Arizona Long Term Care System (ALTCS) Electronic Member Change Request (EMCR) Resources

Requests to change member information (e.g. demographics, placement, etc.) for members enrolled with a Long Term Care health plan are submitted via the electronic member change request process. Member Change Request Online is an Internet application that allows for electronic submission of change request forms to the Arizona Health Care Cost Containment System (AHCCCS). To start using Member Change Request Online access the link below and create an account and login.

Member Change Request Online

The ALTCS Member Change Report User Guide provides examples of the screens used and the procedural steps for completing the various types of member change requests.

AHCCCS ALTCS Member Change Report User Guide