Free Memorandum - District Court of Arizona - Arizona

EXHIBIT 1
EXCERPTS FROM ARIZONA’S
MEDICAID STATE PLAN
Case 2:03-cv-02506-EHC Document 148-2 Filed O4/22/2008 Page 1 013

12
I Revlslon: HCFA-PM—91- h (BPD) OMB No.: O938—
AUGUST 1991
State, Arizona
Cltatlon 2.2 Qoverage and gondltlons of Eligibility
42 CFR
435.10 Medlcald ls available to the groups specified ln
. ATTAQHMENT 2.2-A.
» L:7 Mandatory categorically needy and other required
.· · · special groups only.
L:7 Mandatory categorically needy, other required special
groups, and the medically needy, but no other
- optional groups.
_ LE? Mandatory categorically needy, other required special
. groups, and specified optional groups.
V 1 _ [:7 Mandatory categorically needy, other required special
groups, specified optional groups, and the medically
needy.
" The conditions of eligibility that must be met are
_ ¤p¤¤lf1e¤_ in
J 3 _`_, All applicable requirements of 42 CFR Part 435
w¤E#;‘ and sections 1902(a)(10)(A)(1)(Iv), (V), and (VI),
·,, V 1902(a)(l0)(A)(l1)(XI), l902(a)(l0)(E), 1902(1) and (m),
= . ( t 1905(p), (q) and (s), 1920, and 1925 of the Act are met.
TN No. 92-5
Supersedes Approval Date ‘{71`q)` Effective Date JAN- 1, 1992
TN No. 88-12 '“
HCFA ID: 7982E
I
a
Case 2:03-cv-02506-EHC Document 148-2 Filed O4/22/2008 Page 2 of 3

Revision: HCFA-PM·9l·* (BPD) ' ATTACHMENT 2.2·A
‘ AUGUST 1991 Page 24
OMB NO.: 0938-
State; AYiZODB

Agency* citation(s) Groups Covered
C. Qgglonal Qovegage of the Medically Needy J r?l}
‘ 42 CFRq35.30l This plan includes the medically needy. `
. LI; ND. -
- ( L:7 Yes. This plan covers:
1. Pregnant women who, except for income and/or
resources, would be eligible as categorically needy
under title XIX of the Act. -
1902(e) of the 2. women who, while pregnant, were eligible
=Act for and have applied for Medicaid and
receive Medicaid as medically needy under _
the approved State plan on the date the pregnancy
ends. These women continue to be eligible, as though
‘ they were pregnant, for all pregnancy-related and
postpartum services under the plan for a 60-day
‘ period, beginning with the date the pregnancy ends, ‘
_ and any remaining days in the month in which the 60th
} day falls.
— l902(a)(l0) 3. Individuals under age 18 who, but for
. (C)(ii)(I) income and/or resources, would be eligible
of the Act under section l902(a)(lO)(A)(i) of the Act. .
TN No. 92~l u »
Supersedes Approval Date AUG 2 51992 Effective DateJa¤¤a¥Y 1» 1992
TN __N¤. 87·7 """""""""’
HCFA ID: 7983E
\
Case 2:03-cv-02506-EHC Document 148-2 Filed O4/22/2008 Page 3 of 3

EXHIBIT 1
EXCERPTS FROM ARIZONA'S MEDICAID STATE PLAN

Case 2:03-cv-02506-EHC

Document 148-2

Filed 04/22/2008

Page 1 of 3

Case 2:03-cv-02506-EHC

Document 148-2

Filed 04/22/2008

Page 2 of 3

Case 2:03-cv-02506-EHC

Document 148-2

Filed 04/22/2008

Page 3 of 3