This policy only applies to the Adult group. When a parent or other relative is living with a child and is the child’s main caretaker, the child must have minimum essential coverage for the person to qualify for the Adult group.
Parents are always considered the main caretaker when living with the child, even if another relative is also in the home.
Term |
Definition |
Child |
|
Minimum Essential Coverage |
Means any of the following kinds of health insurance coverage:
Minimum Essential Coverage does NOT include:
|
Parent |
Means a natural, adoptive or step-parent. |
Relative |
Means any of the following:
|
Proof that a child has minimum essential coverage includes any of the following:
Health-e-Arizona plus system or records showing the child has full MA coverage;
Current documents showing the child is enrolled in a group or individual health plan; or
Telephone call to the insurer confirming the child has minimum essential coverage.
Program |
Legal Authorities |
Adult |
42 USC 1396a(a)(10)(A)(i)(XIII) 42 CFR 435.119 |