Altcs application 2026

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  1. Click ‘Get Form’ to open the altcs application in the editor.
  2. Begin by entering the applicant's name in the designated fields. Ensure you include any other names used, such as maiden or former names.
  3. Fill in the Social Security Number and confirm U.S. citizenship by selecting 'YES' or 'NO'.
  4. Provide the birth date and birthplace of the applicant. This information is crucial for eligibility verification.
  5. Indicate the marital status by selecting from options like Married, Never Married, or Widowed. If applicable, complete additional sections regarding a spouse.
  6. If someone else is filing on behalf of the applicant, fill out their details in Section 9.
  7. Continue through each section, ensuring all questions are answered accurately. Pay special attention to financial resources and living arrangements.
  8. Review all entries for accuracy before signing and dating at the end of the form.

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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.
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.
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.
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 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.