A Long-Term Care Services
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A Long-Term Care Services

 

 

Revised 11/05/2024

Policy

To get the full ALTCS services package, including long-term care services, the customer’s living arrangements must meet the requirements in the table below. 

Customer lives…

And…

In a Long-Term Care (LTC) Medical Facility

The living arrangement is both:

  • Licensed, and

  • Registered with AHCCCS.

In a Home and Community Based Services (HCBS) setting

  • 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.

At home

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

 

When the living arrangement does not meet one of the requirements above, the person cannot get long-term care services while in that living arrangement. See MA521B ALTCS Acute Care.

 

Definitions

Term

Definitions

Customer’s home

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”.

HCBS settings other than the customer’s home

HCBS settings include:

  • Adult Developmental Homes;

  • Adult Foster Care Home;

  • Assisted Living Facility (ALF);

  • 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.

Long-Term Care Medical Facility

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.

 

Proof

1) Intends to receive HCBS

A submitted ALTCS application is proof of the customer’s intent to receive ALTCS services at the time of application.

2) Living arrangement 

 

If the customer or spouse lives…

Then the living arrangement is verified by…

At home

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

In any other setting

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

 

 

Legal Authority

 

Program

Legal Authorities

ALTCS

42 CFR 435.1005

ARS §36-2939

AAC R9-28-406

FTW- ALTCS

ARS §36-2950

AAC R9-28-1315