Medicaid Application Forms and Instructions. We apologize for the inconvenience. In addition, if you need to replace your Health Plan car please contact your health plan directly. See full list on how.
If you don’t already have an account, you can create one online.
Go to Sign In or Create an Account. Once you are logged in to your account, select the Replacement Documents tab. Monday through Friday.
When requesting a replacement card , the P-EBT customer should enter ALL ZEROS for the social security number, their DOB and zip code. You will receive a new member ID card within (seven) calendar days. You can also print an ID card from the secure member portal.
If your license expires in less than 1days, you will be required to renew your license and pay the renewal fee.
Your card can be replaced for $5. It is not, and cannot be construed to be, legal advice. Always carry your card with you. If you do not have your card when you go for medical care, you might have to pay your bill. Do not loan your card to anyone or borrow someone else’s card !