406 Child

 

 

Revised 7/10/2020

Policy

The conditions of eligibility for the Child program are:

·        Valid application (MA533);

·        Under age 19 (MA501);

·        Resident of Arizona (MA531);

·        Social Security number (MA532);

·        US citizen (MA507) or appropriate noncitizen status (MA524);

·        Not incarcerated (MA525);

·        Apply for potential benefits (MA526);

·        Assignment of rights to medical benefits and cooperation (MA503); and

·        Income at or below the limits in MA615.10, 11 and 12.

 

Service Package

Customers eligible for the Child program receive full AHCCCS Medical Assistance coverage. Customers who meet all requirements except U.S. citizenship or qualified non-citizen status receive emergency services only.

For a description of AHCCCS Medical Assistance service packages, see MA302.

 

Enrollment

Customers approved for full coverage under the Child program are enrolled in an AHCCCS Complete Care (ACC) plan (MA1102).

Emergency Services are paid for by AHCCCS on a fee-for-service basis. (MA1103)

 

Customer Costs

Customers do not pay a premium for coverage under the Child program. Customers in the Child program also are exempt from co-payments. 

 

Legal Authority

This requirement applies to the following programs:

Program

Legal Authorities

Child

42 USC 1396a(a)(A)(10)(A)(1)(III)

42 CFR 435.118ARS 36-2901 to 2930AAC R9-22-1401 to 1443