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Arizona Medicaid Income Limits 2023 : Medicaid provides health coverage to millions of Americans, including children, pregnant women, parents, seniors and individuals with disabilities. Arizona has expanded coverage to include low-income adults. Note: Medicaid is sometimes referred to by state specific names. Regardless of the various names, the programs are still Medicaid and are governed by Federal Medicaid law and regulations.
Who is eligible for Arizona Medical Assistance Program?
To be eligible for Arizona Medicaid, you must be a resident of Arizona, a United States citizen or a qualified immigrant (if the person is not a U.S. citizen or qualified immigrant, they may still be eligible for emergency services), have a Social Security number or apply for one unless they cannot get one legally, apply for potential income that may be available, such as unemployment, pensions, and Social Security, and have family income under the income limits. You may also be one of the following:
- Pregnant, or
- Be responsible for a child 17 years of age or younger, or
- Are Blind or have a disability or a family member in your household who is blind or with a disability.
Arizona Medicaid Income Limits 2023
| Household Size* | Maximum Income Level (Per Year) |
|---|---|
| 1 | $19,392 |
| 2 | $26,228 |
| 3 | $33,064 |
| 4 | $39,900 |
| 5 | $46,737 |
| 6 | $53,573 |
| 7 | $60,409 |
| 8 | $67,245 |
*For households with more than eight people, add $6,836 per additional person. Always check with the appropriate managing agency to ensure the most accurate guidelines.
How do I apply for Arizona Medical Assistance Program?
To apply online, please visit the Health-e-Arizona PLUS online application portal. For additional application information, visit the Arizona Health Care Cost Containment System (AHCCCS) page. You will be able to download an application form directly from the site. You may also find out if you qualify through the Marketplace application.
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Arizona Medicaid Long-Term Care Definition
Medicaid is a health care program for low-income individuals of all ages. While there are several different coverage groups, the focus of this page is on long-term care Medicaid eligibility for elderly Arizona residents (aged 65 and older). In addition to nursing facility care, assisted living services, and adult foster care services, AZ Medicaid pays for non-medical services and supports to help frail seniors live at home or the home of a loved one. There are three categories of Medicaid long-term care programs for which Arizona seniors may be eligible.
Institutional / Nursing Home Medicaid – This is an entitlement program; anyone who is eligible will receive assistance. Benefits are provided only in nursing homes.
Home and Community Based Services (HCBS) – Although Arizona previously offered Home and Community Based Services (HCBS) Medicaid Waivers for its elderly population, the state no longer does. With HCBS Waivers, the number of participant slots was limited and waiting lists could exist to receive services.
Currently, long-term care services are provided at home, adult day care, adult foster care homes, or in assisted living residences via a managed care system. This allows program participants to receive all needed services via one administering agency. Unlike with HCBS Waivers, the managed care program does not have enrollment caps, which means there are no waiting lists to receive benefits.
Regular Medicaid / Aged Blind and Disabled – This is an entitlement program; anyone who meets eligibility requirements is able to get benefits. Long-term care benefits, such as personal care assistance or adult day care, may be available.
In Arizona, Medicaid is called the Arizona Health Care Cost Containment System (AHCCCS). The program that provides long-term care for elderly, blind, and disabled persons is called the Arizona Long Term Care System (ALTCS). While Medicaid is jointly funded by the state and federal government, it is administered by the state.
Arizona Medicaid Income & Asset Limits for Eligibility
The three categories of Medicaid long-term care programs have varying financial and medical eligibility requirements. Further complicating eligibility are the facts that the financial criteria change annually, varies with marital status, and that Arizona offers multiple pathways towards eligibility.
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Simplified Eligibility Criteria: Single Applicant for Nursing Home Care
Arizona seniors must be financially and medically eligible for long-term care Medicaid. They must have limited income, limited assets, and a medical need for care. A single individual applying for Nursing Home Medicaid in 2023 in AZ must meet the following criteria: 1) Have income under $2,742 / month 2) Have assets under $2,000 3) Require the level of care provided in a nursing home facility.
The table below provides a quick reference to allow seniors to determine if they might be immediately eligible for long-term care from an Arizona Medicaid program. Alternatively, one can take the Medicaid Eligibility Test. IMPORTANT: Not meeting all of the criteria does not mean one is ineligible or cannot become eligible for Medicaid in Arizona.
Arizona Medicaid Income Limits 2023 Chart
| 2023 Arizona Medicaid Long-Term Care Eligibility for Seniors | |||||||||
| Type of Medicaid | Single | Married (both spouses applying) | Married (one spouse applying) | ||||||
| Income Limit | Asset Limit | Level of Care Required | Income Limit | Asset Limit | Level of Care Required | Income Limit | Asset Limit | Level of Care Required | |
| Institutional / Nursing Home Medicaid | $2,742 / month* | $2,000 | Nursing Home | $5,484 / month ($2,742 / month per spouse)* | $4,000 ($2,000 per spouse) | Nursing Home | $2,742 / month for applicant* | $2,000 for applicant & $148,620 for non-applicant | Nursing Home |
| Home and Community Based Services | $2,742 / month† | $2,000 | At Risk of Institutionalization | $5,484 / month ($2,742 / month per spouse)† | $4,000 ($2,000 per spouse) | At Risk of Institutionalization | $2,742 / month for applicant† | $2,000 for applicant & $148,620 for non-applicant | At Risk of Institutionalization |
| Regular Medicaid / Aged Blind and Disabled | $1,215 / month (eff. 2/1/23 – 1/31/24) | No limit | Help with ADLs | $1,644 / month (eff. 2/1/23 – 1/31/24) | No limit | Help with ADLs | $1,644 / month (eff. 2/1/23 – 1/31/24) | No limit | Help with ADLs |
*All of a beneficiary’s monthly income, with the exception of a Personal Needs Allowance of $137.10 / month, Medicare premiums, and possibly a spousal income allowance for a non-applicant spouse, must go towards nursing home costs.
†Based on one’s living setting, a program beneficiary may not be able to keep monthly income up to this level.
‡Arizona is extremely unique in that it is the only state with no asset limit for the Regular Medicaid / Aged, Blind, and Disabled pathway.
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Arizona Medicaid Income Limits 2023 Eligibility
Medicaid is a crucial healthcare program in the United States that provides health coverage to low-income individuals and families. Each state sets its own income limits for Medicaid eligibility, and in Arizona, these limits are adjusted annually to reflect changes in the cost of living and federal guidelines. For the year 2023, Arizona has updated its Medicaid income limits based on household size, ensuring that those who need healthcare coverage can access it. In this article, we will outline the income limits for Arizona Medicaid in 2023 according to the number of household members.
Medicaid Income Limits Eligibility in Arizona
Medicaid is designed to assist individuals and families with limited financial resources in obtaining essential healthcare services. To determine eligibility for Medicaid in Arizona, the state considers both the number of household members and the total annual income of the household. The income limits vary depending on the size of the household, with larger households having higher income thresholds.
Household Size and Maximum Income
Here are the maximum income levels for Arizona Medicaid eligibility in 2023, based on the number of household members:
-
Household Size: 1
- Maximum Income Level (Per Year): $19,392
-
Household Size: 2
- Maximum Income Level (Per Year): $26,228
-
Household Size: 3
- Maximum Income Level (Per Year): $33,064
-
Household Size: 4
- Maximum Income Level (Per Year): $39,900
-
Household Size: 5
- Maximum Income Level (Per Year): $46,737
-
Household Size: 6
- Maximum Income Level (Per Year): $53,573
-
Household Size: 7
- Maximum Income Level (Per Year): $60,409
-
Household Size: 8
- Maximum Income Level (Per Year): $67,245
It’s important to note that these income limits are subject to change and are based on the federal poverty guidelines. If your household size falls within these limits, you may be eligible for Medicaid coverage in Arizona.
Arizona Medicaid Application Process
If you believe you meet the income criteria for Arizona Medicaid based on your household size, it is essential to apply for coverage. The Arizona Health Care Cost Containment System (AHCCCS) administers Medicaid in the state. You can apply for Medicaid online through the AHCCCS website, by phone, or in person at an AHCCCS office or designated application center.
When applying, be prepared to provide information about your income, assets, and household members. The application process will also include a determination of your eligibility based on the income limits mentioned above.
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FAQ’s-Arizona Medicaid Income Limits 2023 for Seniors
Q. Who sets the income limits for Arizona Medicaid in 2023?
Ans: The income limits for Arizona Medicaid in 2023 are determined by the state government. Each state in the United States has the authority to set its own income limits for Medicaid eligibility, although these limits must comply with federal guidelines.
Q. How do the income limits for Arizona Medicaid vary with household size?
Ans: The income limits for Arizona Medicaid in 2023 vary based on the number of household members. The larger the household, the higher the maximum allowable income. Here are the maximum income levels for different household sizes:
- Household Size: 1 – Maximum Income Level (Per Year): $19,392
- Household Size: 2 – Maximum Income Level (Per Year): $26,228
- Household Size: 3 – Maximum Income Level (Per Year): $33,064
- Household Size: 4 – Maximum Income Level (Per Year): $39,900
- Household Size: 5 – Maximum Income Level (Per Year): $46,737
- Household Size: 6 – Maximum Income Level (Per Year): $53,573
- Household Size: 7 – Maximum Income Level (Per Year): $60,409
- Household Size: 8 – Maximum Income Level (Per Year): $67,245
Q. How can individuals determine their eligibility for Arizona Medicaid in 2023?
Ans: Individuals can determine their eligibility for Arizona Medicaid in 2023 by comparing their total annual household income to the income limits provided above. If their income falls within the specified limit for their household size, they may be eligible for Medicaid coverage.
Q. Can the income limits change over time?
Ans: Yes, the income limits for Arizona Medicaid can change over time. They are typically adjusted annually to account for changes in the cost of living and federal guidelines. It’s important for individuals to stay informed about any updates or changes to these income limits.
Q. How can individuals apply for Arizona Medicaid?
Ans: Individuals can apply for Arizona Medicaid through the Arizona Health Care Cost Containment System (AHCCCS), which administers Medicaid in the state. Applications can be submitted online through the AHCCCS website, by phone, or in person at AHCCCS offices or designated application centers. During the application process, applicants will need to provide information about their income, assets, and household members.
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Conclusion-Arizona Medicaid Income Limits 2023 for Seniors
Access to healthcare is a fundamental right, and Medicaid plays a crucial role in ensuring that individuals and families with limited financial means can receive the medical care they need. In Arizona, the Medicaid income limits for 2023 have been set to accommodate households of various sizes, making it easier for eligible individuals to receive essential healthcare services.
If you believe you qualify based on your household size and income, don’t hesitate to apply for Medicaid coverage to secure the healthcare you and your family deserve. Stay informed about any changes in income limits, as they may be adjusted in the future to reflect economic conditions and the cost of living.