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The conditions of eligibility for the Child program are:
Valid application (MA533);
Under age 19 (MA501);
Resident of Arizona (MA531);
Social Security number (MA532);
US citizen (MA507) or appropriate noncitizen status (MA524);
Assignment of rights to medical benefits and cooperation (MA503); and
Income at or below the limits in MA615.10, 11 and 12.
Customers eligible for the Child program receive full AHCCCS Medical Assistance coverage. 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).
For a description of AHCCCS Medical Assistance service packages, see MA302.
Customers approved for full coverage under the Child program are enrolled in an AHCCCS Complete Care (ACC) plan (MA1102).
Emergency Services are paid for by AHCCCS on a fee-for-service basis (MA1103).
NOTE Customers enrolled in the Child category for full coverage are guaranteed a 12-month continuous period of eligibility.
See Guaranteed Enrollment Periods for more information. Customers receiving Emergency Service only are not eligible for guaranteed enrollment periods.
Customers do not pay a premium for coverage under the Child program. Customers in the Child program also are exempt from co-payments.
This requirement applies to the following programs:
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Child |
42 USC 1396a(a)(A)(10)(A)(1)(III) 42 CFR 435.118ARS 36-2901 to 2930AAC R9-22-1401 to 1443 42 CFR 435.926 |