Medical Assistance (MA) Chapter 400 AHCCCS Medical Assistance Programs >> 405 Caretaker Relative
  
405 Caretaker Relative
 
Policy
Definitions
Service Package
Enrollment
Customer Costs
Programs and Legal Authorities
 
Policy
 
The conditions of eligibility for the Caretaker Relative program are:
Valid application (MA533);
Deprived child in the household (MA506);
Resident of Arizona (MA531);
Social Security number (MA532);
US citizen (MA507) or appropriate non-citizen status (MA524);
Not incarcerated (MA525);
Apply for potential benefits (MA526);
Assignment of rights to medical benefits and cooperation (MA503); and
Income at or below the limit in MA615.8.
 
The following programs are an extension of Caretaker Relative:
Transitional Medical Assistance; and
Continuous Coverage.
Transitional Medical Assistance (TMA)
Caretaker relatives and the children they live with may become ineligible for Medical Assistance due to excess earned income. TMA allows these customers to have up to 12 months of additional coverage.
TMA customers can receive six months of TMA eligibility if:
At least one member of the household received Medical Assistance as a Caretaker Relative in three of the last six months; and
The household is ineligible for Medical Assistance because of earned income.
In addition to the conditions of eligibility listed above, TMA customers can receive an additional six months of TMA eligibility if:
The customer whose earned income caused ineligibility continues to work; and
The household has income at or below 185% of the FPL.
Continued Coverage (CC)
Caretaker relatives and the children they live with may lose eligibility due to an increase in alimony or spousal support payments. Continued Coverage (CC) allows these customers to have up to four months of additional coverage.
CC customers can receive up to four months of coverage if:
At least one member of the household received Medical Assistance as a Caretaker Relative in three of the last six months; and
The household is ineligible for Medical Assistance because of increased alimony or spousal support payments.
 
Definitions
 
Term
Definition
Caretaker Relative
A Medicaid program for customers who are:
An adult relative; and
Living and caring for a deprived child.
Transitional Medical Assistance (TMA)
TMA provides transitional coverage for Medicaid customers who become ineligible due to the increased earnings of a caretaker relative.
Continued Coverage (CC)
CC provides coverage for Medicaid customers who become ineligible due to an increase in alimony payments.
 
Service Package
 
Customers eligible for the Caretaker Relative program receive full AHCCCS Medical Assistance services. Customers who meet all requirements except U.S. citizenship or qualified non-citizen status receive emergency services only. See MA302 for details about the AHCCCS Medical Assistance service packages.
 
Enrollment
 
Customers approved for full coverage under the Caretaker Relative program are enrolled in an AHCCCS Health Plan (Chapter 1100).
Emergency Services are paid for by AHCCCS on a fee-for-service basis.
 
Customer Costs
 
Customers do not pay a premium for coverage under the Caretaker Relative program. However, the customer may have co-payments for certain services (MA1205).
 
Programs and Legal Authorities
 
This requirement applies to the following programs:
Program
Legal Authorities
Caretaker Relative
Title 42, Chapter 7, Subchapter XIX of the USC
Title 42, Chapter IV, Part 435 of the USC
ARS 36-2901(6)
Title 0, Chapter 22, Article 14 of the AAC