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Revised Eff. February 2026 AHCCCS ELIGIBILITY REQUIREMENTS February 1, 2026 Where to Apply Eligibility Criteria General Information Household Monthly Income by Household Size (After Deductions)1 Resource Limits (Equity) Social Security # Special Requirements Benefits

Coverage for Children Children Under Age 1 www.healthearizonaplus.gov or DES/Family Assistance Office Call 1-855-HEA-PLUS for the nearest office 147% FPL

1 $1,956.00

2 $2,651.00

3 $3,347.00

4 $4,043.00 Add $696 per Add’l person* N/A Required N/A AHCCCS Medical Services2 Children Ages 1 – 5 www.healthearizonaplus.gov or DES/Family Assistance Office Call 1-855-HEA-PLUS for the nearest office 141% FPL

1 $1,876.00

2 $2,543.00

3 $3,211.00

4 $3,878.00 Add $668 per Add’l person*

N/A Required N/A AHCCCS Medical Services2 Children Ages 6 – 18 www.healthearizonaplus.gov or DES/Family Assistance Office Call 1-855-HEA-PLUS for the nearest office 133% FPL

1 $1,769.00

2 $2,399.00

3 $3,028.00

4 $3,658.00 Add $630 per Add’l person* N/A Required N/A AHCCCS Medical Services2 KidsCare Children Under Age 19 www.healthearizonaplus.gov or DES/Family Assistance Office Call 1-855-HEA-PLUS for the nearest office 225% FPL

1 $2,993.00

2 $4,058.00

3 $5,123.00

4 $6,188.00 Add $1,065 per Add’l person*

N/A Required  Not eligible for Medicaid  Not available to State employees, their children, or spouses  $10 - $70 monthly premium covers all eligible children

AHCCCS Medical Services2

Coverage for Individuals Parent & Caretaker Relatives www.healthearizonaplus.gov or DES/Family Assistance Office Call 1-855-HEA-PLUS for the nearest office 106% FPL 1 $1,410.00 2 $1,912.00 3 $2,414.00 4 $2,915.00 Add $502 per Add’l person* N/A Required AHCCCS Medical Services2 Adults www.healthearizonaplus.gov or DES/Family Assistance Office Call 1-855-HEA-PLUS for the nearest office 133% FPL

1 $1,769.00

2 $2,399.00

3 $3,028.00

4 $3,658.00 Add $630 per Add’l person* N/A Required  19 years of age or older  Under age 65  Not entitled to Medicare  Adult’s children must have health insurance coverage  Ineligible for any other categorical Medicaid coverage AHCCCS Medical Services2

Coverage for Women Pregnant Women www.healthearizonaplus.gov or DES/Family Assistance Office Call 1-855-HEA-PLUS for the nearest office 156% FPL 1 $2,075.00 2 $2,814.00 3 $3,552.00 4 $4,290.00 Add $739 per Add’l person* (Limit increases for each expected child) N/A Required

AHCCCS Medical Services2 Breast & Cervical Cancer Treatment Program Well Woman Healthcheck Program Call 602-542-4611 for the nearest office N/A N/A Required  Under age 65  Screened and diagnosed with breast cancer, cervical cancer, or a pre-cancerous cervical lesion by the Well Woman Health check Program  Ineligible for any other Medicaid coverage AHCCCS Medical Services2