C Timeframes

Revised 01/07/2025

Policy

AHCCCS Medical Assistance (MA) eligibility must be reviewed and renewed periodically. This section describes how often renewals must be completed.

1) Programs That Must Be Renewed Once Every 12 Months

A renewal of eligibility must be completed once every 12 months for customers enrolled in one of the following MA coverage groups:

• Adult;

• Caretaker Relative;

• Pregnant Woman;

• Child;

• Young Adult Transitional Insurance (YATI);

• KidsCare;

• Deemed Newborns;

• ALTCS;

• SSI-MAO;

• Specified Low-Income Medicare Beneficiary (SLMB);

• AHCCCS Freedom to Work (FTW); and

• Breast and Cervical Cancer Treatment Program (BCCTP).

 

2) Programs That Must Be Renewed At Least Once Every 12 Months

Qualified Medicare Beneficiaries (QMB) must be completed at least once every 12 months.

 

3) Programs with Automatic Eligibility

Some customers do not have to complete an AHCCCS renewal because they automatically receive MA by qualifying for one of the following programs:

• SSI-Cash;

• Title IV-E Foster Care; and

• Title IV-E Adoption Assistance.

 

4) Programs with special Extension Periods

Transitional Medical Assistance (TMA) and Continued Coverage (CC)

The TMA and CC programs are time-limited extensions of coverage for families when a Caretaker Relative’s earnings or spousal support puts them over the income limit. These programs must be reviewed for continued eligibility as follows:

• For TMA, at six months and 12 months

• For CC, at four months from the CC start date.

Qualified Individual-1 (QI-1)

Customers are approved for QI-1 until the end of the calendar year. The Federal government funds the QI-1 program on a year-to-year basis. Renewals for QI-1 are completed annually at the end of the calendar year.

 

Definitions

Term	Definition
Renewal	A review of financial and non-financial eligibility factors.

 

Programs and Legal Authorities

Program	Legal Authorities
All Programs	42 CFR 435.916