AZ Medicaid medical eligibility

Arizona Long Term Care Systems (ALTCS) is one of AZ's Medicaid programs.  You have to be financially and medically eligible to qualify for assistance.

When we talk about medical requirements it does not mean you or someone you care for has to be in a nursing home.

The applicant must need care now that is equal to care provided in a nursing home setting.  The applicant needs to score 60 or more points to be eligible.

This means a diagnosis of Parkinson's, Alzheimer's or dementia are needed.  IF, the applicant does not have a diagnosis 10 to one ALTCS will deny.

ADL's (activities of daily living)  used to be enough to qualify someone if they needed help with bathing, dressing, etc.  Not anymore, a diagnosis (see above) is required.

Getting the right help to establish eligibility is crucial.  73% of applicants that apply on own are denied.