Ahcccs Eligibility Calculator

AHCCCS Eligibility Calculator

Use this calculator to estimate your household's potential eligibility for AHCCCS (Arizona Health Care Cost Containment System) based on household size and monthly gross income. This calculator uses approximate Federal Poverty Level (FPL) guidelines for 2024, specifically 138% of FPL, which is a common threshold for many AHCCCS programs for adults.

Disclaimer:

This AHCCCS Eligibility Calculator provides an estimate based on general income guidelines (138% of the Federal Poverty Level for 2024). Actual eligibility depends on many factors, including specific AHCCCS programs, age, pregnancy status, disability, and other assets or deductions not considered here. This is not an official determination of eligibility. For a definitive assessment, please apply directly through the official AHCCCS website or contact an AHCCCS representative.

eligible

NOT eligible

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Understanding AHCCCS Eligibility in Arizona

AHCCCS, the Arizona Health Care Cost Containment System, is Arizona's Medicaid program. It provides healthcare coverage to eligible low-income Arizona residents. Understanding the eligibility requirements is crucial for individuals and families seeking affordable healthcare.

Who is AHCCCS For?

AHCCCS serves a diverse population, including:

• Low-income adults
• Children (through KidsCare)
• Pregnant women
• Individuals with disabilities
• Seniors
• Individuals receiving Supplemental Security Income (SSI)

Each of these groups may have slightly different income and resource limits, but the primary determinant for most programs is household income relative to the Federal Poverty Level (FPL).

Key Eligibility Factors

While many factors can influence AHCCCS eligibility, the most significant ones typically include:

1. Household Size: The number of individuals living in your household who are considered part of your tax household or who rely on your income.
2. Monthly Gross Income: This is your total income before taxes and and other deductions are taken out. AHCCCS compares this to the FPL for your household size.
3. Federal Poverty Level (FPL): The FPL is a set of income thresholds used by the federal government to determine eligibility for various federal programs. AHCCCS eligibility is often expressed as a percentage of the FPL (e.g., 138% FPL for many adults). These levels are updated annually.
4. Residency: You must be an Arizona resident.
5. Citizenship/Immigration Status: You must be a U.S. citizen or a qualified non-citizen.
6. Other Factors: Age, pregnancy status, disability status, and sometimes resources (like bank accounts or property, though less common for MAGI-based Medicaid) can also play a role.

How the AHCCCS Eligibility Calculator Works

Our calculator provides an estimate of your potential AHCCCS eligibility by focusing on two primary factors: your household size and your total monthly gross income. It compares your income to the estimated 138% Federal Poverty Level (FPL) guidelines for 2024, which is a common benchmark for many adult AHCCCS programs.

• Household Size: Enter the total number of people in your household.
• Monthly Gross Income: Input the combined total gross income for all members of your household for one month.

The calculator then determines if your monthly gross income falls below the estimated income limit for your household size. If it does, you are likely eligible; if not, you may not be eligible under these general guidelines.

Important Considerations and Next Steps

It's vital to remember that this calculator offers an estimate. AHCCCS has various programs, and eligibility can be complex. For example:

• KidsCare: Children may be eligible for KidsCare (Arizona's CHIP program) even if their parents are not eligible for AHCCCS, often with higher income limits.
• Pregnant Women: Pregnant women often have higher income thresholds for eligibility.
• Medically Needy: Some individuals with high medical expenses may qualify even if their income is slightly above the standard limits.

If the calculator suggests you are not eligible, or even if it suggests you are, we strongly recommend applying directly through the official AHCCCS website or contacting an AHCCCS enrollment assister. They can provide a definitive eligibility determination based on all relevant factors and the most current guidelines.

Applying is the only way to know for sure if you qualify for AHCCCS or other healthcare assistance programs in Arizona.