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  • Fa 001

Get Fa 001

Do you need help with this application? Visit www.healthearizonaplus.gov or call 1-855-HEA-PLUS (432-7587) Arizona Department of Economic Security/Family Assistance Administration (DES/FAA) Arizona.

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How to fill out the Fa 001 online

The Fa 001 form is a vital document used for various administrative purposes. This guide provides a comprehensive overview of how to accurately complete the form online, ensuring that all required information is submitted correctly.

Follow the steps to successfully complete the Fa 001 online

  1. Click the ‘Get Form’ button to access the Fa 001 document and open it in the digital editor.
  2. Begin by entering your personal information in the designated fields. This may include your name, address, and contact information. Ensure that all details are accurate to avoid processing delays.
  3. Next, provide any specific information required by the form, such as dates or reference numbers. Double-check these entries for correctness.
  4. Review your entries for completeness. Verify that all necessary sections are filled out according to the form's requirements.
  5. Once you have completed the form, you can choose to save your changes, download a copy for your records, or print the form directly from the editor. If necessary, share the form with relevant parties.

Begin filling out your Fa 001 form online today to ensure accurate and timely submissions.

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Need help with applying? Call 1-800-377-3536 to get connected with a certified bilingual assister. If your application is approved, you can choose which AHCCCS health plan you would like to cover your benefits. If you don't select one, one will be chosen for you by AHCCCS.

Income information is first collected from the Federal and State Data Services Hubs, if available, and compared to the income reported by the customer. When the customer reports income that is over the income limits for AHCCCS Medical Assistance (MA), it is reasonably compatible. No further proof is needed.

Income Limits Household SizeGross Monthly Income Limit Effective 02/01/20231$1,2882$1,7423$2,1964$2,6502 more rows

If you cannot get AHCCCS because your income is too high, consider buying an individual plan through Healthcare.gov. See DB101's article about Buying Health Coverage on Healthcare.gov. If your family's income is at or below the limit for a program, you may qualify if you meet other program rules.

Eligibility – status of pending application, determination results, Processing Period If the customer is applying for:Then the processing period is...All other programs45 calendar days from the application date5 more rows

Call: Hotline 1-800-251-2436, or locally at 602-542-9449.

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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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