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  • Re-enrollment Address Verification Form - Ahcccs - Azahcccs

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Janice K. Brewer Governor, STATE OF ARIZONA ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM Thomas J. Betlach Director PROMOTING HONESTY AND INTEGRITY OFFICE OF INSPECTOR GENERAL Re-Enrollment Address.

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Verification Questions & Answers

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Contact support

Change Report Line is 1-800-720-4166. Accepting changes from 8:00 am - 5:30 pm. Monday through Friday, except state holidays. Mail or Call your local FCRC. To locate your local FCRC, use the DHS Office Locator. Please speak with a representative to leave the information.

Online using either Health-e-Arizona Plus or MyFamilyBenefits. Over the phone with the local DES/Family Assistance Administration office or by calling 1-855-777-8590. By filling out the Change Report form and submitting it in person, by mail, or by fax to the local DES/Family Assistance Administration office.

Enter the AHCCCS Provider ID in the "Account Number" field and the zip code on record with AHCCCS. Q: Where can I find my account number? A: You can find your account number on a recent statement. The account number is located in the upper left hand corner of your statement.

Medical coverage may continue for up to 12 months when: Your family received AHCCCS Health Insurance benefits in Arizona in three of the last six months; AND.

A decision will be made by one of the following dates: Within seven days from the application date if you are hospitalized. Within 20 days from the application date if you are pregnant. At the latest, 45 calendar days from the application date.

By calling 1-855-432-7587 or 1-855-HEAplus. By completing the Change Report form and mailing, faxing, or submitting it to your local DES office.

To replace a lost AHCCCS member card, members who are enrolled with a health plan should contact their health plan directly. Find a list of main phone numbers for AHCCCS health care plans. Members who are NOT enrolled with a health plan should call AHCCCS at 602-417-7000 or 800-962-6690 to obtain a new member card.

Arizona Complete Health-Complete Care Plan (Medicaid Only) Information on that process can be obtained by calling the AHCCCS Help Desk at (602) 417-4451. AHCCCS has developed a Web application that allows providers to verify eligibility and enrollment using the Internet.

How To Update Your Address Via Phone Or Email. By Phone: (855) HEA-PLUS (432-7587) By Mail: ... How to Update Your Mailing Address. How To Update Your Address Online. (this is fastest!) WHAT YOU NEED. FORGOT YOUR USERNAME OR PASSWORD? WHAT TO DO.

Changing Health Plans Members may request a health plan change for the following reasons either through the HEAplus system (healthearizonaplus.gov) or by contacting AHCCCS at (602) 417-7100 or 1-(800)-334-5283: Annual enrollment. Member was auto-assigned and within the first 90 days may request a change in health plan.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232