AHCCCS Eligibility Policy Manual

The purpose of the Eligibility Policy Manual is to provide AHCCCS Eligibility staff with detailed policy and instructions to enable them to make accurate eligibility decisions.

Note: Information provided in PDF files.

Notice to the Public [17KB]

Download Entire Manual [Zip]

• Eligibility Policy Manual [9.2MB ]

Download Individual Chapters

• Chapter 100: AHCCCS Health Insurance Overview [219KB]
• Chapter 200: Where Does Eligibility Policy Come From?[89KB ]
• Chapter 300: Covered Services[193KB ]
• Chapter 400: AHCCCS Health Insurance Programs and Coverage Groups[548KB]
• Chapter 500: Non-Financial Conditions of Eligibility[2.3MB]
• Chapter 600: Income [1.2MB]
• Chapter 700: Resources [991KB]
  • Appendix 7A, Life Estate Interest Tables[74KB]
  • Appendix 7B, Life Expectancy Tables (link to SSA website)
• Chapter 800: Trusts[484KB ]
• Chapter 900: Transfers[405KB]
• Chapter 1000: Preadmission Screening (PAS) [141KB]
  • Appendix 10A, Preadmission Screening Manual for Elderly and Physically Disabled (EPD) [286KB]
    • Appendix 10A1, ALTCS Overview [12KB]
    • Appendix 10A2, PAS Tool Matrix [22KB]
    • Appendix 10A3, Scoring Flow Chart[11KB]
    • Appendix 10A4, Level of Care Matrix[14KB]
    • Appendix 10A5, Glossary of Terms [185KB]
    • Appendix 10A6, Glossary of Abbreviations [109KB]
    • Appendix 10A7, FCPI/CSRD [23KB]
  • Appendix 10B, Preadmission Screening Manual for Developmentally Disabled (DD) [537KB]
    • Appendix 10B1, PAS Tool Matrix by DD Status and Age [22KB]
    • Appendix 10B2, Glossary of Terms [155KB]
    • Appendix 10B3, Glossary of Abbreviations [122KB]
• Chapter 1100: Enrollment[369KB]
• Chapter 1200: Customer Costs[408KB]
• Chapter 1300: Applications[736KB]
• Chapter 1400: Renewals[488KB]
• Chapter 1500: Changes[833KB]
• Chapter 1600: Customer Rights[269KB]
• Chapter 1700: Eligibility Hearings [406KB]
  • Appendix 17A, Letter to Complainant-No Hearing Scheduled [422KB]
  • Appendix 17B, OAH Information Pamphlet [819KB]
  • Appendix 17C, Request for Continuance Form [231KB]
  • Appendix 17D, Request for Witness/Party to Appear Telephonically [250KB]
• Chapter 1800: Fraud and Abuse[99KB]
• Chapter 1900: Estate Recovery[93KB]
• Revision History