522 Medicaid (Ineligible For)



Revised 03/22/2018 




A person can only qualify for the following programs if the person is not eligible for full services in any other AHCCCS Medical Assistance (MA) category:

·         AHCCCS Freedom to Work (FTW)

·         Breast and Cervical Cancer Treatment Program (BCCTP);

·         KidsCare;

·         Transplant Extended Eligibility.


The person must also cooperate and provide any proof needed to see if they qualify for any other full services category. 






Full services

The full range of benefits listed in MA301




·         Records showing current eligibility for a full service MA category.

·         An application in Health-e-Arizona Plus that is waiting for proof, but has screened the person as potentially eligible for a full MA coverage category.


Legal Authority



Legal Authorities

AHCCCS Freedom to Work (FTW)

ARS 36-2929

ARS 36-2950;

AAC R9-22-1901; R9-28-1301

Breast and Cervical Cancer Treatment Program (BCCTP)

42 USC 1396a(a)(10)(A)(ii)(XVIII)

AAC R9-22-2003


42CFR 457.310

ARS 36-2983(G)

AAC R9-31-303