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The conditions of eligibility for the Arizona Long Term Care System (ALTCS) are listed in the following chart:
If the customer... |
Then the conditions of eligibility are... |
Is eligible for SSI Cash, Title IV-E Foster Care or Title IV-E Adoption Subsidy (MA502) |
· Valid application (MA533); · Interview (MA519); · Resident of Arizona (MA531); · Not incarcerated (MA525); · Assignment of rights to medical benefits and cooperation (MA503); and · Transfers (see Chapter 900); · Does not have a trust which causes the resources or income to exceed the limit (see Chapter 800); and · Medical need for long term care (MA509). |
· Is not receiving or deemed to be receiving SSI Cash; or · Is not receiving Title IV-E Foster Care or Adoption Subsidy |
· Valid application (MA533); · Interview (MA519); · Categorical element; o Aged (MA501); o Blind (MA504); or o Disabled (MA509); · Resident of Arizona (MA531); · Social Security number (MA532); · US Citizen (MA507) or appropriate non-citizen status (MA524); · Not incarcerated (MA525); · Reside in an appropriate ALTCS living arrangement (MA521); · Apply for potential benefits (MA526); · Assignment of rights to medical benefits and cooperation (MA503); · Resources (MA701): o $2,000 for individual; or o $3,000 for couple; · Resource Assessment (Community Spouse only) (MA707); · Income (MA615.1): o 300% of FBR for an Individual; or o 100% of the FBR for persons who are only eligible for limited AHCCCS Medical Assistance benefits and · Medical need for long term care (MA509). |
The AHCCCS ALTCS local offices throughout the State determine eligibility for ALTCS.
Term |
Definition |
Arizona Long Term Care System (ALTCS) Program |
ALTCS is an AHCCCS Medical Assistance program. ALTCS provides long term services to customers who: · Are medically and financially eligible; · Are elderly, physically disabled or developmentally disabled; and · Have a medical need for long term care services. |
The table below describes the type of service package an ALTCS customer may receive based on the customer's circumstances.
If the customer... |
Then the service package is... |
Is in a living arrangement where long term care services can be received (MA521A) |
Full ALTCS service package |
Is in a living arrangement where long term services cannot be received (MA521A) |
Limited ALTCS service package (ALTCS Acute Care) |
Refuses the home and community based services (HCBS) offered by the case manager (MA521) |
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Has made an uncompensated transfer that makes the customer ineligible to receive long term care services (Chapter 900) |
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Owns home property in which the equity value exceeds the limit (MA705K) |
For a description of the AHCCCS Medical Assistance service packages, see (MA302).
Customers approved for coverage under ALTCS are enrolled with an ALTCS Program Contractor (MA1104).
Some ALTCS customers have to pay a share of the cost for their ALTCS health insurance (MA1201).
This requirement applies to the following programs:
Program |
Legal Authorities |
ALTCS |
Title 42, Chapter 7, Subchapter XIX of the USC Title 42, Chapter IV, Part 435 of the CFR Title 36, Chapter 29, Article 2 of the ARS Title 9, Chapter 28 of the AAC |