Last updated: September 1, 2025 | Arizona Health Care Cost Containment System (AHCCCS)
Arizona’s Medicaid program, known as AHCCCS (Arizona Health Care Cost Containment System), provides healthcare coverage based on 2025 Federal Poverty Level guidelines.
Not sure if you qualify? Use our Arizona Medicaid calculator to see if your household meets the 2025 income limits.
Page Contents
- 1 Arizona Medicaid Income Limits 2025 Overview
- 2 Federal Poverty Level (FPL) Reference for Arizona 2025
- 3 Eligibility Criteria & Income Calculation
- 4 Frequently Asked Questions About Arizona Medicaid
- 4.1 How do I quickly check if I meet the income limit?
- 4.2 What is the income limit for Arizona Medicaid 2025?
- 4.3 What income level qualifies a child for KidsCare (CHIP) in 2025?
- 4.4 How long does Arizona Medicaid application take?
- 4.5 What is the monthly income limit for a single adult in Arizona (2025)?
- 5 Conclusion: Get the Health Care You Need
Arizona Medicaid Income Limits 2025 Overview
Arizona expanded Medicaid under the Affordable Care Act, offering broader coverage through several programs:
- Adults (19–64): Up to 138% Federal Poverty Level (FPL)
- Pregnant Women: Up to 156% FPL
- Children under 1 year: Up to 147% FPL
- Children ages 1–5: Up to 141% FPL
- Children ages 6–18: Up to 133% FPL
- KidsCare (CHIP): Up to 225% FPL
- Caretaker Relatives: Separate gross monthly income limits
All eligibility is based on Modified Adjusted Gross Income (MAGI) and varies by household size.
Arizona Medicaid (AHCCCS) Income Limits 2025
Monthly income limits by household size and program:
Household Size | Adults (19–64) | Pregnant Women | Children <1 yr | Children 1–5 yrs | Children 6–18 yrs | KidsCare | Caretaker Relatives |
---|---|---|---|---|---|---|---|
1 | $1,735 | $2,050 | $1,930 | $1,850 | $1,735 | $2,935 | $1,420 |
2 | $2,345 | $2,765 | $2,604 | $2,497 | $2,345 | $3,966 | $1,915 |
3 | $2,954 | $3,480 | $3,278 | $3,144 | $2,954 | $4,997 | $2,410 |
4 | $3,564 | $4,195 | $3,952 | $3,791 | $3,564 | $6,029 | $2,905 |
5 | $4,173 | $4,910 | $4,626 | $4,438 | $4,173 | $7,060 | $3,400 |
6 | $4,783 | $5,625 | $5,300 | $5,085 | $4,783 | $8,091 | $3,895 |
7 | $5,392 | $6,340 | $5,974 | $5,732 | $5,392 | $9,122 | $4,390 |
8 | $6,002 | $7,055 | $6,648 | $6,379 | $6,002 | $10,153 | $4,885 |
For households larger than 8:
- Adults (19–64): Add $610/month per additional person
- Pregnant Women: Add $715/month per additional person
- Children <1: Add $674/month per additional person
- Children 1–5: Add $647/month per additional person
- Children 6–18: Add $610/month per additional person
- KidsCare: Add $1,032/month per additional person
- Caretaker Relatives: Add $495/month per additional person
Federal Poverty Level (FPL) Reference for Arizona 2025
- 1 Person: $15,060 (100% FPL), $20,030 (133%), $23,494 (156%), $33,885 (225%)
- 4 Persons: $31,200 (100% FPL), $41,496 (133%), $48,672 (156%), $70,200 (225%)
Eligibility Criteria & Income Calculation
Eligibility is based on Modified Adjusted Gross Income (MAGI) and household size (including a pregnant fetus). Income considered includes wages, self-employment, Social Security, unemployment benefits, pensions, and investment income. Non-counted income: SSI, child support received, SNAP/TANF, veterans’ disability, workers’ comp.
KidsCare (CHIP) 2025 Income Limits
- Covers children/families up to 225% FPL with limits as shown in the chart above.
- Premium: Max $50/month for one child, $70/month for two or more. Native American children may qualify for no-cost coverage.
Asset Limits
- No asset limits for most MAGI-based programs (adults, pregnant women, children, KidsCare).
- Asset limits only apply to long-term care and Aged, Blind, and Disabled programs ($2,000 for individual nursing home Medicaid).
Application & Required Documents
- Apply online at the AHCCCS portal, in-person at DES offices, or by phone.
- Required documents: Identity (ID/passport), Social Security cards, income proof (pay stubs), Arizona residency proof (utility/lease/mail), pregnancy verification (if pregnant), citizenship/immigration documents. Additional (if applicable): bank statements, insurance termination, child support, disability determination.
Renewal Process & Reporting Changes
- Annual renewal, typically every 12 months
- Must report income changes over $50/month, new household members, or address changes within 10 days.
Frequently Asked Questions About Arizona Medicaid
How do I quickly check if I meet the income limit?
Run your household through the Arizona Medicaid income calculator to get monthly and annual estimates for 2025.
What is the income limit for Arizona Medicaid 2025?
Adults qualify up to $1,669/month (individual) or $3,458/month (family of 4). Pregnant women have higher limits up to $1,958/month (individual).
What income level qualifies a child for KidsCare (CHIP) in 2025?
KidsCare extends eligibility up to 225% of FPL — for example, a 1-person monthly KidsCare threshold is $2,935 (annual $35,220), and higher for larger families. See the KidsCare column above.
How long does Arizona Medicaid application take?
AHCCCS typically processes applications within 45 days for most categories, or 90 days if disability determination is needed.
What is the monthly income limit for a single adult in Arizona (2025)?
A single adult in the 19–64 group has a 2025 monthly MAGI limit of $1,735 (about $20,820 annually) under AHCCCS.
Conclusion: Get the Health Care You Need
Arizona Medicaid (AHCCCS) helps thousands of families get free health care every year. If your family’s income is at or below 138% of the Federal Poverty Guidelines ($21,597 per year for an individual in 2025, $44,367 for a family of four), you may qualify for AHCCCS.
Don’t wait to apply. Even if you’re not sure you qualify, it’s worth trying. The application is free, and the worst thing that can happen is they say no.
Take Action Today:
- Check if your income is within the limits above
- Gather your documents
- Apply online at the Arizona DES website
- Get help if you need it
Remember: Having health insurance protects your family’s health and finances. Arizona AHCCCS makes it possible for working families to get the care they need without going into debt.
Check your eligibility now — use the Arizona Medicaid income estimator to get an instant estimate.
This guide provides general information about Arizona Medicaid eligibility for 2025. Rules and income limits may change. Always check with Arizona AHCCCS or DES for the most current information and official guidance.