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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)
An application may be accepted without a signature to preserve the application date, but it must be signed by an authorized person before MA benefits can be approved.
When a person submits an application with only one name, see Processing Demographic Information Corrections.
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Term |
Definition |
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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. |
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Monoymous person |
A person who has one name. |
An application is submitted containing all of the required information.
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Program |
Legal Authorities |
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All programs |
42 CFR 435.907 |