R9-30-203. How to File an Application

A. To apply for the Extra Help with AHCCCS, a person shall submit a written application form prescribed by AHCCCS to any AHCCCS office or outstation location. B. The application is considered filed and complete under R9-22- 1501(D). C. An application shall be submitted by: 1. The applicant, or 2. The applicant’s personal representative. Title 9, Ch. 30 Arizona Administrative Code Arizona Health Care Cost Containment System – Medicare Part D Prescription Coverage Extra Help Subsidy Program