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Get Application For CHIP Coverage - Arkansas Comprehensive Health ... - Chiparkansas

This Application is only for individuals who have received notice that they are eligible for a Health Coverage Tax Credit (HCTC) and who are seeking health insurance coverage for themselves, or both themselves and their families. If you have not received such a notice, you may qualify for CHIP coverage in some other way, but will need to fill out a different application form. Please contact CHIP at 1-800-285-6477 if you have questions about this Application or other ways to qualify for CHIP cove.

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