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A person in jail, prison or other detention facility who is admitted to a hospital as an inpatient is not considered an inmate during the inpatient hospital stay. AHCCCS has agreements with several Arizona counties and the Arizona Department of Corrections (ADOC) to determine eligibility for inmates who are admitted for an inpatient stay.
The inmate must meet the conditions of eligibility for Medicaid to receive medical coverage for their inpatient hospitalization.
The inmate must be an Arizona resident at the time of incarceration and not placed by another state’s department of corrections. Being an inmate in an Arizona detention facility does not make the person an Arizona resident
If the person qualifies, the eligibility may cover an entire month or more, but AHCCCS can only pay for covered services received during the inpatient stay.
The DES/FAA Research and Analysis Unit processes all inmate applications received from ADOC.
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Program |
Legal Authorities |
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All Programs except KidsCare and MSP |
42 CFR 435.1009 and 1010 |