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Agreement
About You
Address
Select User Name and Password
Secret Questions
Verify Identity
Confirmation

Consent to Verify My Identity
ALTCS
I allow HEAplus to prove that I am <>. To do this, HEAplus will use my name, Social Security Number, date of birth and other private information . This will allow me to see private information (like income and citizenship). This may also make my application process quicker.

I do not allow HEAplus to prove my identity. I know that this could slow down the application process.

Even if your identity is not proven, you can still use the HEAplus system to apply for benefits. To get a decision on an application, you might still need to prove your identity
Proof of Your Identity  
For anyone accessing the Health-e-Arizona Plus (HEAplus) system, it is important that we make sure that you are who you claim to be. To do this, HEAplus will use your name, Social Security Number, date of birth and other private information.
  
HEAplus uses electronic data sources to verify information. Proving your identity will let you see information HEAplus gets from the electronic data sources, like income, residency and citizenship information.
  
If you are an applicant, this means you may not have to enter as much information in the application. It also means you may not have to give us paper documents, which may make the application process faster. If your identity is not proven you can still use HEAplus system to apply for benefits, but you will not be able to see information HEAplus gets from electronic data sources. You may still need to prove your identity with other documents.
  
 

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Help and Hints

   
Proof of Your Identity

About this page
Giving consent can allow the system to complete the following actions:
• Merge account information to this account that was in the system prior to account creation.
• Show you private information about your case.
• Check to see if we already have information available to complete your case.
• Get information from electronic sources about the people for whom you applying so you may not need to give us documents.

How to complete this page
Select the first box to agree to proving your identity. If you select the first box. We will ask for more details. Select the second box to decline proving your identity. When you are finished, click ‘next’ to move to the next page.
HEAplus

 
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Please Click [Cancel] to stay on the same Page or Click [Ok] to Save and Close
   
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Proof of Your Identity
About this page
Giving consent can allow the system to complete the following actions:
• Merge account information to this account that was in the system prior to account creation.
• Show you private information about your case.
• Check to see if we already have information available to complete your case.
• Get information from electronic sources about the people for whom you applying so you may not need to give us documents.

How to complete this page
Select the first box to agree to proving your identity. If you select the first box. We will ask for more details. Select the second box to decline proving your identity. When you are finished, click ‘next’ to move to the next page.
You are saving and closing the application, you can come back later.
   
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  • {0} is NOT eligible for HPE – Received HPE in last 24 months
    •
  • {0} is NOT eligible for HPE – Age 65 or older and no minor children
    •
  • {0} is NOT eligible for HPE – Receiving Medicare and no minor children
    •  Presumptive Eligibility Alert!

    Warning!

       

    If you switch to the Hospital Presumptive Eligibility (HPE) at this point, you will NOT be able to use this application to submit as a full AHCCCS application. You will need to ensure that a full AHCCCS application is submitted later, if the HPE application is approved.


    Select ‘Return to Full Application’ to continue the full AHCCCS application. You will have an opportunity to also submit a HPE application at the end of the full application process.


    Select ‘Continue with HPE’ to apply ONLY for Hospital Presumptive Eligibility.
       
    Return To Full Application Continue to HPE

    Stop
       

    This application includes Nutrition Assistance and/or Cash Assistance. You will not be able to help your customer apply for these programs on this application if you choose to go to the Hospital Presumptive Eligibility (HPE) application.


    Select ‘Return to Full Application” to continue applying for all programs.


    Select ‘Continue with HPE’ to apply for ONLY Hospital Presumptive Eligibility. You will need to create another application if your customer wants to apply for Nutrition Assistance or Cash Assistance.
       
    Return To Full Application Continue to HPE

    Warning:Some persons cannot qualify for Hospital Presumptive Eligibility

       

    Warning:No one in this application can qualify for Hospital Presumptive Eligibility

       

    HPE is only available to persons who have not had HPE in the past 24 months.

    Hospital Presumptive Eligibility (HPE) is not available to persons who are age 65 or older when there are no minor children in the household.

    Hospital Presumptive Eligibility (HPE) is not available to persons who are receiving Medicare unless there are minor children in the household.

       

    To continue this application for all persons in this application, click on the “Return to Full Application” button.


    To continue applying for HPE for the other persons in this application, click on the “Continue HPE for Other Persons” button.

    Click “OK” to return to the full application.
       
    Return To Full Application Continue HPE for other persons
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