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The conditions of eligibility for the AHCCCS Freedom to Work program are:
· Valid application (MA533);
· At least age 16 to 64 (MA501);
· Resident of Arizona (MA531);
· Provide or apply for a valid Social Security number (MA532);
· US citizen (MA507) or appropriate non-citizen status (MA524);
· Not incarcerated (MA525);
· Apply for potential benefits (MA526);
· Assignment of rights to medical benefits and cooperation (MA503); and
· Meet the Basic Coverage Group or Medically Improved Coverage Group definitions for disability (MA509)
· Employed (MA510);
· Monthly countable income under 250% FPL (MA615.6);
· Pay the AHCCCS FTW premium, if required (MA528); and
· Not eligible for any other Medicaid program (MA522).
Term |
Definition |
Freedom to Work (FTW) Program |
The FTW program is for people with disabilities who are working. There are two FTW coverage groups: · The Basic Coverage Group; and · The Medically Improved Group. |
Medically Improved Coverage Group |
Means customers who meet all the following conditions: · Employed; · While receiving benefits under the FTW Basic Coverage Group was determined by SSA to no longer have a disability; and · Determined by SSA to still have a severe impairment |
Customers eligible for AHCCCS Freedom to Work program receive AHCCCS Medical Services.
Customers can receive an ALTCS services package. Customers may be eligible for an ALTCS service package if they:
· Are medically in need of long term care services (MA509); and
· Reside in a setting (living arrangement) where long term care services can be provided (MA521).
Customers approved for coverage under AHCCCS Freedom to Work are enrolled with:
· AHCCCS Complete Care (ACC) plan; or
· Program Contractor (for ALTCS).
Customers who qualify for AHCCCS Medical Services or ALTCS services under a FTW coverage group may have to pay a:
· Premium (MA1203); OR
· Share of Cost (MA1201).
Customers who pay a premium may have co-payments for certain services (MA1202).
This requirement applies to the following programs:
Program |
Legal Authorities |
Freedom to Work |
42 USC 1396a(a)(10)(A)(ii)(XV) 42 USC 1396a(a)(10)(A)(ii)(XVI) ARS 36-2929 ARS 36-2950 AAC R9-22-1901 through R9-22-1904 AAC R9-22-1919 |