E1203 Freedom to Work (FTW) Premium Begin Date Examples

1)    Premium Effective Date - Not currently receiving AHCCCS Medical Assistance

The customer applies for AHCCCS on January 25th.  AHCCCS approves his application on February 6th for Freedom to Work.  Based on his income, his monthly premium is $15.00.  His eligibility begins January 1st, and his first premium payment is due in March.  He does not owe a premium for January and February.

2)    Change from Other AHCCCS Medical Assistance to FTW - Premium effective the following month.

The customer is receiving AHCCCS Medical Assistance in the SSI MAO program.  In February she reports that she began a job in January and just received her first paycheck.  

AHCCCS determines that her countable income puts her over the SSI MAO income limit.  On February 18th, FTW eligibility is approved beginning March 1st. Ms. V.’s first premium payment is due in March.

3)    Adjust Effective Date for Premium Change due to Untimely Processing

The customer is receiving AHCCCS Medical Assistance in the FTW program.  The customer reports a change in income and provides all verification on July 22nd.   The application is assigned to a worker for processing.  The worker dispositions the application on August 5.  The premium is reduced from $35.00 to $10.00 effective September 1.  The effective date should be changed to August 1st due to untimely processing.