Fillable Printable Ssi Mao Eligibility Fact Sheet09162011
Fillable Printable Ssi Mao Eligibility Fact Sheet09162011
Ssi Mao Eligibility Fact Sheet09162011
Revised 2/2016
SSI MAO Eligibility Fact Sheet
The Supplemental Security Income Medical Assistance Only (SSI MAO) Program is for individuals who are:
Aged – age 65 or older.
Blind – determined blind by the Disability Determination Services Administration (DDSA) or
receiving Social Security (SSA or SSI) benefits on the basis of blindness.
Disabled – unable to work due to a medical, physical, or mental impairment which is expected to result in death
or last for a continuous period of 12 months or more.
o Must be determined disabled by the Disability Determination Services Administration (DDSA); or
o Must have a diagnosis of serious mental illness (SMI) determined by the Arizona Department of Health
Services (ADHS).
Eligibility Requirements
The following eligibility requirements must be met:
Citizenship/Alien Status – Must be a citizen of the United States or a qualified non-citizen. Individuals who are
not qualified non-citizens may be eligible for coverage of emergency services only.
Residency – Must be a resident of Arizona with the intent to remain permanently or indefinitely.
Financial Criteria – Income must be under the limit specific to each program (see limits below).
Social Security Number – Must have a verified Social Security Number (SSN) or must apply for a SSN (except
for non-citizens who cannot get a SSN).
Potential Benefits – Must take necessary actions to obtain all potential benefits and/or income. Potential
benefits may include medical benefits, retirement, Veteran’s benefits, pensions, workman’s compensation, Social
Security or any other benefits that the customer may be entitled to receive.
Assignment of Third Party Liability (TPL) – The customer’s rights to any medical insurance coverage are
assigned to AHCCCS to ensure that anyone responsible for medical coverage pays before AHCCCS.
Income Limits
Countable income (after the deductions listed below) is compared to the Federal Poverty Level (FPL).
Deductions
There are some expenses that may be deducted from the income, which may cause the countable income used for
eligibility to be reduced. These deductions are:
$20.00 General Income Deduction
Impairment Related Work Expense (IRWE) Deduction
Blind Work Expense Deduction
Deduction for dependent children
$50.00 deducted from Child Support
Deduction from wages of students
If income exceeds this limit and the applicant or spouse is working, an additional deduction of $65 and half of the wages
are deducted from the earned income. The countable income after these additional deductions is compared to the
Federal Benefit Rate (FBR).
January 2016
Individual Couple
$733.00 $1,100.00
February 2016
Individual Couple
$990.00 $1,335.00
