PDF
Word
American Indian Health Program Ahcccs Member Id Request Form - Arizona
American Indian Health Program Ahcccs Member Id Request Form is a legal document that was released by the Arizona Health Care Cost Containment System - a government authority operating within Arizona.
FAQ
Q: What is the American Indian Health Program?
A: The American Indian Health Program is a healthcare program specifically designed for American Indians in Arizona.
Q: What does AHCCCS stand for?
A: AHCCCS stands for Arizona Health Care Cost Containment System.
Q: What is an AHCCCS Member ID?
A: An AHCCCS Member ID is a unique identification number assigned to individuals enrolled in the AHCCCS program.
Q: Who is eligible for the American Indian Health Program?
A: American Indians who are residents of Arizona and meet certain income and eligibility requirements are eligible for the program.
Form Details:
- Released on May 1, 2022;
- The latest edition currently provided by the Arizona Health Care Cost Containment System;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Arizona Health Care Cost Containment System.
