Member Forms

Are you a Healthy Connections Medicaid member who has recently moved? We've got a new and easy way for you to update your address! Visit to find our change of address portal. We always need your current information so we can send you any updates about your Medicaid coverage.

Change of Address Flyer (English) (Spanish)

Other Forms:

For additional forms related to member eligibility, please visit the Getting Started forms page. 

Report Fraud