New and returning applicants can pick up all application forms right next to the drop-box located at their office on Capital Hill or forms can be downloaded via their website at http://medicaid.cnmi.mp/index.php/sma-services/medicaid-application-forms
All application and renewal/redetermination forms submitted must be original. Supporting documents may be submitted via fax at 664-4885, email, or via the drop-box with copies attached to application forms. Please note that Medicaid staff will not be making any copies for clients at this time.
In addition, please be sure that all mailing addresses and contact numbers are up to date to ensure that cards are sent to the correct addresses and in the event that case workers need to contact any beneficiaries.
The CNMI State Medicaid Agency will be practicing social distancing at its Capital Hill office. Applicants and beneficiaries will be advised to stay at least six feet apart from one another in waiting areas.
Medicaid eligibility staff members are available to answer questions via email:
• Rosita Benito – [email protected]
• Ruth Pangelinan – [email protected]
• Soledad Cabrera – [email protected]
• Rita Camacho – [email protected]
For more information, please contact the CNMI State Medicaid Agency office at 664-4880 or 664-4882, Tuesday to Thursday, 8 a.m. to 12 p.m.
