Proof of ALL money your household received from any source last month and this month. Proof that your employment ended and last date paid.How can I qualify for AHCCCS Medical Assistance? Apply for Benefits From Home! Click the following to apply online for Nutrition, Cash or Medical Assistance: APPLY ONLINE. Financial Assistance Application. Please fill out all pages completely and print clearly. Fill out all forms attached. "Reapply for Benefits" link to complete and submit the application. To request a support letter for your grant application, please fill out the form at the bottom of this page.