Centennial Rewards

Enter your Medicaid ID Number

Medicaid ID Number

Date of Birth

Enter the Medicaid ID Number and Date of Birth for one of your children/dependents.

Medicaid ID Number

Date of Birth

Parent/Legal Guardian Information

First Name

Last Name

Date of Birth

Parent/Legal Guardian Certification: I certify that I am the parent or legal guardian for the individual listed above. I am legally authorized to make health care decisions on their behalf.

Step 1: Verify Program Eligibility

Enter your Medicaid ID Number

Enter the Medicaid ID Number and Date of Birth for one of your children/dependents.

Parent/Legal Guardian Information