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The Transplant Extended Eligibility Program is totally State funded and is not supported by any federal funding. The program is for people who are currently eligible for a medically necessary transplant under ARS § 36-2907 and are losing their AHCCCS Medical Assistance (MA) because their income is over the limit for the program.
Transplant Extended Eligibility Program eligibility is determined by AHCCCS.
The conditions of eligibility for the Transplant Program are:
Was receiving full services MA in a group other than KidsCare, but MA is ending because of income over the program’s income limit;
Have too much income to qualify for any other MA program;
Were approved for a medically necessary transplant and placed on a transplant waiting list before their MA eligibility ended;
Enter into a contract with the transplant facility to pay the amount of income that is over the AHCCCS eligibility standards. This amount is called the Transplant share of cost (MA1205);
Resident of Arizona (MA531);
Social Security number (MA532);
U.S. citizen (MA507) or eligible, qualified noncitizen (MA524);
Not in a penal institution (MA525); and
Assignment of rights to medical benefits and cooperation (MA503).
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Term |
Definition |
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Transplant Extended Eligibility Program |
The Transplant Extended Eligibility Program covers persons who need a transplant, but are losing their AHCCCS Medical Assistance coverage due to excess income. |
Customers eligible for the Transplant program have two service package options (MA302.5).
Customers approved for coverage under the Transplant Extended Eligibility Program are enrolled in an AHCCCS Complete Care (ACC) plan.
The customer must pay a share of cost if transplanted while on this program. See MA1205 for more information on customer costs for the Transplant Extended Eligibility Program.
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Program |
Legal Authorities |
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Transplant Extended Eligibility Program |
ARS §§ 36-2907.10 and 36-3907.11 |