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To qualify for Arizona Long Term Care System (ALTCS) services a person must be medically eligible. This is determined using the pre-admission screening (PAS) assessment.
There are two PAS manuals used in determining medical eligibility. One manual EPD PAS is for applicants or members who are assessed using the elderly or physically disabled (EPD) PAS tool; the other manual DD PAS is for applicants or members who are assessed using one of the developmentally disabled (DD) PAS tools. The tools and related glossaries and definitions of abbreviations are available from the Administration upon request.
The following are examples of the PAS tools used:
· DD 12+
· EPD
Term |
Definition |
Developmentally disabled |
Determined by the Department of Economic Security/Division of Developmental Disabilities in accordance with ARS 36-551. |
Medically eligible |
Immediate risk of institutionalization. The status of an applicant or member under ARS § 36-2934(A)(5) and as specified in ARS § 36-2936 and in the Administration’s Section 1115 Waiver with the Centers for Medicare and Medicaid Services (CMS). |
Proof of immediate risk of institutionalization shall be demonstrated through:
· Applicant or member score equal to or higher than the applicable PAS threshold score; or
· Finding by a physician consultant reviewer that the applicant or member has this status.
Program |
Legal Authorities |
ALTCS |
42 CFR 441.302 ARS 36-2934(A)(5) ARS 36-2936 AAC R9-22-101 AAC R9-28-302
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