefits at state welfare offices, state public health departments, and state social service agencies. See the Fact Sheet on HCFA for more information.