A person must be an Arizona resident and meet Title XIX requirements for U.S. citizenship or qualified alien status. The administration determines who performs eligibility. A child insured through a family employer's health care coverage cannot be enrolled and, if the coverage is discontinued, except for loss of employment, the child is not eligible for the program for six months. Reinsurance may be obtained against expenses on behalf of any member for services in the same manner as reinsurance is provided under article 1. There is no legal entitlement under this program.
Enrollment is limited to appropriations and an enrollment cap.
If federal funding stops or is significantly reduced, the administration shall cease processing applications and shall provide 30 days' notice to contractors that the program will terminate on the first day of the month following notice. Solvency requirements are to be included in a contract that may include withholding or forfeiture of payments and the administration may operate the contractor to insure uninterrupted care to members. Reserve funds may be retained from contracts, to be distributed to providers who meet performance standards. The director shall determine if a contractor has implemented standards to ensure quality of health care. A hospital may execute a subcontract with certain hospitals in certain counties.