The Arizona Long Term Care System
Report 1 in a Series of State Case Studies
Arizona began providing acute care services to Medicaid eligible residents in 1982 through the Arizona Health Care Cost Containment System (AHCCCS), a Section 1115 Research and Demonstraction Waiver demonstration program approved by the US Health Care Financing Administration (HCFA). Long term care services were covered under the Arizona Long Term Care system (ALTCS) beginning in December 1998 under an amendment to the 1115 demonstration waiver.
ALTCS provides acute care, behavioral health and long term care services to the elderly, the physically disabled and people with developmental disabilities with incomes up to 300% of the federal SSI benefit standard ($1374 in 1995). Members must also meet the nursing facility level of care criteria to participate. Enrollment in the managed care long term care system is mandatory (members cannot choose a fee for service system).