Arizona Administrative Code
Title 9 - HEALTH SERVICES
Chapter 22 - ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM - ADMINISTRATION
Article 14 - AHCCCS MEDICAL COVERAGE FOR HOUSEHOLDS
Section R9-22-1437 - Med Income Eligibility Requirements
Universal Citation: AZ Admin Code R 9-22-1437
Current through Register Vol. 30, No. 38, September 20, 2024
A. Income exclusions. The exclusions in R9-22-1420(C) apply to the MED family unit.
B. Income standard.
1. The Department shall divide the annual FPL
for the MED family unit that is in effect during each month of the income
period by 12 to determine the monthly FPL.
2. The Department shall add the monthly FPLs
for the income period and multiply the resulting amount by 40
percent.
3. Changes to the annual
FPL are implemented in April of each year.
C. Income period. The income period is the month of application and the next two months. The Department shall add together the three months' income to establish the MED family unit's income amount.
D. Medical expense deduction period. The medical expense deduction period is a three-month period consisting of:
1. For a new application, the
month before the application month, the month of application, and month
following the application month; or
2. For a MED eligibility review, the last
month of the prior MED eligibility period and the following two
months.
E. The Department shall calculate the amount of countable monthly income as follows:
1. Subtract a $90 cost of employment
allowance from the gross amount of earned income for each person whose earned
income is counted;
2. Disregard
from the remaining earned income an amount billed by the provider for the care
of each dependent child under age 18 or incapacitated adult member of the MED
family unit if the care is for the purpose of allowing the person to work. If
more than one person in the household is responsible for and billed for the
care of a dependent child, the disregard may be split between the wage earners
if splitting the disregard is to the benefit of the family, but shall not
exceed the maximum disregards as follows:
a. A
maximum of $200 for a child under age two and $175 for other dependents for a
wage-earner employed full-time (86 or more hours per month); and
b. A maximum of $100 for a child under age
two, and $88 for other dependents for a wage earner employed part-time (less
than 86 hours a month);
3. Add the remaining earned income for each
MED family member to the unearned income of all MED family members;
4. Compare the MED family's unit countable
income amount to the income standard in subsection (B). The difference is the
amount of medical expenses the family shall incur during the medical expense
deduction period to become eligible;
5. Subtract allowable medical expense
deductions that were incurred by:
a. A member
of the MED family unit;
b. A
deceased spouse or minor child of a MED family unit if this person would have
been a member of the MED unit during the MED expense deduction
period;
c. A person who was a minor
child of a MED family unit member when the expense was incurred but who is no
longer a minor child; or
d. A minor
child, including a child who is a runaway, who left home before the date of
application to live with someone other than a parent; and
6. Compare the net MED family income to the
income standard listed in subsection (B).
F. The family is eligible if the net income in subsection (E)(6) does not exceed the income standard in subsection (B).
Disclaimer: These regulations may not be the most recent version. Arizona may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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