Medicaid Application Instructions

How to Apply

Apply online

You can apply online for Medicaid in Arizona by going to the official website clicking here

Apply in person

To be able to apply in person, you need to find local Department of Economic Security (DES) or Family Assistance Administration (FAA) office. To find the list of local FAA offices, you need to simply go to the You can also get help from 24/7 IVR System at 1-855-HEA-PLUS (432-7587).

Requirements for filing an application

  • Birth Certificate
  • Social Security Numbers
  • Employer and Income information for every individual in the household
  • Resources (cash details, property information, and bank accounts)
  • Expenses
  • Details about any existing health insurance
  • Information about any job-related health insurances offered to any individual in the household

Download the PDF Application form of Medicaid in Arizona by clicking here

Eligibility Requirements

Arizona Health Care Cost Containment Systems (AHCCCCS) provides health care programs and services to serve Arizona families and individual who meet certain income and other requirements.

  • Children Under Age 1

1. $1,456

2. $1.963
3. $2,977
4. $2.977

AAdd $507 per additional person

FPL for children under age 1 year: 147%

  • Pregnant Women

156% FPL

1. $1,545
2. $2,083
3. $2,621
4. $3,159

Add $538 per additional person (Limit increases for each expected child)

FPL for Pregnant Women: 156%

For further details about the eligibility criteria, visit the official website by clicking here or click to open the eligibility criteria PDF Document. You will need Adobe Acrobat Reader to view this PDF file. Download it here.