|Arizona Senior Information and News Resources
|The Arizona Long Term Care System (ALTCS) is the State of
Arizona's Medicaid program chartered to provide long term care
services at little or no cost to eligible Arizona residents who are
aged, disabled, blind or challenged by a developmental disability.
Arizona's Medicaid Agency, AHCCCS, administers the Arizona
Long Term Care System, a program for individuals who meet at
least one of these fundamental prerequisites:
Program participants do not need to actually live at a nursing
- 65 years old or older
- Need ongoing services at a nursing facilities level
facility; many of the ALTCS program participants live in their own
home or an assisted living setting.
|Arizona Long Term Care System (ALTCS) Overview
Like any program administered by a government bureaucracy, the ALTCS contains many rules
and conditions regarding benefits, eligibility, out-of-pocket costs, etc. The intent of this overview
is to familiarize potential participants and their families with the fundamental structure and
application requirements for the ALTCS program.
To apply, contact your local ALTCS office. (check www.azahcccs.gov for nearest location to
you) Another person can act on your behalf during the application process. You must provide
documents verifying that meet the financial and non-financial eligibility requirements.
Countable Resources and Non-Countable Resources
For single applicants, the countable resource ceiling is $2000. If the applicant is married the
computation is a little more complicated; ask for a Community Spouse Information Sheet for
more information on countable resources for married couples.
- Checking, Savings and Credit
- Real Property You Don't Live In
- Cash Value of Some Life
- Cash, Stocks, Bonds and CD's
- Non-Exempt Vehicles
- Your Home You Live In (unless it
is held in trust)
- One Personal Vehicle
- Burial Plots, Irrevocable Burial
Plans and $1500 Specifically Set
Aside for Burial Costs
- Household and Personal Items
Income that is counted includes traditional wages, Social Security, Supplemental Security
income and disability or retirement pensions. The ALTCS individual gross monthly limit on
income is $2022; for a married couple ask for a Community Spouse Information Sheet.
If your income is over the ALTCS limit, you may still be able to qualify by setting up a special
type of trust. If you are over income, ask the ALTCS office for a Special Treatment Trust
Authorized Types of ALTCS Services
Once you have achieved eligibility status, ALTCS you will be assigned a case manager. They
will develop a service plan with you and your family. The covered services may include:
- Institutional Care in a Nursing Facility
- Home and Community-Based Services (combining out-patient and in-home care)
- Medical Services (Physician visits and medication - prescription coverage is limited for
- Behavioral Health Visits
- Preventative and Well-Care for Children
- Hospice Services
After achieving eligibility status, a computation will be conducted to determine how much, if any,
you will need to pay towards the costs of your nursing home service or home and
community-based services. Called your "Share of Cost", deductions may be allowed for such
items as a personal needs allowance; Community Spouse allowance; family allowance for
dependents at home; medical insurance premiums; medical expenses for non-covered items
such as eyeglasses, hearing aids and dental care; and several other categories. Check with
your local ALTCS office for more details.
Non-Financial Eligibility Requirements
The eligibility requirements for ALTCS participation are:
- Be determined in need of a nursing home level of care as defined by AHCCCS
- Be a citizen or qualified immigrant
- Have a Social Security Number (SSN) or apply for one
- Be an Arizona Resident
- Apply for all cash benefits you may be entitled to, such as VA benefits or Pensions
- Live in an approved living arrangement such as your own home, an AHCCCS-certified
nursing facility or assisted living facility
Arizona Long Term Care Partnership Program
Under the Arizona Long Term Care Partnership Program, the ALTCS will not count some or all
of an applicant's resources when determining eligibility if the applicant has a long term care
insurance policy meeting certain requirements.
Example: Mr. Smith has an acceptable long term care insurance plan which begins paying him
benefits when he enters a nursing home. Mr. Smith receives a total of $50,000 in long term care
insurance benefits before he applies for ALTCS. Upon applying for ALTCS, $50,000 of Mr.
Smith's assets will be exempt from counting as resources for ALTCS eligibility. Furthermore, Mr.
Smith's estate (if any) will be exempt from having $50,000 counted as assets under the Estate
Recovery program and may be passed on to Mr. Smith's heirs.
In order to determine if your long term care insurance policy meets ALTCS requirements,
contact your insurance agent and ask for verification. (Policies purchased out-of-state can be
reviewed by AHCCCS for eligibility determination.)
For any questions, additional information, application instructions or referrals, contact your local
ALTCS office. The listing is in the phone book or on the www.azahcccs.gov website.
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