J Demographic Information

 

 

Revised 08/15/2023

Policy

The customer may request a correction of the following demographic information:

 

These changes do not usually cause a change to a customer’s eligibility or costs but must be reviewed for possible impact. 

Proof

The type of proof depends on the type of change:

When the change is a...

Then the proof required includes...

Name change or correction

  • Social Security (SSA) records.

  • Marriage certificate;

  • Divorce decree; or

  • Other court records.

When a customer has a Mononymous name
  • Birth Certificate;

  • Legal documents showing the name change when the customer previously had two names;

  • Social Security (SSA) Records; and

  • All other needed information to verify pending eligibility factors.

Date of birth correction

See Proof in MA501.

Social Security Number correction

See Proof in MA532.

Date of marriage correction

See Proof in MA1502R

Address change

See Proof in MA1502A

Sex correction, including gender change

Accept the customer’s statement.

NOTE     Warn customers who are eligible for Medicaid and Medicare that this type of change may prevent AHCCCS from paying the Medicare Part B premium when SSA records do not match.

 

Programs Affected

This applies to all programs.

 

Legal Authority

Program

Legal Authorities

All Programs (except KidsCare)

42 CFR 435.916

KidsCare

42 CFR 457.343