If you’re searching for affordable healthcare coverage in Arizona, the AHCCCS Medicaid program may be the solution.
Whether you’re applying for yourself, your children, or your entire family, understanding the 2025 AHCCCS income limits can help you determine if you qualify for free or low-cost health coverage.
In this guide, we’ll break down everything you need to know about AHCCCS eligibility, benefits, services, and how to apply—so you can access the care you need without the stress.
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What Are AHCCCS Income Limits?
AHCCCS (Arizona Health Care Cost Containment System) sets income limits to determine who qualifies for Medicaid benefits.1
These limits are based on a percentage of the Federal Poverty Level (FPL) and adjust annually based on family size and the applicant’s circumstances—like age, disability status, or pregnancy.
Your eligibility for AHCCCS is calculated by comparing your gross monthly household income to the current guidelines set by AHCCCS.2
These guidelines change each year to reflect the updated FPL and to ensure coverage remains fair and accessible.
Understanding Your AHCCCS Income Limits for 2025
The table below outlines the 2025 AHCCCS income limits by eligibility category.
These limits became effective February 1, 2025, and are based on monthly income.
| Eligibility Category | 2025 Income Threshold & Adjustments |
|---|---|
| Adults (ages 19–64) | Up to 133% of the Federal Poverty Level (FPL). Add $610 for each additional adult (ages 19–64). |
| Expecting Mothers | Up to 156% of the FPL. Add $715 for each additional pregnant individual. |
| Babies under age 1 | Up to 147% of the FPL. Add $674 for each additional baby under age 1. |
| Children ages 1–5 | Up to 141% of the FPL. Add $647 for each additional child (ages 1–5). |
| Children ages 6–18 | Up to 133% of the FPL. Add $610 for each additional child (ages 6–18). |
| KidsCare (Children under 19) | Up to 225% of the FPL. Add $1,032 for each additional child under 19. |
You can find the full income breakdown by household size on the AHCCCS Eligibility PDF.2
How To Check Your Eligibility
For AHCCCS In 4 Simple Steps
What Services Are Covered by AHCCCS?
The AHCCCS Medicaid program offers a wide range of healthcare services to ensure Arizona residents can access the care they need—without the overwhelming financial burden.
Here’s how AHCCCS supports your overall well-being:
- Comprehensive Medical Care: AHCCCS covers routine and essential services including doctor visits, hospital stays, prescription medications, lab work, and immunizations—giving you peace of mind when it comes to your physical health needs.
- Mental Health and Addiction Support: You don’t have to choose between physical and mental health. AHCCCS covers therapy, psychiatric care, 24/7 crisis support, and substance use treatment programs so you can access compassionate care when you need it most.
- Preventive Health Services: AHCCCS helps you stay ahead of health issues with covered preventive care like screenings, annual check-ups, vaccinations, and wellness visits.
- Supportive Resources for Daily Life: When health challenges make daily routines harder, AHCCCS can help with case management, transportation to medical appointments, and connections to local community services and support networks.
AHCCCS exists to ensure your health, safety, and stability are supported—whether you’re navigating a crisis, managing a chronic condition, or simply taking care of your family’s future.
To explore the full list of services covered, visit the official AHCCCS covered services page.
Substance Use Disorder Treatment Covered by AHCCCS
AHCCCS offers evidence-based addiction recovery services designed to support you at every stage of your healing journey:
- Medication-Assisted Treatment (MAT): Combines FDA-approved medications with behavioral therapies to reduce cravings, manage withdrawal, and improve recovery outcomes.
- Residential & Outpatient Programs: Structured treatment options that meet you where you are—whether you need 24/7 care or support while continuing daily life.
- One-on-One and Group Counseling: Offers a safe, therapeutic space to work through personal challenges and build a supportive peer network.
- Peer Recovery Support: Connects you with trained individuals who’ve experienced recovery themselves and can guide you through yours with empathy.
- Case Management: Helps coordinate care, access resources, and navigate the system to remove barriers to successful recovery.
Behavioral Health Services Covered by AHCCCS
Mental wellness is just as important as physical health.
AHCCCS provides a full spectrum of behavioral health care options:
- Counseling and Therapy: Covers individual, group, and family sessions with licensed professionals who tailor treatment to your needs.
- Crisis Intervention Services: Offers immediate support during mental health emergencies, helping stabilize you or a loved one in distress.
- Day Programs & Rehabilitation Services: Daily structured support including skill-building, education, and therapeutic activities for those with persistent mental health needs.
- Medication Management: Includes prescribing, monitoring, and adjusting psychiatric medications to ensure optimal care and minimize side effects.
- Peer and Family Support Networks: Encourages healing through shared experience, offering community-based help from others who understand your challenges firsthand.
Quick Tip: Verify Your AHCCCS Insurance Now!
Cornerstone Healing Center accepts AHCCCS Medicaid. We offer free insurance verification to help you understand your coverage and take the next step toward getting the care you need.
Common Challenges and How to Overcome Them
Enrolling in AHCCCS can make a big difference in your health and financial security—but like any system, there can be a few bumps along the way.
Here are some common issues people face, and what you can do to stay on track:
Incomplete Applications
Missing paperwork or incorrect information is one of the most common reasons applications get delayed or denied.
What to do: Before you apply, gather key documents like proof of income, ID, and residency. Double-check your application before submitting to make sure all sections are filled out and accurate.
Changes in Income or Household Size
If your income goes up or down—or if your household changes due to a new baby, divorce, or someone moving out—it can affect your eligibility.
What to do: Report any life changes to AHCCCS as soon as possible through Health-e-Arizona Plus. This helps prevent coverage interruptions or incorrect benefit amounts.
Missing Renewal Deadlines
AHCCCS coverage isn’t permanent—you have to renew it each year. But life gets busy, and some people don’t realize their renewal deadline is coming until it’s too late.
What to do: Keep an eye out for renewal notices in the mail or email. Mark your calendar with the due date, and update your contact info regularly so you don’t miss important reminders.
Frequently Asked Questions
What are the income limits for AHCCCS in 2025?
AHCCCS income limits for 2025 are different for each household size and eligibility category. For example, adults (19-64) are 133% of the Federal Poverty Level (FPL), and pregnant women are 156% of the FPL. Children and families have different limits. Go to AHCCCS Eligibility Requirements for the most up-to-date information.
How do I apply for AHCCCS?
You can apply online through Health-e-Arizona Plus, by phone at 1-855-HEA-PLUS, in person at a DES office, or by mail. Have your documents ready (proof of income and residency) when you apply to avoid delays. Go to the AHCCCS application for more info.
What’s covered by AHCCCS?
AHCCCS Medicaid covers doctor visits, hospital care, mental health services, substance use treatment, prescription medications, and preventive care. Additional services include crisis intervention, case management, and transportation to medical appointments. Services vary by eligibility category. Learn more at AHCCCS Covered Services.
Can I keep AHCCCS if my income changes?
Yes, but you must report income changes as they may impact your eligibility. If your income goes up, you may move to KidsCare (for kids) or other programs. If your income goes down, you may be eligible for more benefits. Updating your information is essential to staying covered!
Key Takeaways
- Key Takeaways
- AHCCCS income limits 2025 decide your Medicaid eligibility.
- AHCCCS Medicaid covers doctor visits, hospital care, and preventive services.
- AHCCCS provides mental health and substance use treatment, including therapy and residential care.
- Complete your applications on time and report income or household changes to keep your coverage.
- AHCCCS requires renewal to avoid coverage loss.
- Cornerstone Healing Center accepts AHCCCS for addiction and mental health treatment.
Make the Most of Your AHCCCS Benefits at Cornerstone
Knowing the AHCCCS income limits for 2025 is a powerful first step toward getting the coverage—and the care—you or your loved one may need.
At Cornerstone Healing Center, we proudly accept AHCCCS Medicaid!
We also offer free insurance verification so you can explore your options with confidence!
Whether you’re navigating addiction recovery, managing a mental health condition, or looking for compassionate support, we’re here to help.
If you’re ready to take that next step, reach out today.
You’re not alone—let’s walk the path to healing together.
