Examples of Childless Adult Members. CASE SCENARIO 1 – Childless Adult member is SMI and is transferred from the Childless Adult program to SSI MAO effective July 1, 2011. AHCCCS has a unique identifier for SMI members in our PMMIS system. This information is supplied by the Arizona Department of Health Services (ADHS), who is responsible for diagnosing and serving this population. Household consists of Xxxx Xxxxx, age 55, who has been identified by the Department of Health Services as SMI. Xxxx earns $400 monthly. A notice is sent to Xxxx in June 2011 informing him that his eligibility has been transferred from the Childless Adult program to SSI MAO. Xxxx will be contacted by SSI MAO staff to complete a redetermination for that program, based on the redetermination date he would have had in Childless Adults. On November 1, 2011 an SSI MAO eligibility specialist tries to contact Xxxx to start the redetermination process. The Eligibility Specialist phones Xxxx and his phone has been disconnected. Xxxx is sent a redetermination notice to complete the redetermination process, and is informed that he has until January 31, 2012 to respond. The redetermination notice is returned by the U.S. Post Office as undeliverable. His SSI MAO eligibility is discontinued effective February 1, 2012. Xxxx is ineligible for SSI MAO. • CASE SCENARIO 2 – Childless Adult member fails to comply with the redetermination process after the freeze is in effect and is diagnosed with HIV/AIDs. (We will identify and track these individuals before they lose coverage) Xxxx earns $400 monthly. A notice requiring Xxxx to send a renewal application was sent to Xxxx on November 1, 2011. Xxxx was required to respond by December 31, 2011. No renewal application was received from Xxxx. His Childless Adult eligibility is discontinued effective January 1, 2012. But Xxxx is transferred to SSI MAO effective January 1, 2012 and will be contacted by SSI MAO staff to complete a redetermination for that program. Xxxx is sent a notice that he has been transferred to SSI MAO and that he will need to complete the redetermination process and meet the requirements for SSI MAO in order to remain eligible for that program. On February 1, 2012 an SSI MAO eligibility specialist telephones Xxxx to start the redetermination process. The eligibility specialist then sends Xxxx a disability packet to complete and answers questions for Xxxx after he reviews it. Xxxx returns the requested information and the disability packet is sent to the DES Disability Determination Service Administration (DDSA). On June 15, 2012 DDSA determines that Xxxx meets the requirements for disability and returns that information to the eligibility specialist. The eligibility specialist updates the eligibility system, ACE, with the DDSA information and completes the redetermination. Xxxx is eligible for SSI MAO. • Case Scenario #3 - Childless adult member is age 66 on July 8, 2011 when the Childless Adult program is frozen. These members will be identified in our PMMIS system and their eligibility key codes will be changed from Childless Adult to SSI MAO-Aged. Household consists of Xxxx Xxxxx, aged 66, who has been identified in our MMIS system as being over age 65. We change his eligibility category to SSI XXX aged in our PMMIS system and the system sends a message to the DES AZTECS system to discontinue his Childless Adult eligibility. We notify the SSI MAO Office to add him to the ACE eligibility system and conduct a redetermination based on the redetermination date he would have had in Childless Adults. On September 1, 2011 an SSI MAO eligibility specialist contacts Xxxx by telephone to start the redetermination process. Xxxx provides requested information by September 15, 2011 and the eligibility specialist updates the eligibility system, ACE with Xxxx’s information and completes the redetermination. Xxxx is eligible for SSI MAO. • Case Scenario #4 – Childless adult member fails to comply with the redetermination process after the freeze is in effect and is pregnant. Household consists of Xxxx Xxxxx, age 35. Xxxx earns $400 monthly. A notice requiring Xxxx to send a renewal application was sent to Xxxx on November 1, 2011. Xxxx was required to respond by December 31, 2011. No renewal application was received from Xxxx. A discontinuance notice is sent to Xxxx on December 19, 2011 advising her that her Childless Adult eligibility will be discontinued effective January 1, 2012. The discontinuance notice advises Xxxx that she no longer qualifies for the Childless Adult program, but she can file an appeal if she feels this discontinuance was made in error and advises her that she can reapply for AHCCCS. Her Childless Adult eligibility is discontinued effective January 1, 2012. Xxxx reapplied for AHCCCS on January 5, 2012 and indicates that she is pregnant. An eligibility determination is made under SOBRA Pregnant Woman and on January 18, 2012 she is approved for AHCCCS effective January 1, 2012. Xxxx is eligible as a SOBRA Pregnant Woman. • Case Scenario #5: - Childless adult member fails to comply with the redetermination process after the freeze is in effect and is disabled. Household consists of Xxxx Xxxxx, age 35. Xxxx earns $400 monthly. A notice requiring Xxxx to send a renewal application was sent to Xxxx on November 1, 2011. Xxxx was required to respond by December 31, 2011. No renewal application was received from Xxxx. A discontinuance notice is sent to Xxxx on December 19, 2011 advising her that her Childless Adult eligibility will be discontinued effective January 1, 2012. No renewal application was received from Xxxx. The discontinuance notice advises Xxxx that she no longer qualifies for the Childless Adult program, but she can file an appeal if she feels this discontinuance was made in error and advises her that she can reapply for AHCCCS. The notice tells her that she will need a categorical link to AHCCCS such as pregnancy, disability, being the parent of a deprived child or being over age 65. Her Childless Adult eligibility is discontinued effective January 1, 2012. Xxxx reapplied for AHCCCS on January 5, 2012 and indicates that she is disabled. An application for SSI MAO is entered into the ACE eligibility system and Xxxx is asked to complete a disability determination packet. A disability determination is made by the DES Disability Determination Service Administration (DDSA) and Xxxx is determined to have a disability on April 1, 2012. Xxxx is approved for SSI MAO on April 10, 2012, effective January 1, 2012. Xxxx is eligible for SSI MAO. • Case Scenario #6: Child ages out of SOBRA Child after the freeze is in effect. Household consists of Xxxx Xxxxx, age 35 and Xxxxx Xxxxx, who turns age nineteen in August. Xxxx earns $775 monthly. Xxxxx earns $500. Xxxxx’s scheduled redetermination under SOBRA Child is in March. An alert is generated in July notifying eligibility staff that Xxxxx is turning 19. On July 25th, eligibility is redetermined for Xxxxx using the most current information in the file. Xxxxx does not have a deprived, dependent child and is not disabled. He is determined eligible for the Childless Adult program effective September 1st without a break in coverage. Xxxxx will receive Notice #10 informing him of his transfer to Childless Adults. Xxxxx will then complete his redetermination under Childless Adults in March as scheduled. Xxxx remains eligible for the Childless Adult program.
Appears in 4 contracts
Samples: Special Terms and Conditions, Special Terms and Conditions, Special Terms and Conditions
Examples of Childless Adult Members. CASE SCENARIO 1 – Childless Adult member is SMI and is transferred from the Childless Adult program to SSI MAO effective July 1, 2011. AHCCCS has a unique identifier for SMI members in our PMMIS system. This information is supplied by the Arizona Department of Health Services (ADHS), who is responsible for diagnosing and serving this population. Household consists of Xxxx Xxxxx, age 55, who has been identified by the Department of Health Services as SMI. Xxxx earns $400 monthly. A notice is sent to Xxxx in June 2011 informing him that his eligibility has been transferred from the Childless Adult program to SSI MAO. Xxxx will be contacted by SSI MAO staff to complete a redetermination for that program, based on the redetermination date he would have had in Childless Adults. On November 1, 2011 an SSI MAO eligibility specialist tries to contact Xxxx to start the redetermination process. The Eligibility Specialist phones Xxxx and his phone has been disconnected. Xxxx is sent a redetermination notice to complete the redetermination process, and is informed that he has until January 31, 2012 to respond. The redetermination notice is returned by the U.S. Post Office as undeliverable. His SSI MAO eligibility is discontinued effective February 1, 2012. Xxxx is ineligible for SSI MAO. • CASE SCENARIO 2 – Childless Adult member fails to comply with the redetermination process after the freeze is in effect and is diagnosed with HIV/AIDs. (We will identify and track these individuals before they lose coverage) Xxxx earns $400 monthly. A notice requiring Xxxx to send a renewal application was sent to Xxxx on November 1, 2011. Xxxx was required to respond by December 31, 2011. No renewal application was received from Xxxx. His Childless Adult eligibility is discontinued effective January 1, 2012. But Xxxx is transferred to SSI MAO effective January 1, 2012 and will be contacted by SSI MAO staff to complete a redetermination for that program. Xxxx is sent a notice that he has been transferred to SSI MAO and that he will need to complete the redetermination process and meet the requirements for SSI MAO in order to remain eligible for that program. On February 1, 2012 an SSI MAO eligibility specialist telephones Xxxx to start the redetermination process. The eligibility specialist then sends Xxxx a disability packet to complete and answers questions for Xxxx after he reviews it. Xxxx returns the requested information and the disability packet is sent to the DES Disability Determination Service Administration (DDSA). On June 15, 2012 DDSA determines that Xxxx meets the requirements for disability and returns that information to the eligibility specialist. The eligibility specialist updates the eligibility system, ACE, with the DDSA information and completes the redetermination. Xxxx is eligible for SSI MAO. • Case Scenario #3 - Childless adult member is age 66 on July 8, 2011 when the Childless Adult program is frozen. These members will be identified in our PMMIS system and their eligibility key codes will be changed from Childless Adult to SSI MAO-Aged. Household consists of Xxxx Xxxxx, aged 66, who has been identified in our MMIS system as being over age 65. We change his eligibility category to SSI XXX aged in our PMMIS system and the system sends a message to the DES AZTECS system to discontinue his Childless Adult eligibility. We notify the SSI MAO Office to add him to the ACE eligibility system and conduct a redetermination based on the redetermination date he would have had in Childless Adults. On September 1, 2011 an SSI MAO eligibility specialist contacts Xxxx by telephone to start the redetermination process. Xxxx provides requested information by September 15, 2011 and the eligibility specialist updates the eligibility system, ACE with Xxxx’s information and completes the redetermination. Xxxx is eligible for SSI MAO. • Case Scenario #4 – Childless adult member fails to comply with the redetermination process after the freeze is in effect and is pregnant. Household consists of Xxxx Xxxxx, age 35. Xxxx earns $400 monthly. A notice requiring Xxxx to send a renewal application was sent to Xxxx on November 1, 2011. Xxxx was required to respond by December 31, 2011. No renewal application was received from Xxxx. A discontinuance notice is sent to Xxxx on December 19, 2011 advising her that her Childless Adult eligibility will be discontinued effective January 1, 2012. The discontinuance notice advises Xxxx that she no longer qualifies for the Childless Adult program, but she can file an appeal if she feels this discontinuance was made in error and advises her that she can reapply for AHCCCS. Her Childless Adult eligibility is discontinued effective January 1, 2012. Xxxx reapplied for AHCCCS on January 5, 2012 and indicates that she is pregnant. An eligibility determination is made under SOBRA Pregnant Woman and on January 18, 2012 she is approved for AHCCCS effective January 1, 2012. Xxxx is eligible as a SOBRA Pregnant Woman. • Case Scenario #5: - Childless adult member fails to comply with the redetermination process after the freeze is in effect and is disabled. Household consists of Xxxx Xxxxx, age 35. Xxxx earns $400 monthly. A notice requiring Xxxx to send a renewal application was sent to Xxxx on November 1, 2011. Xxxx was required to respond by December 31, 2011. No renewal application was received from Xxxx. A discontinuance notice is sent to Xxxx on December 19, 2011 advising her that her Childless Adult eligibility will be discontinued effective January 1, 2012. No renewal application was received from Xxxx. The discontinuance notice advises Xxxx that she no longer qualifies for the Childless Adult program, but she can file an appeal if she feels this discontinuance was made in error and advises her that she can reapply for AHCCCS. The notice tells her that she will need a categorical link to AHCCCS such as pregnancy, disability, being the parent of a deprived child or being over age 65. Her Childless Adult eligibility is discontinued effective January 1, 2012. Xxxx reapplied for AHCCCS on January 5, 2012 and indicates that she is disabled. An application for SSI MAO is entered into the ACE eligibility system and Xxxx is asked to complete a disability determination packet. A disability determination is made by the DES Disability Determination Service Administration (DDSA) and Xxxx is determined to have a disability on April 1, 2012. Xxxx is approved for SSI MAO on April 10, 2012, effective January 1, 2012. Xxxx is eligible for SSI MAO. • Case Scenario #6: Child ages out of SOBRA Child after the freeze is in effect. Household consists of Xxxx Xxxxx, age 35 and Xxxxx Xxxxx, who turns age nineteen in August. Xxxx earns $775 monthly. Xxxxx earns $500. Xxxxx’s scheduled redetermination under SOBRA Child is in March. An alert is generated in July notifying eligibility staff that Xxxxx is turning 19. On July 25th, eligibility is redetermined for Xxxxx using the most current information in the file. Xxxxx does not have a deprived, dependent child and is not disabled. He is determined eligible for the Childless Adult program effective September 1st without a break in coverage. Xxxxx will receive Notice #10 informing him of his transfer to Childless Adults. Xxxxx will then complete his redetermination under Childless Adults in March as scheduled. Xxxx remains eligible for the Childless Adult program.
Appears in 2 contracts
Samples: Special Terms and Conditions, Special Terms and Conditions
Examples of Childless Adult Members. CASE SCENARIO 1 – Childless Adult member is SMI and is transferred from the Childless Adult program to SSI MAO effective July 1, 2011. AHCCCS has a unique identifier for SMI members in our PMMIS system. This information is supplied by the Arizona Department of Health Services (ADHS), who is responsible for diagnosing and serving this population. Household consists of Xxxx Xxxxx, age 55, who has been identified by the Department of Health Services as SMI. Xxxx earns $400 monthly. A notice is sent to Xxxx in June 2011 informing him that his eligibility has been transferred from the Childless Adult program to SSI MAO. Xxxx will be contacted by SSI MAO staff to complete a redetermination for that program, based on the redetermination date he would have had in Childless Adults. On November 1, 2011 an SSI MAO eligibility specialist tries to contact Xxxx to start the redetermination process. The Eligibility Specialist phones Xxxx and his phone has been disconnected. Xxxx is sent a redetermination notice to complete the redetermination process, and is informed that he has until January 31, 2012 to respond. The redetermination notice is returned by the U.S. Post Office as undeliverable. His SSI MAO eligibility is discontinued effective February 1, 2012. Xxxx is ineligible for SSI MAO. • CASE SCENARIO 2 – Childless Adult member fails to comply with the redetermination process after the freeze is in effect and is diagnosed with HIV/AIDs. (We will identify and track these individuals before they lose coverage) Xxxx earns $400 monthly. A notice requiring Xxxx to send a renewal application was sent to Xxxx on November 1, 2011. Xxxx was required to respond by December 31, 2011. No renewal application was received from Xxxx. His Childless Adult eligibility is discontinued effective January 1, 2012. But Xxxx is transferred to SSI MAO effective January 1, 2012 and will be contacted by SSI MAO staff to complete a redetermination for that program. Xxxx is sent a notice that he has been transferred to SSI MAO and that he will need to complete the redetermination process and meet the requirements for SSI MAO in order to remain eligible for that program. On February 1, 2012 an SSI MAO eligibility specialist telephones Xxxx to start the redetermination process. The eligibility specialist then sends Xxxx a disability packet to complete and answers questions for Xxxx after he reviews it. Xxxx returns the requested information and the disability packet is sent to the DES Disability Determination Service Administration (DDSA). On June 15, 2012 DDSA determines that Xxxx meets the requirements for disability and returns that information to the eligibility specialist. The eligibility specialist updates the eligibility system, ACE, with the DDSA information and completes the redetermination. Xxxx is eligible for SSI MAO. • Case Scenario #3 - Childless adult member is age 66 on July 8, 2011 when the Childless Adult program is frozen. These members will be identified in our PMMIS system and their eligibility key codes will be changed from Childless Adult to SSI MAO-Aged. Household consists of Xxxx Xxxxx, aged 66, who has been identified in our MMIS system as being over age 65. We change his eligibility category to SSI XXX aged in our PMMIS system and the system sends a message to the DES AZTECS system to discontinue his Childless Adult eligibility. We notify the SSI MAO Office to add him to the ACE eligibility system and conduct a redetermination based on the redetermination date he would have had in Childless Adults. On September 1, 2011 an SSI MAO eligibility specialist contacts Xxxx by telephone to start the redetermination process. Xxxx provides requested information by September 15, 2011 and the eligibility specialist updates the eligibility system, ACE with Xxxx’s information and completes the redetermination. Xxxx is eligible for SSI MAO. • Case Scenario #4 – Childless adult member fails to comply with the redetermination process after the freeze is in effect and is pregnant. Household consists of Xxxx Xxxxx, age 35. Xxxx earns $400 monthly. A notice requiring Xxxx to send a renewal application was sent to Xxxx on November 1, 2011. Xxxx was required to respond by December 31, 2011. No renewal application was received from Xxxx. A discontinuance notice is sent to Xxxx on December 19, 2011 advising her that her Childless Adult eligibility will be discontinued effective January 1, 2012. The discontinuance notice advises Xxxx that she no longer qualifies for the Childless Adult program, but she can file an appeal if she feels this discontinuance was made in error and advises her that she can reapply for AHCCCS. Her Childless Adult eligibility is discontinued effective January 1, 2012. Xxxx reapplied for AHCCCS on January 5, 2012 and indicates that she is pregnant. An eligibility determination is made under SOBRA Pregnant Woman and on January 18, 2012 she is approved for AHCCCS effective January 1, 2012. Xxxx is eligible as a SOBRA Pregnant Woman. • Case Scenario #5: - Childless adult member fails to comply with the redetermination process after the freeze is in effect and is disabled. Household consists of Xxxx Xxxxx, age 35. Xxxx earns $400 monthly. A notice requiring Xxxx to send a renewal application was sent to Xxxx on November 1, 2011. Xxxx was required to respond by December 31, 2011. No renewal application was received from Xxxx. A discontinuance notice is sent to Xxxx on December 19, 2011 advising her that her Childless Adult eligibility will be discontinued effective January 1, 2012. No renewal application was received from Xxxx. The discontinuance notice advises Xxxx that she no longer qualifies for the Childless Adult program, but she can file an appeal if she feels this discontinuance was made in error and advises her that she can reapply for AHCCCS. The notice tells her that she will need a categorical link to AHCCCS such as pregnancy, disability, being the parent of a deprived child or being over age 65. Her Childless Adult eligibility is discontinued effective January 1, 2012. Xxxx reapplied for AHCCCS on January 5, 2012 and indicates that she is disabled. An application for SSI MAO is entered into the ACE eligibility system and Xxxx is asked to complete a disability determination packet. A disability determination is made by the DES Disability Determination Service Administration (DDSA) and Xxxx is determined to have a disability on April 1, 2012. Xxxx is approved for SSI MAO on April 10, 2012, effective January 1, 2012. Xxxx is eligible for SSI MAO. • Case Scenario #6: Child ages out of SOBRA Child after the freeze is in effect. Household consists of Xxxx Xxxxx, age 35 and Xxxxx Xxxxx, who turns age nineteen in August. Xxxx earns $775 monthly. Xxxxx earns $500. Xxxxx’s scheduled redetermination under SOBRA Child is in March. An alert is generated in July notifying eligibility staff that Xxxxx is turning 19. On July 25th, eligibility is redetermined for Xxxxx using the most current information in the file. Xxxxx does not have a deprived, dependent child and is not disabled. He is determined eligible for the Childless Adult program effective September 1st without a break in coverage. Xxxxx will receive Notice #10 informing him of his transfer to Childless Adults. Xxxxx will then complete his redetermination under Childless Adults in March as scheduled. Xxxx remains eligible for the Childless Adult program.
Appears in 1 contract
Samples: Special Terms and Conditions
Examples of Childless Adult Members. CASE SCENARIO 1 – Childless Adult member is SMI and is transferred from the Childless Adult program to SSI MAO effective July 1, 2011. AHCCCS has a unique identifier for SMI members in our PMMIS system. This information is supplied by the Arizona Department of Health Services (ADHS), who is responsible for diagnosing and serving this population. Household consists of Xxxx Xxxxx, age xxe 55, who has been identified by the Department of Health Services as SMI. Xxxx earns xxxns $400 monthly. A notice is sent to Xxxx in xx June 2011 informing him that his eligibility has been transferred from the Childless Adult program to SSI MAO. Xxxx will xxxl be contacted by SSI MAO staff to complete a redetermination for that program, based on the redetermination date he would have had in Childless Adults. On November 1, 2011 an SSI MAO eligibility specialist tries to contact Xxxx to xx start the redetermination process. The Eligibility Specialist phones Xxxx and xxx his phone has been disconnected. Xxxx is xx sent a redetermination notice to complete the redetermination process, and is informed that he has until January 31, 2012 to respond. The redetermination notice is returned by the U.S. Post Office as undeliverable. His SSI MAO eligibility is discontinued effective February 1, 2012. Xxxx is xx ineligible for SSI MAO. • CASE SCENARIO 2 – Childless Adult member fails to comply with the redetermination process after the freeze is in effect and is diagnosed with HIV/AIDs. (We will identify and track these individuals before they lose coverage) Xxxx earns xxxns $400 monthly. A notice requiring Xxxx to xx send a renewal application was sent to Xxxx on xx November 1, 2011. Xxxx was xxx required to respond by December 31, 2011. No renewal application was received from Xxxx. His Xxs Childless Adult eligibility is discontinued effective January 1, 2012. But Xxxx is xx transferred to SSI MAO effective January 1, 2012 and will be contacted by SSI MAO staff to complete a redetermination for that program. Xxxx is xx sent a notice that he has been transferred to SSI MAO and that he will need to complete the redetermination process and meet the requirements for SSI MAO in order to remain eligible for that program. On February 1, 2012 an SSI MAO eligibility specialist telephones Xxxx to xx start the redetermination process. The eligibility specialist then sends Xxxx a disability x xisability packet to complete and answers questions for Xxxx after xxxer he reviews it. Xxxx returns xxxurns the requested information and the disability packet is sent to the DES Disability Determination Service Administration (DDSA). On June 15, 2012 DDSA determines that Xxxx meets xxxts the requirements for disability and returns that information to the eligibility specialist. The eligibility specialist updates the eligibility system, ACE, with the DDSA information and completes the redetermination. Xxxx is xx eligible for SSI MAO. • Case Scenario #3 - Childless adult member is age 66 on July 8, 2011 when the Childless Adult program is frozen. These members will be identified in our PMMIS system and their eligibility key codes will be changed from Childless Adult to SSI MAO-Aged. Household consists of Xxxx Xxxxx, aged xxed 66, who has been identified in our MMIS system as being over age 65. We change his eligibility category to SSI XXX aged MAO xxxd in our PMMIS system and the system sends a message to the DES AZTECS system to discontinue his Childless Adult eligibility. We notify the SSI MAO Office to add him to the ACE eligibility system and conduct a redetermination based on the redetermination date he would have had in Childless Adults. On September 1, 2011 an SSI MAO eligibility specialist contacts Xxxx by xx telephone to start the redetermination process. Xxxx provides xxxvides requested information by September 15, 2011 and the eligibility specialist updates the eligibility system, ACE with Xxxx’s John’x information and completes the redetermination. Xxxx is xx eligible for SSI MAO. • Case Scenario #4 – Childless adult member fails to comply with the redetermination process after the freeze is in effect and is pregnant. Household consists of Xxxx Xxxxx, age xxe 35. Xxxx earns xxxns $400 monthly. A notice requiring Xxxx to xx send a renewal application was sent to Xxxx on xx November 1, 2011. Xxxx was xxx required to respond by December 31, 2011. No renewal application was received from Xxxx. A X discontinuance notice is sent to Xxxx on xx December 19, 2011 advising her that her Childless Adult eligibility will be discontinued effective January 1, 2012. The discontinuance notice advises Xxxx that xxxt she no longer qualifies for the Childless Adult program, but she can file an appeal if she feels this discontinuance was made in error and advises her that she can reapply for AHCCCS. Her Childless Adult eligibility is discontinued effective January 1, 2012. Xxxx reapplied xxxpplied for AHCCCS on January 5, 2012 and indicates that she is pregnant. An eligibility determination is made under SOBRA Pregnant Woman and on January 18, 2012 she is approved for AHCCCS effective January 1, 2012. Xxxx is xx eligible as a SOBRA Pregnant Woman. • Case Scenario #5: - Childless adult member fails to comply with the redetermination process after the freeze is in effect and is disabled. Household consists of Xxxx Xxxxx, age xxe 35. Xxxx earns xxxns $400 monthly. A notice requiring Xxxx to xx send a renewal application was sent to Xxxx on xx November 1, 2011. Xxxx was xxx required to respond by December 31, 2011. No renewal application was received from Xxxx. A X discontinuance notice is sent to Xxxx on xx December 19, 2011 advising her that her Childless Adult eligibility will be discontinued effective January 1, 2012. No renewal application was received from Xxxx. The Xxe discontinuance notice advises Xxxx that xxxt she no longer qualifies for the Childless Adult program, but she can file an appeal if she feels this discontinuance was made in error and advises her that she can reapply for AHCCCS. The notice tells her that she will need a categorical link to AHCCCS such as pregnancy, disability, being the parent of a deprived child or being over age 65. Her Childless Adult eligibility is discontinued effective January 1, 2012. Xxxx reapplied xxxpplied for AHCCCS on January 5, 2012 and indicates that she is disabled. An application for SSI MAO is entered into the ACE eligibility system and Xxxx is xx asked to complete a disability determination packet. A disability determination is made by the DES Disability Determination Service Administration (DDSA) and Xxxx is xx determined to have a disability on April 1, 2012. Xxxx is xx approved for SSI MAO on April 10, 2012, effective January 1, 2012. Xxxx is xx eligible for SSI MAO. • Case Scenario #6: Child ages out of SOBRA Child after the freeze is in effect. Household consists of Xxxx Xxxxx, age xxe 35 and Xxxxx Xxxxx, who xxo turns age nineteen in August. Xxxx earns xxxns $775 monthly. Xxxxx earns xxxns $500. Xxxxx’s Jimmx’x scheduled redetermination under SOBRA Child is in March. An alert is generated in July notifying eligibility staff that Xxxxx is xx turning 19. On July 25th, eligibility is redetermined for Xxxxx using xxxng the most current information in the file. Xxxxx does xxxs not have a deprived, dependent child and is not disabled. He is determined eligible for the Childless Adult program effective September 1st without a break in coverage. Xxxxx will xxxl receive Notice #10 informing him of his transfer to Childless Adults. Xxxxx will xxxl then complete his redetermination under Childless Adults in March as scheduled. Xxxx remains xxxains eligible for the Childless Adult program.
Appears in 1 contract
Samples: Special Terms and Conditions
