Medicaid Application Instructions
How to Apply
Apply online
You can apply online for Medicaid in Arizona by going to the official website clicking here
Apply in person
To be able to apply in person, you need to find local Department of Economic Security (DES) or Family Assistance Administration (FAA) office. To find the list of local FAA offices, you need to simply go to the www.azdes.gov/faa. You can also get help from 24/7 IVR System at 1-855-HEA-PLUS (432-7587).
Requirements for filing an application
- Birth Certificate
- Social Security Numbers
- Employer and Income information for every individual in the household
- Resources (cash details, property information, and bank accounts)
- Expenses
- Details about any existing health insurance
- Information about any job-related health insurances offered to any individual in the household
Download the PDF Application form of Medicaid in Arizona by clicking here
Eligibility Requirements
Arizona Health Care Cost Containment Systems (AHCCCCS) provides health care programs and services to serve Arizona families and individual who meet certain income and other requirements.
- Children Under Age 1
1. $1,456
2. $1.963
3. $2,977
4. $2.977
AAdd $507 per additional person
FPL for children under age 1 year: 147%
- Pregnant Women
156% FPL
1. $1,545
2. $2,083
3. $2,621
4. $3,159
Add $538 per additional person (Limit increases for each expected child)
FPL for Pregnant Women: 156%
For further details about the eligibility criteria, visit the official website by clicking here or click to open the eligibility criteria PDF Document. You will need Adobe Acrobat Reader to view this PDF file. Download it here.