408 KidsCare

Revised 08/20/2024

Policy

The conditions of eligibility for KidsCare are:

• Valid application (MA533);

•  Under age 19 (MA501);

• Resident of Arizona (MA531);

• Social Security number (MA532);

• US citizen (MA507) or appropriate non-citizen status (MA524);

• Not incarcerated (MA525);

• Not in an institution for mental disease (IMD) (MA514);

• Ineligible for Medicaid (MA522)

• Assignment of rights to medical benefits and cooperation (MA503);

• Cooperation with Medicaid requirements (MA522);

• No current health insurance coverage (MA515);

• Not eligible for the State employees' health benefits plan (MA517);

• Income under 225% of the FPL (MA615.13); and

• Payment of a premium, if required (MA1204).

 

Definitions

Term	Definition
KidsCare	Arizona's Children's Health Insurance program for uninsured children under age 19 who are not eligible for Medicaid.

 

Service Package

Customers eligible for KidsCare receive AHCCCS Medical Services (MA302.1).

 

Enrollment

Customers approved for coverage under KidsCare are enrolled in an AHCCCS Complete Care (ACC) plan.

NOTE     KidsCare customers are guaranteed a 12-month continuous eligibility period. See Guaranteed Enrollment Periods for more information. See Premiums During 12-Month Guarantee and Appeals Process for information about premiums during the guarantee period.

 

Customer Costs

Some customers may be required to pay a premium but are exempt from co-payments.

NOTE     American Indians and Alaskan Natives are not required to pay a premium or co-payment.

 

Legal Authority

This policy applies to the following program:

Program	Legal Authorities
KidsCare	42 U.S.C. 1397aa 42 CFR 457.300 through 457.380, 457.570, and 457.805 42 CFR 435.926 ARS 36-2981 through 36-2998 AAC R9-31