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A child receiving Title IV-E adoption assistance is automatically eligible for AHCCCS Medical Assistance (MA).
How adoption assistance payments are treated depends on the following:
If the adoption assistance is funded through… |
And the assistance is... |
Then the treatment is... |
Title IV-E |
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Since the customer automatically gets MA (MA414), this income is only counted as unearned income to the customer for: · The ALTCS Share of Cost (MA1201B); and · The Child Allocation for SSI-MAO (MA611A) and MSP (MA612). NOTE Customers who receive Title IV-E are categorically eligible for ALTCS (MA502). |
Title IV-B or Title XX |
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Excluded for all programs. |
Other |
Based on need |
Excluded for all programs. |
Not based on need |
Counted as unearned income for: · ALTCS · SSI-MAO · MSP Exception: Any part of the payment intended for the parent as an incentive or service payment, and not to support the child, is counted to the parent. |
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Excluded for: · Adult · Caretaker Relative · Child · Pregnant Woman · KidsCare |
Term |
Definition |
Adoption Subsidy |
Payments to encourage the adoption of children with special needs. The payments help families with the extra costs that might be a barrier to adoption of a child with special needs. |
Based on Need |
The person must demonstrate financial need to qualify for the payment. |
Income is first obtained through the Federal and State Data Services Hubs. If needed, other proof includes:
· Copies of check stubs;
· Written statement or record from the agency providing the income; or
· Collateral contact with the agency providing the income.
This requirement applies to the following programs:
Program |
Legal Authorities |
ALTCS SSI-MAO Medicare Savings Program |
42 CFR 435.145 42 CFR 435.227
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Adult Caretaker Relative Pregnant Woman Child KidsCare |
42 CFR 435.603 42 CFR 457.10, 300, 301 and 315
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