Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send altcs application pdf via email, link, or fax. You can also download it, export it or print it out.
How to use or fill out altcs application with our platform
Ease of Setup
DocHub User Ratings on G2
Ease of Use
DocHub User Ratings on G2
Click ‘Get Form’ to open the altcs application in the editor.
Begin by entering the applicant's name in the designated fields. Ensure you include any other names used, such as maiden or former names.
Fill in the Social Security Number and confirm U.S. citizenship by selecting 'YES' or 'NO'.
Provide the birth date and birthplace of the applicant. This information is crucial for eligibility verification.
Indicate the marital status by selecting from options like Married, Never Married, or Widowed. If applicable, complete additional sections regarding a spouse.
If someone else is filing on behalf of the applicant, fill out their details in Section 9.
Continue through each section, ensuring all questions are answered accurately. Pay special attention to financial resources and living arrangements.
Review all entries for accuracy before signing and dating at the end of the form.
Start your application process today using our platform for free!
The Division of Developmental Disabilities (DDD) coordinates services, while the Arizona Long Term Care System (ALTCS) provides Medicaid funding. DDD helps coordinate support services, and combining it with ALTCS opens the door to more benefitssuch as healthcare, therapeutic programs, and help with daily living.
How do you qualify for assisted living in Arizona?
Who is Eligible? Must be an Arizona resident or a qualified immigrant. Must be 65 or older. Must have a Social Security number. Must be assessed by the AHCCCS as nursing home-eligible. Must apply for all other cash benefit sources for which applicant may qualify. Must not have countable resources of more than $2,000.
What does ALTCS pay for in Arizona?
The Arizona Long Term Care System (ALTCS, pronounced ALL-Tecs) is health insurance for individuals who have an age related and/or physical disability and who require nursing facility level of care. Services may be provided in an institution or in a home or community-based setting.
How do I apply for ALTCS in Arizona?
To start an application you may use the ALTCS online portal in Health-e-Arizona Plus, or call ALTCS toll-free at (888) 621-6880. Another person can act on your behalf during the application process. You will need to provide documents to show that you meet financial and non-financial eligibility requirements.
How much does ALTCS pay caregivers in AZ?
How Much Can Family Caregivers Get Paid Through the ALTCS? The payment rate for caregivers under ALTCS varies based on the level of care required, local wage rates, and the number of approved care hours. Generally, the pay rate in Arizona ranges from $13.85 to $15 per hour.
Arizona MLTSS Programs | Community Living Policy Center
Operating since 1989, ALTCS offers institutional and home and community-based services to people with a nursing facility level of care need. ALTCS uses two
Cookie consent notice
This site uses cookies to enhance site navigation and personalize your experience.
By using this site you agree to our use of cookies as described in our Privacy Notice.
You can modify your selections by visiting our Cookie and Advertising Notice.