Medical Assistance (MA) Chapter 400 AHCCCS Medical Assistance Programs >> 410 Pregnant Woman
  
410 Pregnant Woman
 
Policy
Definitions
Service Package
Enrollment
Customer Costs
Programs and Legal Authorities
 
Policy
 
The conditions of eligibility for the Pregnant Woman program are:
Valid application (MA533);
Pregnant (MA527);
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 (MA533); and
Income at or below the limit in MA615.9.
 
Definitions
 
Term
Definition
Pregnant Women Program
The Pregnant Woman program is for pregnant customers of any age in any month of pregnancy.
 
Service Package
 
Customers eligible for the Pregnant Woman program receive full AHCCCS Medical Assistance coverage. Customers who meet all requirements except U.S. citizenship or qualified non-citizen status receive emergency services only.
For a description of AHCCCS Medical Assistance service packages, see MA0302.
 
Enrollment
 
Customers approved for coverage under the Pregnant Woman 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 or co-payments for coverage under the Pregnant Woman program.
 
Programs and Legal Authorities
 
This requirement applies to the following programs:
Program
Legal Authorities
Pregnant Woman
Title 42, Chapter 7, Subchapter XIX of the USC
Title 42, Chapter IV, Part 435 of the CFR
ARS 36-2901(6)
Title 9, Chapter 22, Article 14 of the AAC