Arizona Medical Assistance Program
Managing Agency Arizona http://www.az.gov
Program DescriptionThe Medicaid Program provides medical benefits to low income people who have no medical insurance or have inadequate medical insurance. The Federal government establishes general guidelines for the administration of Medicaid benefits.
The Arizona Medical Assistance Program provides medical services that are approved by Arizona Health Care Cost Containment System (AHCCCS).
General Program RequirementsIn order to qualify for this benefit program, you must be a resident of the state of Arizona, a U.S. national, citizen or permanent resident in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.
Arizona Medicaid programs provide coverage for state residents who meet the general program requirements and meet income requirements. However, enrollment for childless adults who are not aged (65+), blind or disabled is frozen as of July 8, 2011. Medicaid programs for children, pregnant women, and the aged, blind or disabled are not affected by the enrollment freeze.
Your Next StepsThe following information will lead you to the next steps to apply for this benefit.
Application ProcessTo download and print an "Application for Assistance", visit https://egov.azdes.gov/cmsinternet/appforms.aspx. Under "Which Category", select "Medical Assistance" from the drop-down menu in Option 1. Of the available options, click the one that meets your needs: English-Large Print, Spanish or Spanish-Large Print.
You may also apply online by visiting https://www.healthearizona.org/app/Default.aspx.
Program Contact Information
For questions or additional information, or for assistance with filling out your application, contact Family Assistance Administration Customer Service at 602-542-9935 (if calling from area codes 602, 480, 623 or out of state). For all other Arizona area codes call 1-800-352-8401.