|
|
The conditions of eligibility for the Pregnant Woman program are:
· Valid application (MA533);
· Pregnant (MA527);
· Resident of Arizona (MA531);
· 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 (MA533); and
· Income at or below the limit in MA615.9.
Term |
Definition |
Pregnant Women Program |
The Pregnant Woman program is for women who are pregnant or in the postpartum period. |
Post Partum Period |
A 12-month period starting the day the pregnancy ends and stops the last day of the month in the 12th month after the pregnancy ends. Customer must be enrolled in AHCCCS while pregnant to be in the postpartum period as it applies to this group. See Pregnancy and Postpartum for examples. |
Customers eligible for the Pregnant Woman 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.
Customers approved for coverage under the Pregnant Woman program are enrolled in AHCCCS Complete Care (ACC) plan (Chapter 1100).
Emergency Services are paid for by AHCCCS on a fee-for-service basis.
Customers do not pay a premium or co-payments for coverage under the Pregnant Woman program.
This requirement applies to the following programs:
Program |
Legal Authorities |
Pregnant Woman |
Title 42, Chapter 7, Subchapter XIX of the USC Title 42, Chapter IV, Part 435 of the CFR ARS 36-2901(6) Title 9, Chapter 22, Article 14 of the AAC |