Health-e-Arizona Apply for Benefits From Home! Click the following to apply online for Nutrition, Cash or Medical Assistance: APPLY ONLINE If you have questions or need help completing your online application, click “Help” above
Health-e-Arizona Warning! This system contains U S Government information By using this information system, you are consenting to system monitoring for law enforcement and other purposes
FAQ - Health-e-Arizona Even if you have already paid the bill, answer the question about prior medical expenses on the application We will see if you are eligible for coverage when we review your application
Health-e-Arizona gt; Home ANNOUNCEMENTS Introducing Health-e-Arizona Plus coming October 1, 2013 AHCCCS and DES are leveraging the Health-e-Arizona system to not only comply with new requirements for AHCCCS Health Insurance and KidsCare eligibility, but also connect to the Federal Insurance Marketplace
Health-e-Arizona To confirm your identity, enter your first name, last name, and date of birth, exactly as you entered it on your application Then select and enter the information for one additional search element
Health-e-Arizona Nutrition Assistance (NA) Application You have the right to file your application immediately by providing your Name, Address and Signature The NA benefit Start Date will begin the day your application is considered to be received Your application will be screened for Emergency NA benefits and, if eligible, your household will receive NA benefits within 7 days of the application received date
Health-e-Arizona About this page The Quick Screener can give you a high-level estimate of the programs the persons in this household may qualify for, based on just three questions
Health-e-Arizona Screening Tools Provide basic family information anonymously to see if you are potentially eligible for public benefits (Nutrition Assistance, Cash Assistance, and Medical Assistance or tax credits )
Application for Benefits FAA-0001A FORNA (02 2025) Page | D Do you need help with this application? Visit www healthearizonaplus gov or call 1-855-HEA-PLUS (432-7587) What if I am not eligible for AHCCCS Medical Assistance?