Current through Register Vol. 30, No. 38, September 20, 2024
A.
Caretaker Relatives. An individual is eligible for AHCCCS medical coverage as a
Caretaker Relative when the individual meets the following requirements:
1. Is a caretaker relative as defined in
R9-22-1401.
2. The total countable
income under R9-1420(B) does not exceed 106 percent of the FPL for the number
of people in the MAGI income group.
B. Continued medical coverage.
1. A caretaker relative eligible under
subsection (A) and all dependent children eligible under subsection (D) in the
caretaker relative's MAGI income group are entitled to continued AHCCCS
coverage for up to 12 months if eligible under subsection (B)(1)(c)(i) and up
to four months if eligible under subsection (B)(1)(c)(ii) if the MAGI income
group's income exceeds the limit for the income group's size and the following
conditions are met:
a. The caretaker relative
still lives with a dependent child;
b. A caretaker relative in the income group
received AHCCCS medical coverage under this Section for three calendar months
out of the most recent six months; and
c. The loss of AHCCCS coverage under this
Section is due to:
i. Increased earned income
of a caretaker relative, or
ii.
Increased spousal support.
2. An applicant may be added to the continued
medical coverage under subsection (B)(1), if the applicant did not reside in
the household at the time continued medical coverage under this Section was
determined and the applicant is:
a. The spouse
or dependent child of a caretaker relative receiving continued medical
coverage, or
b. The parent of a
dependent child who is receiving continued medical coverage.
C. Pregnant Women. A
pregnant woman is eligible for AHCCCS medical coverage when the total countable
income under
R9-22-1420(B)
does not exceed 156 percent of the FPL for the number of people in the MAGI
income group. A pregnant woman who applies for AHCCCS medical coverage during
the pregnancy or postpartum period and is determined eligible, remains eligible
throughout the postpartum period. The postpartum period begins the day the
pregnancy terminates and ends the last day of the month in which the 60th day
following pregnancy termination occurs.
D. Children. A child less than 19 years of
age is eligible for AHCCCS medical coverage when the total countable income
under
R9-22-1420(B)
does not exceed the following percentage of the FPL for the number of people in
the MAGI income group:
1. 147 percent for a
child under one year of age,
2. 141
percent for a child age one through five years of age, or
3. 133 percent for all other
persons.
E. Adults. An
individual is eligible for AHCCCS medical coverage when the individual meets
the following eligibility requirements:
1. Is
19 years of age or older but less than 65 years of age;
2. Is not pregnant;
3. Is not eligible for AHCCCS Medical
Coverage under any other coverage group listed in
42 U.S.C.
1396 a(a)(10)(A)(i);
4. Is not entitled to or enrolled for
Medicare benefits under Part A or Part B;
5. The total countable income under
R9-22-1420(B) does not exceed 133 percent of the FPL for the number of people
in the MAGI income group; and
6.
When the individual is a caretaker relative, but has income exceeding the limit
in subsection (A)(2), each child under age 19 living with the individual is
receiving AHCCCS medical coverage or KidsCare, or is enrolled in minimum
essential coverage as defined in
42 CFR
435.4.
