The county of fiscal responsibility must be determined for all ALTCS customers. However, this determination only affects customers who are age 65 or older (elderly) or have a physical disability (EPD) who are not American Indians with on-reservation status or who are not developmentally disabled.
Not all counties have the same program contractors. The fiscal county is determined in order to enroll the customer with the correct program contractor for that fiscal county.
The Benefits and Eligibility Specialist determines the customer’s county of fiscal responsibility. The following criteria are used to establish the county of fiscal responsibility:
If the applicant is... |
And... |
Then the county of fiscal responsibility is... |
An adult |
· Resides in his or her own home; or · Moved from another state directly into a nursing facility or alternative HCBS setting in Arizona |
The county where the applicant currently resides. |
· Resides in a nursing facility; or · Alternative HCBS setting |
The county where the applicant last resided in his or her own home. |
|
· Moved from the Arizona State Hospital to a nursing facility or alternative HCBS; or · Moved from a penal institution to a nursing facility or alternative HCBS |
The county where the applicant resided in his or her own home prior to admission to Arizona State Hospital or the public institution. |
|
A child (under age 18) |
Parental rights have not been legally severed |
The county where the parent(s) live at the time of ALTCS approval. |
Parental rights have been legally severed |
The county where the child resides. |
|
Parents are legally separated |
The county where the parent the child resides with. |
County of Fiscal Responsibility Examples
How Is Enrollment Affected?
Although the county of fiscal responsibility must be determined for all ALTCS customers, this determination only affects customers who are age 65 and older (elderly) and/or have a physical disability who are not American Indians with on-reservation status.
Not all counties have the same program contractors. The fiscal county is determined in order to enroll the customer with the correct program contractor for that fiscal county.
If the customer is... |
Then the county of fiscal responsibility... |
· An American Indian with on-reservation status; or · Developmentally disabled. |
Does not affect enrollment. |
Elderly and/or physically disabled (including an American Indian who does not have on-reservation status) |
Affects enrollment with a program contractor. |
Term |
Definition |
County of Fiscal Responsibility |
The county of fiscal responsibility is the Arizona county that is responsible for paying the state’s funding match for the customer’s ALTCS Service Package. The county of physical presence (the county in which the customer physically resides) and the county of fiscal responsibility may be the same county or different counties. |
This requirement applies to the following program:
Program |
Legal Authorities |
ALTCS |
ARS 36-2913 AAC R9-28-712 |