408 KidsCare

 

 

Revised 01/15/2020

Policy

The conditions of eligibility for KidsCare are:

·        Valid application (MA533);

·         Under age 19 (MA501);

·        Resident of Arizona (MA531);

·        Social Security number (MA532);

·        US citizen (MA507) or appropriate non-citizen status (MA524);

·        Not incarcerated (MA525);

·        Not in an institution for mental disease (IMD) (MA514);

·        Ineligible for Medicaid (MA522)

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

·        Cooperation with Medicaid requirements (MA522);

·        No current health insurance coverage (MA515);

·        No health insurance coverage for the last three months (MA516);

·        Not eligible for the State employees health benefits plan (MA517);

·        Income under 200% of the FPL (MA615.13); and

·        Payment of a premium, if required (MA1204).

 

Definitions

Term

Definition

KidsCare

Arizona's Children's Health Insurance program for uninsured children under age 19 who are not eligible for Medicaid.

 

Service Package

Customers eligible for KidsCare receive AHCCCS Medical Services (MA302.1).

 

Enrollment

Customers approved for coverage under KidsCare are enrolled in AHCCCS Complete Care (ACC) plan.

 

Customer Costs

Some customers may be required to pay a premium, but are exempt from co-payments.

NOTE          American Indians and Alaskan Natives are not required to pay a premium or co-payment.

 

Legal Authority

This policy applies to the following program:

Program

Legal Authorities

KidsCare

42 U.S.C. 1397aa
42 CFR- 457.300-380 ARS 36-2981 through 36-2998
9 AAC Chapter 31