Change Report for Family Assistance Administration

You must report changes to the Family Assistance Administration if you are eligible for benefits from the following programs:

  • AHCCCS Health Insurance (Medical Assistance [MA])
  • Nutrition Assistance (NA, formerly the Food Stamp Program), and/or
  • Cash Assistance (CA)
For each of these programs, you must report the changes within 10 days of knowing about them.

You may report changes on-line at MyFamilyBenefits. You may also report changes by:

  • Calling your local DES office.
  • Calling 1-855-432-7587 or 1-855-HEAplus
  • Completing the FAA Change Report form (FA-412) and mailing, faxing, or bringing it to your local DES office. Download the Change Report form (153 KB DOC); or the Spanish version Informe de Cambios (168 KB DOC).

The following chart will help you remember some of the changes for each program you must report.

 

Standard Reporting

Changes to Report

CA  NA  MA
Address

Any household member moving in or out of the household

Marital status

 

School Attendance:
     Children 6-15 years old

   
     Children 16 years and older    

Adult dependent care expense    

Housing expense, when address has changed

 

Earned Income:
* Nutrition Assistance - only when the gross earned income change is $100 or more

*

Unearned Income:
* Nutrition Assistance - only when the gross earned income change is $50 or more

*

Resources:
Cash Assistance - when value of resources is more than $2,000
Nutrition Assistance Benefits - when the value of resources is more than $2,000, OR when there is a household member age 60 or older, resource value is more than $3,000

Child support payments legally obligated to pay, when the payment increases by $50 or more, or when you stop making payments

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