Your child may still be eligible,
even if you don’t qualify for benefits!
Children who are under the age of 19 may still be eligible for AHCCCS coverage, even if their parents do not meet the requirements.
Since the start of the COVID-19 pandemic, Medicaid programs employed “continuous enrollment” at federal direction. As a condition of receiving enhanced federal funding, AHCCCS could not take any negative actions during a member’s annual renewal of eligibility. No one who was enrolled in Medicaid during this time lost their Medicaid coverage (unless they moved out of state, voluntarily disenrolled, aged out of KidsCare, or passed away). Medicaid enrollment has increased by 33% in Arizona since the start of the pandemic.
Because of the Consolidated Appropriations Act (CAA) that was enacted in December 2022, AHCCCS is required to begin the regular renewal process for all Medicaid and KidsCare members. This means that starting April 1, 2023, AHCCCS will begin disenrolling members who are determined to be no longer eligible. Even if you don’t qualify for benefits, your child is still eligible in most cases. “In Arizona, children who are under the age of 19 may still be eligible for Medicaid coverage through the Arizona Health Care Cost Containment System (AHCCCS), even if their parents do not meet the income requirements. The AHCCCS and KidsCare programs provide coverage based on income, and children aged 18 or younger may qualify if the total combined income of everyone in their household is at or below 205% of the Federal Poverty Level.”
You may qualify for AHCCCS if you are 18 and under if:
- You get Supplemental Security Income (SSI)
- Your family has low income, regardless of whether you have a disability, or
- Your family has low income and qualifies for AHCCCS KidsCare.
If you don’t receive SSI you still may qualify:
- You live in Arizona
- You have a Social Security Number or apply for one
- You and your family have low income
- All of your income will be counted
- Part of your parents’ income will be counted
We’re working with community partners, advocates, and members to make sure eligible members remain covered, and that those who are no longer eligible are referred to sources for other healthcare coverage options.
To ensure that members do not experience any gap in health care coverage, AHCCCS asks all members to:
- Make sure their mailing address, phone number, and email address on file is correct in www.healthearizonaplus.gov. Login or call Health-e-Arizona Plus at 1-855-HEA-PLUS (1-855-432-7587), Monday through Friday 7:00 a.m. – 6:00 p.m. Review the Updating Your Contact Information flier English / Spanish to learn how to update your contact information in Health-e-Arizona PLUS. ALTCS members need to call 1-888-621-6880 to update their address or to get help completing their renewal.
- Check their mailbox for a letter from AHCCCS about the renewal of coverage.
- Respond to any requests from AHCCCS for more information so the agency can accurately determine eligibility.
For more help, members may contact their health plan or a community assistor organization that can help individuals navigate the Medicaid or KidsCare renewal process. Health plan member services departments can assist as well. AHCCCS members can find the number for their health plan’s members services department on their member ID card or on the AHCCCS Available Health Plans web page.
Approximately 75% of eligibility determinations are able to be completed automatically and members will not need to take any action. If their eligibility is continued, then they will remain enrolled and will receive a summary letter that says, “If the information on the summary is correct, you do not need to do anything. You do not need to call or contact AHCCCS.”
Individuals who no longer qualify for AHCCCS or KidsCare may have other healthcare coverage options through the HealthCare Marketplace. See HealthCare.gov or call 2-1-1 for help.
Learn more at http://www.azahcccs.gov/Renewals