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Get Appendix B: Dd Pas - Ahcccs - Azahcccs
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- Press the ‘Get Form’ button to access the Appendix B: DD PAS - AHCCCS - Azahcccs form and open it in your online editor.
- Carefully review the intake information section including referral information, assessment information, and demographics. Fill in the required fields, ensuring accuracy.
- Proceed to the functional assessment section. For age-specific assessments, select the appropriate domain, ensuring the correct tool is being used according to the applicant's age.
- Complete the medical assessment by documenting any relevant medical conditions, required services, and therapies the customer is receiving or needs.
- In the summary section, provide a brief overview of the customer’s current condition, including any significant medical issues and support systems.
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AHCCCS is a major government-funded health program that helps people with low income. If you qualify for AHCCCS, you can get it at the same time as you get employer-sponsored coverage.
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