O   Income Changes

 

 

Revised 08/03/2021

Policy

Customers must report all changes in income for themselves and anyone else included in their budget group.  See MA602 for the people included in the budget group for each AHCCCS Medical Assistance (MA) program.  Changes in income may also be found through electronic data matches.  A change in income includes any of the following:

·        How often the income is received;

·        The amount of income received; and

·        The source of the income.

Impact of Change in Income

Increases or decreases in income may affect the customer in different ways depending on the program under which the customer is receiving benefits:

When the customer receives...

And the income change is for the...

Then the income change may affect the customer’s…

ALTCS

·        Customer;

·        Customer’s spouse

·        Customer or spouse’s dependent children

·        Income eligibility; or

·        Share of Cost (SOC).

Freedom to Work (FTW) – ALTCS

·        Customer;

·        Customer’s spouse

·        Customer or spouse’s dependent children

·        Income eligibility;

·        SOC; or

·        Monthly premium.

SSI-MAO

Medicare Savings Program (MSP)

 

·        Customer;

·        Customer’s spouse;

·        Customer or spouse’s dependent children; or

·        Customer’s parent (when customer is a minor)

·         Income eligibility; or

·        MA program.

Freedom to Work (FTW)

·        Customer;

·        Customer’s spouse;

·        Customer or spouse’s dependent children; or

·        Customer’s parent (when customer is a minor)

·        Income eligibility;

·        MA program; or

·        Monthly premium.

Adult;

Caretaker Relative

Child

Anyone in the customer’s MAGI budget group (See MA602D)

Income eligibility.

Pregnant Woman

Anyone in the customer’s MAGI budget group (See MA602D)

MA program.

NOTE      Increases in income that happen after the customer is approved as a Pregnant Woman do not affect eligibility.

KidsCare

Anyone in the customer’s MAGI budget group (See MA602D)

·         Income eligibility;

·         MA program; or

·         Monthly premium.

Transitional Medical Assistance/Continuous Coverage (TMA/CC)

Anyone in the customer’s MAGI budget group (See  MA602D)

MA program.

NOTE       When income increases after a TMA period or CC is approved, no action is taken until the next renewal.

Young Adult Transitional Insurance (YATI)

Anyone in the customer’s MAGI budget group (See MA602D)

MA program.

NOTE      There is no income limit for YATI.

NOTE          A change in income only affects Breast and Cervical Cancer Treatment Program (BCCTP) or YATI when the customer’s income decreases enough that he or she qualifies for another MA program.

 

Definitions

Term Definition
Income Income is either earned or unearned.  There are many types of income within each category of income.  Different policies apply to each type of income as described in MA606.

 

Proof

Changes to income are verified by following the policy related to the specific income type in MA606.

 

Programs Affected

This applies to all programs except for BCCTP and YATI.

 

Timeframes

Changes must be reported as soon as the future event becomes known.  Unanticipated changes must be reported within 10 calendar days of the date the change occurred.

 

Legal Authority

 

Program

Legal Authorities

All Programs, except KidsCare

42 CFR 435.916

ALTCS

AAC R9-28-411

SSI-MAO

AAC R9-22-1501(H)

AAC R9-22-1503, 1504 and 1505

Medicare Savings Program (MSP)

AAC R9-29-213

Freedom to Work (FTW)

AAC R9-22-1905

KidsCare

42 CFR 457.315 and 343

R9-31-304 and 308