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The conditions of eligibility for the Caretaker Relative program are:
Valid application (MA533);
Deprived child in the household (MA506);
Resident of Arizona (MA531);
Social Security number (MA532);
US citizen (MA507) or appropriate noncitizen status (MA524);
Not incarcerated (MA525);
Assignment of rights to medical benefits and cooperation (MA503); and
Income at or below the limit in (MA615.8).
The following programs are an extension of coverage due to a customer losing Caretaker Relative eligibility:
Transitional Medical Assistance; and
Continuous Coverage.
Caretaker relatives and the children they live with may become ineligible for Medical Assistance due to excess earned income. TMA allows these customers to have up to 12 months of additional coverage.
Customers can receive six months of TMA eligibility if:
At least one member of the household received Medical Assistance as a Caretaker Relative in three of the last six months;
At least one month of the Caretaker Relative coverage was received immediately preceding the month they became income ineligible; and
The household is ineligible for Medical Assistance because of earned income of the Caretaker Relative.
NOTE The caretaker relative and the children they live with must be currently receiving AHCCCS as a Caretaker Relative or Child to be eligible for TMA.
In addition to the conditions of eligibility listed above, TMA customers can receive an additional six months of TMA eligibility if:
The customer whose earned income caused ineligibility continues to work; and
The household has income at or below 185% of the FPL.
NOTE The MAGI 5% FPL Disregard does not apply to TMA.
Caretaker relatives and the children they live with may lose eligibility due to an increase in alimony or spousal support payments. Continued Coverage (CC) allows these customers to have up to four months of additional coverage.
CC customers can receive up to four months of coverage if:
At least one member of the household received Medical Assistance as a Caretaker Relative in three of the last six months;
At least one month of the Caretaker Relative coverage was received immediately preceding the month they became income ineligible; and
The household is ineligible for Medical Assistance because of increased alimony or spousal support payments received by the Caretaker Relative.
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Term |
Definition |
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Caretaker Relative |
A Medicaid program for customers who are:
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Transitional Medical Assistance (TMA) |
TMA provides transitional coverage for Medicaid customers who become ineligible due to the increased earnings of a caretaker relative. |
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Continued Coverage (CC) |
CC provides coverage for Medicaid customers who become ineligible due to an increase in alimony payments. |
Customers eligible for the Caretaker Relative program receive full AHCCCS Medical Assistance services. Customers who meet all requirements except U.S. citizenship or qualified non-citizen status receive emergency services only. See MA302 for details about the AHCCCS Medical Assistance service packages.
Customers approved for full coverage under the Caretaker Relative program are enrolled in AHCCCS Complete Care (ACC) plan (MA1102).
Emergency Services are paid for by AHCCCS on a fee-for-service basis (MA1103).
Customers do not pay a premium for coverage under the Caretaker Relative program. However, the customer may have co-payments for certain services (MA1205).
This requirement applies to the following programs:
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Program |
Legal Authorities |
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Caretaker Relative |
42 USC 1396u-1 42 CFR 435.110, 42 CFR 435.115 ARS 36-2901(6) AAC R9-22-1427 |