1) Eligible under the 100% FBR Standard

The customer, a 65-year-old single individual, resides with her two adopted children ages 10 and 12. The customer applies for AHCCCS Medical Assistance for herself in January 2026.

The customer receives $1,100.00 for Social Security Retirement per month. She also works part-time to make extra money and received $780.00 in January 2026. The two children do not have any income.

Calculate the customer’s eligibility as follows:

Step Action 1 Calculate net unearned income: $1,100.00 (customer’s total countable unearned income that is not needs based) - $0.00 1/3 child support deduction (not applicable) = $1,100.00 (subtotal) - $20.00 (general income deduction) = $1,080.00 (subtotal) + $0.00 income based on need (not applicable) = $1,080.00 (net unearned income) 2 Calculate net earned income: $780.00 customer’s total countable earned income - $0.00 (unused portion of the $20.00 general income deduction) - $65.00 (standard work expense deduction) - $0.00 (IRWE deduction) = $715.00 (subtotal of earned income) - $357.50 (one-half of the subtotal of earned income) - $0.00 (blind work expense deduction) = $357.50 (net earned income) 3 Calculate total net income: $1,080.00 (net unearned income from Step 1 above) + $357.50 (net earned income from Step 2 above) = $1,437.50 (subtotal of net income) - $994.00 child allocation ($497.00 per child, two children) = $443.50 (total net income) 4 Compare the result in Step 3 above to $994.00 (100% of the FBR for an individual for 2026). Because $443.50 is less than $994.00, the customer is income eligible for AHCCCS Medical Assistance under SSI-MAO using the 100% FBR standard.