Get the free Arizona Medicaid Section 1115 Demonstration - azahcccs
Show details
This document outlines the Arizona Medicaid Section 1115 Demonstration, including waiver requests, expenditure authorities, eligibility criteria, and program requirements for the Medicaid and State
We are not affiliated with any brand or entity on this form
Get, Create, Make and Sign arizona medicaid section 1115
Edit your arizona medicaid section 1115 form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share your form instantly
Email, fax, or share your arizona medicaid section 1115 form via URL. You can also download, print, or export forms to your preferred cloud storage service.
Editing arizona medicaid section 1115 online
To use our professional PDF editor, follow these steps:
1
Log in to your account. Start Free Trial and register a profile if you don't have one yet.
2
Upload a document. Select Add New on your Dashboard and transfer a file into the system in one of the following ways: by uploading it from your device or importing from the cloud, web, or internal mail. Then, click Start editing.
3
Edit arizona medicaid section 1115. Rearrange and rotate pages, insert new and alter existing texts, add new objects, and take advantage of other helpful tools. Click Done to apply changes and return to your Dashboard. Go to the Documents tab to access merging, splitting, locking, or unlocking functions.
4
Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.
With pdfFiller, it's always easy to work with documents.
Uncompromising security for your PDF editing and eSignature needs
Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
How to fill out arizona medicaid section 1115
How to fill out Arizona Medicaid Section 1115 Demonstration
01
Obtain the Arizona Medicaid Section 1115 Demonstration application form from the appropriate state agency website.
02
Review the guidelines and requirements for the demonstration to understand eligibility criteria.
03
Gather required documentation, such as proof of income, residency, and any relevant medical records.
04
Fill out the application form completely, ensuring that all information is accurate and up-to-date.
05
Review the completed application for any errors or missing information.
06
Submit the application either online or by mailing it to the designated agency.
07
Follow up with the agency to confirm receipt of your application and ask about the timeline for a decision.
Who needs Arizona Medicaid Section 1115 Demonstration?
01
Individuals with low income seeking healthcare coverage in Arizona.
02
Individuals experiencing disabilities who require additional medical services.
03
Families with children needing support for healthcare services.
04
Individuals who do not qualify for traditional Medicaid but still meet certain criteria.
Fill
form
: Try Risk Free
People Also Ask about
What are 1115 demonstration waivers?
Under Section 1115 of the Social Security Act, the Secretary of Health and Human Services (HHS) can waive certain federal Medicaid requirements. In addition, the Secretary may permit states to use federal Medicaid funds in ways that are not otherwise allowed.
What is the income limit to qualify for Medicaid in Arizona?
Income & Asset Limits for Eligibility 2025 Arizona Medicaid Long-Term Care Eligibility for Seniors Type of MedicaidSingleMarried (both spouses applying) Home and Community Based Services $2,901 / month† $4,000 ($2,000 per spouse) Regular Medicaid / Aged Blind and Disabled $1,305 / month (eff. 2/1/25 – 1/31/26)‡ No limit§2 more rows • Jun 4, 2025
What is the maximum income for Medicaid?
Median Income: $101,300 Classification1 person4 person Extremely Low (30 %) $21,600 $31,200 Very Low (50%) $36,000 $51,400 Low (80%) $57,600 $82,250
What is the highest income to qualify for Medicaid in Arizona?
Income & Asset Limits for Eligibility 2025 Arizona Medicaid Long-Term Care Eligibility for Seniors Type of MedicaidSingleMarried (both spouses applying) Home and Community Based Services $2,901 / month† $4,000 ($2,000 per spouse) Regular Medicaid / Aged Blind and Disabled $1,305 / month (eff. 2/1/25 – 1/31/26)‡ No limit§2 more rows • Jun 4, 2025
What is the difference between a 1115 and 1332 waiver?
An 1115 waiver is a “Demonstration Project” waiver. “1115” is the section of the Social Security Act that outlines the purposes and limitations of these waivers. A 1332 waiver is an “innovation waiver.” It allows states to waive certain federal requirements for private insurance and marketplace coverage.
What income is considered low income in Arizona?
The Arizona Health Care Cost Containment System (AHCCCS) is Arizona's Medicaid agency that offers health care programs to serve Arizona residents. AHCCCS provides medical insurance coverage to thousands of Arizonans each year, for which DES provides eligibility services.
How many states have 1115 waivers?
Section 1115 Benefit Changes - Select Benefit Expansions Waiver Provision# of States with Approved Waiver Behavioral Health & Other Community-Based Benefit Expansions* Approved: 24 States (AK, AR, AZ, CA, DE, FL, HI, IL, KS, KY, MA, MD, ME, MT, NC, NJ, NM, NY, OR, RI, VA, VT, WA, WV)2 more rows • May 2, 2025
For pdfFiller’s FAQs
Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.
What is Arizona Medicaid Section 1115 Demonstration?
The Arizona Medicaid Section 1115 Demonstration is a program authorized by the Centers for Medicare & Medicaid Services (CMS) that allows Arizona to test new ways to deliver and pay for health care services for Medicaid beneficiaries, aiming to improve care and reduce costs.
Who is required to file Arizona Medicaid Section 1115 Demonstration?
The Arizona Health Care Cost Containment System (AHCCCS) is responsible for filing the Arizona Medicaid Section 1115 Demonstration, as it manages the state's Medicaid program.
How to fill out Arizona Medicaid Section 1115 Demonstration?
Filling out the Arizona Medicaid Section 1115 Demonstration typically involves completing specific forms provided by the AHCCCS or CMS, detailing program goals, population targeted, and proposed health care models, and submitting them for approval.
What is the purpose of Arizona Medicaid Section 1115 Demonstration?
The purpose of the Arizona Medicaid Section 1115 Demonstration is to allow the state to experiment with alternative service delivery and payment approaches that enhance health care access and outcomes for Medicaid recipients.
What information must be reported on Arizona Medicaid Section 1115 Demonstration?
Information reported on the Arizona Medicaid Section 1115 Demonstration includes details on enrollment numbers, health outcomes, financial expenditures, and the effectiveness of the demonstration in achieving its goals.
Fill out your arizona medicaid section 1115 online with pdfFiller!
pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.
Arizona Medicaid Section 1115 is not the form you're looking for?Search for another form here.
Relevant keywords
Related Forms
If you believe that this page should be taken down, please follow our DMCA take down process
here
.
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.
