533 Valid Application

 

Policy

A customer must submit a valid application.  A valid application contains at least the following information:

·        Applicant's name;

·        Address or location where the applicant can be reached;

·        Date the application was signed.

·        Signature under penalty of perjury (MA1301A.2)

 

Definitions

Term

Definition

Application

A method for a person to apply for MA benefits.  The application may be written, online or telephonic, and must be approved by AHCCCS.

 

Proof

An application is submitted containing all of the required information.

 

Programs and Legal Authority

Program

Legal Authorities

All programs

42 CFR 435.907