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 charts will help you remember some of the changes for each program you must report.

What types of changes must be reported for Standard Reporting requirements for each program you receive?

Type of Changes to Report

CA NA MA  
Address Change
Moved or relocated to another address
Yes Yes Yes

Nutrition Assistance
(NA) Income
Changes

You must report the
changes in your monthly
income when the change
is more than $50 in
unearned income (Social
Security income, child
support, etc) 
or more than $100 in
earned income (work
wages, self-employment) 
Changes in Household Member(s)
Any member of your household
Yes Yes Yes
Changes in Marital Status
Any member of your household
Yes Yes Yes
School Attendance Yes No No
School Attendance (16 years and older) No No Yes
Dependent Care Expense (Childcare) Yes No No
Housing Expense
When you have reported a change of address
Yes Yes No
Income
Earned Income: Self-employment/work wages, etc.
Unearned Income: Child support, SSI, etc.
Yes Yes Yes
Resources
Examples of resource types, but not limited to:
Savings, retirement account, 401k
Yes Yes No
Medical Expenses
*For Nutrition Assistance - only required for disabled
or elderly members
No Yes* No


What types of changes must be reported for Simplified Reporting requirements for each program you receive?

Type of Change to Report

CA NA MA
Income
Earned Income: Self-employment/work wages, etc. Unearned Income: Child support, SSI, etc.
Yes Yes ***

Simplified Reporting Program Specific Notes
Cash Assistance (CA) Nutrition Assistance (NA)
Income Changes
***Medical Assistance (MA)
You only need to report
changes when your income
exceeds 36% of the 1992
Federal Poverty Level, which is
anything over the CA payment
that you are eligible for
You only need to report changes
when your income exceeds 130%
of the current Federal Poverty
Level
Simplified Reporting does not apply
to MA however, if you are receiving
MA, income changes must be
reported.

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