Ariz. Admin. Code § 9-22-1437

Current through Register Vol. 30, No. 43, October 25, 2024

Section R9-22-1437 - Med Income Eligibility Requirements

A. Income exclusions. The exclusions in R9-22-1420(C) apply to the MED family unit.

B. Income standard.

1. The Department shall divide the annual FPL for the MED family unit that is in effect during each month of the income period by 12 to determine the monthly FPL.

2. The Department shall add the monthly FPLs for the income period and multiply the resulting amount by 40 percent.

3. Changes to the annual FPL are implemented in April of each year.

C. Income period. The income period is the month of application and the next two months. The Department shall add together the three months' income to establish the MED family unit's income amount.

D. Medical expense deduction period. The medical expense deduction period is a three-month period consisting of:

1. For a new application, the month before the application month, the month of application, and month following the application month; or

2. For a MED eligibility review, the last month of the prior MED eligibility period and the following two months.

E. The Department shall calculate the amount of countable monthly income as follows:

1. Subtract a $90 cost of employment allowance from the gross amount of earned income for each person whose earned income is counted;

2. Disregard from the remaining earned income an amount billed by the provider for the care of each dependent child under age 18 or incapacitated adult member of the MED family unit if the care is for the purpose of allowing the person to work. If more than one person in the household is responsible for and billed for the care of a dependent child, the disregard may be split between the wage earners if splitting the disregard is to the benefit of the family, but shall not exceed the maximum disregards as follows:

a. A maximum of $200 for a child under age two and $175 for other dependents for a wage-earner employed full-time (86 or more hours per month); and

b. A maximum of $100 for a child under age two, and $88 for other dependents for a wage earner employed part-time (less than 86 hours a month);

3. Add the remaining earned income for each MED family member to the unearned income of all MED family members;

4. Compare the MED family's unit countable income amount to the income standard in subsection (B). The difference is the amount of medical expenses the family shall incur during the medical expense deduction period to become eligible;

5. Subtract allowable medical expense deductions that were incurred by:

a. A member of the MED family unit;

b. A deceased spouse or minor child of a MED family unit if this person would have been a member of the MED unit during the MED expense deduction period;

c. A person who was a minor child of a MED family unit member when the expense was incurred but who is no longer a minor child; or

d. A minor child, including a child who is a runaway, who left home before the date of application to live with someone other than a parent; and

6. Compare the net MED family income to the income standard listed in subsection (B).

F. The family is eligible if the net income in subsection (E)(6) does not exceed the income standard in subsection (B).

Ariz. Admin. Code § R9-22-1437

New Section made by final rulemaking at 11 A.A.R. 4942, effective December 31, 2005 (Supp. 05-4).