Learn About Governor Brewer's Medicaid Plan for Arizona

Order AHCCCS Applications in Bulk

The fastest way to apply for AHCCCS is to apply online at Health-e-Arizona. Information about becoming a Health-e-Arizona Community Partner is available here.

NOTE: Bulk material requests for the Baby Arizona program may be submitted from the Baby Arizona website.

Contacts

If you have questions, please email Patty.Dennis@azahcccs.gov.

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Application Types	Amounts
Application for Benefits (FA-001-FF) - English/Spanish

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