402 Freedom to Work (FTW)

Policy

The conditions of eligibility for the AHCCCS Freedom to Work program are:

·        Valid application (MA533);

·        At least age 16 to 64 (MA501);

·        Resident of Arizona (MA531);

·        Provide or apply for a valid 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

·        Meet the Basic Coverage Group or Medically Improved Coverage Group definitions for disability (MA509)

·        Employed (MA510);

·        Monthly countable income under 250% FPL (MA615.6);

·        Pay the AHCCCS FTW premium, if required (MA528); and

·        Not eligible for any other Medicaid program (MA522).

Definitions

Service Package

Customers eligible for AHCCCS Freedom to Work program receive AHCCCS Medical Services.

Customers can receive an ALTCS services package. Customers may be eligible for an ALTCS service package if they:

·        Are medically in need of long term care services (MA509); and

·        Reside in a setting (living arrangement) where long term care services can be provided (MA521).

Enrollment

Customers approved for coverage under AHCCCS Freedom to Work are enrolled with:

·        AHCCCS Complete Care (ACC) plan; or

·        Program Contractor (for ALTCS).

Customer Costs

Customers who qualify for AHCCCS Medical Services or ALTCS services under a FTW coverage group may have to pay a:

·        Premium (MA1203); OR

·        Share of Cost (MA1201).

Customers who pay a premium may have co-payments for certain services (MA1202).

Legal Authority

This requirement applies to the following programs: