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us-az/manual/ahcccs/medicaid/examples-e803-special-treatment-trust-examples-d-income-only-trust-anticipated-disbursements-form-de-313 — Arizona AHCCCS Eligibility Policy Manual: D Income-Only Trust Anticipated Disbursements Form (DE-313) · Axiom
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Arizona AHCCCS Eligibility Policy Manual: D Income-Only Trust Anticipated Disbursements Form (DE-313)
3 sections
D Income-Only Trust Anticipated Disbursements Form (DE-313)
1) The customer has all of their income assigned to the Income-Only Trust and lives in a Home and Community Based Services (HCBS) living arrangement
2) The customer has income both inside and outside the Income-Only trust and lives in a HCBS living arrangement