What This Page Covers
After reading this page, you will know more about Arizona Medicaid plans, options, and qualification requirements. This page covers Arizona health insurance programs for low income individuals and families including: AHCCS, CHIP, Medicare-Medicaid Plans, and HIPP.
Health Insurance For Low Income
Arizona’s Medicaid program provides coverage for various low-income groups across the state that offer access to healthcare. With the introduction of Obamacare (The Affordable Care Act), Arizona opted to expand their Medicaid programs. If you were denied Medicaid coverage in Arizona previous to this expansion, you may now qualify.
The following groups are eligible for coverage:
- Children ages 0-1 with a family income 117% of Federal Poverty Level (FPL)
- Children ages 1 - 5 with a family income 141% of FPL
- Children ages 6 - 18 with an income up to 133% of FPL
- Pregnant women with family income up to 156% of FPL
- Parents with a family income up to 133% of FPL
- Childless, non-elderly adults with a family income up to 133% of FPL
- Elderly and disabled individuals
Arizona Medicaid Plan Options
AHCCCS is the Arizona Medicaid Medicaid program that contracts with various carriers and providers to create a network of care. Individuals that qualify will select the appropriate plan within their coverage area and a primary doctor who will be the gatekeeper for referrals and the first stop to receive basic care.
Coverage of Individuals Eligible for Arizona Long-Term Care (ALTCS)
AHCCCS contracts with several program contractors to provide long term care services. An ALTCS program contractor works like a Health Maintenance Organization (HMO). The program contractor works with healthcare providers to develop a network to provide care. A case manager will also be assigned to coordinate your care.
American Indian Health Program (AIHP)
AIHP offers Medicaid coverage to American Indians and Alaska Natives include medically necessary services, preventative care, and behavioral services.
KidsCare - Arizona’s Children’s Health Insurance Program (CHIP)
CHIP was created 20 years ago to provide healthcare coverage to families that normally wouldn’t qualify for Medicaid due to too high of an income. Arizona’s program is the KidsCare program.
Other Medicaid Programs
Young Adult Transitional Insurance (YATI)
YATI covers young adults ages 18 - 26 who lived in foster care. COverage starts on their 18th birthday.
Children’s Rehabilitative Services (CRS)
The CRS program provides AHCCCS coverage and other behavioral health services through a multi-specialty, interdisciplinary clinic.
Well Woman HealthCheck Program
Provides breast and cervical cancer screening for Arizona women through providers that have been licensed by regional health programs at no cost if their income is below 250% of the Federal Poverty Line.
Arizona Medicaid FAQs
- What is Medicaid?
Medicaid is a state funded insurance that that provides coverage to low income families, pregnant women, newborns, and children that may not be able to afford to purchase their own care.
- Who is eligible for Medicaid?
The following are eligible for Medicaid in the state of Arizona:
- Children 0-1 with family income 117% of the Federal Poverty Level (FPL)
- Children 1 - 5 with family income 141% of the FPL
- Children 6 - 18 with income up to 133% of the FPL
- Pregnant women with family income up to 156% of the FPL
- Parents with family income up to 133% of the FPL
- Childless, non-elderly adults with family income up to 133% of the FPL
- Elderly and disabled individuals
- How do I find out if I am eligible for Medicaid?
To find out if you are eligible for Medicaid, you must fill out an application for Medicaid or CHIP. You may fill out an application at any time of the year. See more on Medicaid.
- Will Medicaid cover my children?
Your household income level will determine if your child or children can be covered by Medicaid.
- What is CHIP?
CHIP is a program that supports children in families that cannot afford private health insurance, but whose household income is too high to qualify for Medicaid.
- Can I use Medicaid to satisfy the health insurance requirement?
Yes, Medicaid will satisfy the health insurance requirement for the covered individuals.
- What information and documents should I have when I'm signing up for Medicaid?
Depending on the Medicaid Part you are applying for you may need the following: identification documentation, Social Security documentation, proof you live in Arizona, proof of income, proof of medical costs, and bank account information.
- What is AHCCS?
AHCCS is the Medicaid option in Arizona that utilizes various income limits to determine coverage options for the individual.