The living arrangement is both:

·        Licensed, and

·        Registered with AHCCCS.

·        The customer intends to get Home and Community Based Services (HCBS)

·        The HCBS setting is licensed or certified, and

·        The HCBS setting is registered with AHCCCS.

The customer intends to get Home and Community Based Services (HCBS)

HCBS settings include:

·        Adult Developmental Homes;

·        Adult Foster Care Home;

·        Assisted Living Homes and Assisted Living Centers;

·        Behavioral Health Therapeutic Homes;

·        Behavioral Health Residential Facility;

·        Child Development Foster Care Homes;

·        Group Homes for Developmentally Disabled;

·        Large Group Settings for Adults and Children; and

·        Substance Abuse Transitional Facility.

The customer’s home means any of the following:

·        A house;

·        A mobile home or trailer;

·        An apartment;

·        A room rented in someone else’s home, or in a boarding house;

·        Any similar shelter; or

·        For a child in foster care, the foster home.

A setting that is unregistered, unlicensed and uncertified is considered the customer’s “home”.

A facility that provides medical, nursing, convalescent, hospice care or Level I behavioral health services.

LTC medical facilities include:

·        Nursing facilities;

·        Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID);

·        Free-standing hospice;

·        Residential Treatment Facility;

·        Institution for Mental Disease (IMD);

·        Behavioral Health Inpatient Facility; and

·        Long term care bed in a hospital.

Contact with the customer, the spouse, another household member or the customer’s authorized or legal representative.

Contact with a staff member of the HCBS setting or LTC medical facility to confirm actual admission and discharge dates.

42 CFR 435.1005

ARS §36-2939

AAC R9-28-406

ARS §36-2950

AAC R9-28-1315