Arizona
Arizona Long-Term Care System (ALTCS)
The Arizona Long-Term Care System is a program of Arizona's capitated Medicaid managed care system, a statewide 1115 Waiver program known as the Arizona Health Care Cost Containment System (AHCCCS). 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 blended capitation rates, one for duals (people covered under Medicare and Medicaid) and one for non-duals (Medicaid-only). The plans are at risk for 50% of the extra cost if the proportion of members in institutions is higher than expected, and they must return 50% of the excess to the state if the proportion institutionalized is lower than expected.
More information
AHCCCS reports to CMS, including annual HCBS reports.
Archived HCBS quarterly reports from previous years (click on Resources/Reports folder)
Program documents
ALTCS EPD (Elderly & physical disabilities) contract with managed care organizations:
AHCCCS 1115 Waiver Application:
AHCCCS 1115 Waiver Special Terms & Conditions:
AHCCCS Medical Policy Manual:
See Sections 1000 (ALTCS Services & Settings), 1300 (Member-Directed Options), and 1600 (Case Management)
Needs assessment form:
AHCCCS Quality Assessment & Performance Improvement Strategy
Capitation rates for 2016: