Arizona Application for Presumptive Eligibility for Medicaid
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How to fill out Application For Presumptive Eligibility For Medicaid?
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You will get an AHCCCS ID card from your health plan. Keep your AHCCCS ID card with you. If you do not have your AHCCCS ID card with you, you can give the provider your AHCCCS ID number or Social Security number so they can look up your AHCCCS information.
Income & Asset Limits for Eligibility 2023 Arizona Medicaid Long-Term Care Eligibility for SeniorsType of MedicaidSingleMarried (both spouses applying)Home and Community Based Services$2,742 / month?$4,000 ($2,000 per spouse)Regular Medicaid / Aged Blind and Disabled$1,215 / month (eff. 2/1/23 ? 1/31/24)No limit2 more rows ?
Income Limits Household SizeGross Monthly Income Limit Effective 02/01/20231$1,6162$2,1863$2,7564$3,5252 more rows
Income Limits Household SizeGross Monthly Income Limit Effective 02/01/20231$1,6162$2,1863$2,7564$3,5252 more rows
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.
Speak to an Eligibility Customer Service representative: 1-855-HEAplus (1-855-432-7587).
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.
