1) Eligible under the 100% FBR Standard Example

The customer is 70 years old, and lives with his spouse, who is 45 years old. Their 10-year-old daughter lives with them. The customer applies for AHCCCS Medical Assistance for himself in January 2026.

The customer receives a monthly income of $900.00 for Social Security retirement. His spouse works part time and received $1,000.00 in January 2026. Their daughter does not have any income.

The customer’s eligibility is calculated as follows:

Step Action 1 Calculate net unearned income: $900.00 (total of the customer’s and the spouse’s total countable unearned income that is not needs based) - $0.00 1/3 child support deduction (not applicable) = $900.00 subtotal - $20.00 (general income deduction) = $880.00 subtotal + $0.00 income based on need (not applicable) = $880.00 net unearned income 2 Calculate net earned income: $1,000.00 (total of the customer’s and the spouse’s counted earned income) - $0.00 (unused portion of the $20.00 general income deduction) - $65.00 (standard work expense deduction) - $0.00 (IRWE deduction) = $935.00 (subtotal of earned income) - $467.50 (one-half subtotal of earned income) - $0.00 (blind work expense deduction) = $467.50 (net earned income) 3 Calculate total net income: $880.00 (net unearned income from Step 1 above) + $467.50 (net earned income from Step 2 above) = $1347.50 (subtotal of net income) - $497.00 (child allocation) = $850.50 (total net income) 4 Compare the result in Step 3 above to $1,491.00 (100% of the FBR for a couple for 2026): Because $850.50 is less than $1,491.00, the customer is income eligible for SSI-MAO using the 100% FBR standard.