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 Nutrition Assistance and Cash Assistance, you must report the changes by the 10th calendar day of the month following the month the change occurred. For Medical Assistance, changes must be reported as soon as the future event becomes known. Unanticipated changes must be reported within 10 days of the date the change occurred. 

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


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


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 $3,250

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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