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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).
Transitional Medical Assistance (TMA) and Continued Coverage (CC) are extensions of coverage when a customer loses Caretaker Relative eligibility:
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If... |
Then... |
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The loss of coverage is due to an increase in earned income of the Caretaker Relative |
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The loss of coverage is due to an increase in alimony or Spousal Support |
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Term |
Definition |
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Caretaker Relative |
A Medicaid program for customers who are:
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Continued Coverage (CC) |
CC provides coverage for Medicaid customers who become ineligible due to an increase in alimony payments. |
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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. |
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 Federal emergency services (FES) only through the Federal Emergency Services Program (FESP). 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).
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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 |