View, Print, or Download AHCCCS Publications

AHCCCS offers printable English/Spanish brochures and posters for most programs, including general AHCCCS health insurance, insurance for children, insurance for older adults, and others. Publications periodically revised without notice.

Applications for AHCCCS Health Insurance, including applications for children, older adults, and others, visit the Apply for AHCCCS page.

• Arizona Rx Card (formerly CoppeRxcard) Brochure
  Visit the following web page for information about the card.
  
  • https://www.arizonarxcard.com/
• Request for Application for AHCCCS Long Term Care Services (DE-101)
• English | Rich Text Version
• Spanish | Rich Text Version
• Calculating the Amount You Must Pay For Your Medical And/or Long Term Care Expenses (Non-Community Spouse) (DE-805)
• English | Rich Text Version
• Spanish | Rich Text Version
• Calculating the Amount You Must Pay For Your Medical And/or Long Term Care Expenses (Community Spouse) (DE-805A)
• English | Rich Text Version
• Spanish | Rich Text Version
• Estate Recovery Brochure (DE-810)
• English | Rich Text Version
• Spanish | Rich Text Version
• AZ Long Term Care System (ALTCS) Community Spouse Information Sheet (DE-817)
• English | Rich Text Version
• Spanish | Rich Text Version
• AZ Long Term Care System (ALTCS) Resource Transfer Information Sheet (DE-818)
• English | Rich Text Version
• Spanish | Rich Text Version
• AZ Long Term Care System (ALTCS) Trust Information Sheet (DE-819)
• English | Rich Text Version
• Spanish | Rich Text Version
• AZ Long Term Care System (ALTCS) Information Sheet (DE-828)
  • English | Rich Text Version
  • Spanish | Rich Text Version
• Freedom to Work (FTW) Brochure (DE-832)
• English - Spanish | Rich Text Version
• Youth in Tribal Foster Care Update (MA-436)
• English | Rich Text Version

Contacts

If you have questions, please email DMPS-policyclarificationrequest@azahcccs.gov.

Disclaimer: All Spanish publications are a translation from original text written in English. This translation is unofficial and is not binding on the State of Arizona or any political subdivision of this State.

Aviso: La sección en español de esta pagina de Internet es una traducción del texto original en Ingles. La traducción no es oficial y no liga al estado de Arizona o cualquier subdivisión política en este Estado.