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The general conditions of eligibility for the Supplemental Security Income Medical Assistance Only (SSI MAO) program are:
Valid application (MA533);
Categorical element:
Resident of Arizona (MA531);
Social Security number (MA532);
Assignment of rights to medical benefits and cooperation (MA503); and
Income at or below 100% of the FBR or 100% of the FPL (MA615.2).
Specialty Categories
In addition to the general conditions of eligibility listed above, a customer may be eligible for SSI MAO under one of the following categories:
Disabled Adult Child (DAC);
Disabled Widow/Widower (DWW); or
Pickle.
To qualify under this category, a customer must also meet the following:
Age 18 or older (MA501);
Received SSI Cash benefits on the basis of blindness or disability before reaching age 22 (MA529);
Lost SSI Cash benefits due to getting new or increased Title II Social Security benefits for an adult child with a disability (MA529);
Have countable income less than or equal to 100% of the FBR (MA615.2).
To qualify under this category, a customer must also meet the following:
Be at least age 50, but under age 65 (MA501);
Not entitled to Medicare Part A (MA523);
Not currently married;
Have a Social Security claim number with a “D” or “W” Beneficiary Identification Code (BIC);
Have countable income less than or equal to 100% of the FBR (MA615.2); and
Have met ALL of the following conditions at any time since January 1, 1991:
Received SSI Cash or State Supplementary Payments (SSP);
Received an SSI or SSP benefit for the month before the customer began receiving Title II (SSA) payments as a disabled widow/widower (MA529); and
Became ineligible for the SSI or SSP benefit due to the amount of the Title II SSA payment as a disabled widow/widower (MA529).
To qualify under this category, a customer must also meet the following:
Receive Title II Social Security payments (MA530);
Have countable income less than or equal to 100% of the FBR (MA615.2); and
At any time since April 1, 1977:
Have received both SSI Cash or SSP benefits AND Title II Social Security payments at the same time for at least one month; AND
Have become ineligible for the SSI Cash or SSP benefits while receiving both Title II Social Security payments AND SSI Cash or SSP benefits.
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Term |
Definition |
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State Supplementary Payments (SSP) |
Payments made by a state to supplement SSI Cash benefits. Arizona does not have an SSP program, but the person may have received the payment in another state. |
Customers who meet all requirements for the SSI MAO program receive full AHCCCS Medical Assistance coverage.
Customers who meet all requirements except U.S. citizenship or qualified noncitizen status receive emergency services only.
For a description of the AHCCCS Medical Assistance service packages, see MA302.
AHCCCS enrolls customers approved for coverage under the SSI MAO program in an AHCCCS Health Plan (MA1102).
AHCCCS pays for Emergency Services on a fee-for-service basis (MA1103).
Customers do not pay a premium for coverage under the SSI MAO program. However, the customer may have co-payments for certain services (MA1202A).
This requirement applies to the following programs:
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Program |
Legal Authorities |
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SSI MAO |
42 USC 1396a(a)(10)(A)(ii)(I) |
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Disabled Adult Child (DAC) Disabled Widow or Widower (DWW) |
42 USC 1383c |
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Pickle |
42 USC 1396a(a)(10)(A)(i)(I) |