C Timeframes

Policy

AHCCCS Medical Assistance (MA) eligibility must be reviewed and renewed periodically.  This section describes how often renewals must be completed.

1)    Programs That Must Be Renewed Once Every 12 Months

A renewal of eligibility must be completed once every 12 months for customers enrolled in one of the following MA coverage groups:

·         Adult;

·         Caretaker Relative;

·         Pregnant Woman;

·         Child;

·         Young Adult Transitional Insurance (YATI);

·         KidsCare; and

·         Deemed Newborns.

2)    Programs That Must Be Renewed At Least Once Every 12 Months

Renewal of eligibility for the following programs must be completed at least once every 12 months:

·         ALTCS;

·         SSI-MAO;

·         Medicare Savings Program (MSP);

·         AHCCCS Freedom to Work (FTW); and

·         Breast and Cervical Cancer Treatment Program (BCCTP).

3)    Programs with Automatic Eligibility

Some customers do not have to complete an AHCCCS renewal because they automatically receive MA by qualifying for one of the following programs:

·         SSI-Cash;

·         Title IV-E Foster Care; and

·         Title IV-E Adoption Assistance.

4)    Programs with special Renewal Periods

Transitional Medical Assistance (TMA) and Continued Coverage (CC)

The TMA and CC programs are time-limited extensions of coverage for families when a Caretaker Relative’s earnings or spousal support puts them over the income limit.  The renewals for these programs are as follows:

·         For TMA, at six months and 12 months TMA start date.

·         For CC, at four months from  the CC start date.

Qualified Individual-1 (QI-1)

Customers are approved for QI-1 until the end of the calendar year.  The Federal government funds the QI-1 program on a year to year basis.  Renewals for QI-1 are completed annually at the end of the calendar year.

Definitions

Programs and Legal Authorities