02 Official Applications - Overview
Benefits must be requested using an official application. To be accepted for processing, the official application must also be an
identifiable application.
Applications are available in English and Spanish. For information on where applications can be obtained, see
Availability of Applications.
The applicant must provide information required for the requested programs, and the applicant is subject to criminal penalties for supplying false statements.
Use an official application when determining eligibility. Specific forms and addendums are available for documentation purposes. (See
Documentation Forms)
Official applications are outlined as follows:
●FAA accepts an official Health-e-Arizona Plus online application for ALL AHCCCS programs and for CA and NA.
Official applications that are FAXed, photocopied, or downloaded and printed from a web site are acceptable.
When an application for assistance or benefits is received that is NOT listed as an official FAA or AHCCCS application, complete the following:
●When the applicant is present at the time the application is received, have the applicant complete an official application, and attach it to the submitted application. Register the application.
●When the applicant is not present at the time the application is received, complete the following:
Send the request to review the application by e-mail to the
Policy Support Team (PST)
FAX the application to the PST
When an application is sent to the PST, PST reviews and researches the application to determine whether it is an acceptable application. The PST then notifies the local office of the decision and action to take.
Register the application in AZTECS within ONE
workday(g) of receipt of the application.