![]() However, program participants do not have to reside in a nursing home. The Arizona Long Term Care System (ALTCS) program is for individuals who are 65 or older, blind, or disabled and need ongoing services at a nursing facility level of care. How to Apply for Arizona Long Term Care (ALTCS) Services, such as in home healthcare, nursing facility, or assisted living. Who are in need of Arizona Long Term Care System (ALTCS) Note: This application process does not apply for individuals To open the form so you can print it, click on the link below.Īnd AHCCCS Health Insurance Application - DE-103Ĭompartidos de Medicare y Seguro de Salud de AHCCCS - DE-103 The application below is to apply for AHCCCS Health Insurance and/or Medicare Costs An individual that wants help with Medicare costs only.A working individual with a disability (Freedom to Work).Of Economic Security (DES) Application page:Ĭlick on the link to the application below if you (or the person you are applying Applications for AHCCCS Health Insurance are available on the Department You can use one application to apply for AHCCCS Medical Assistance for everyone in Print an ApplicationĬlick on the link to DES below if you (or the person you are applying for) are one Note: Health-e-Arizona Plus is offered in both English and Spanish. You may be able to reduce office visits and postage delays by using Health-e-Arizona Plus. ![]() You can apply online for AHCCCS Medical Assistance, Nutrition Assistance,Īnd Cash Assistance using Health-e-Arizona Plus (HEAplus). For more information, contact the RBHA in your area: Central Arizona at 80 Northern Arizona at 80 Southern Arizona at 86. If you are waiting for your application to be processed or you are not eligible for AHCCCS medical assistance, you may qualify to receive drug and alcohol and mental health treatment services through other funding sources administered by the Regional Behavioral Health Authority (RBHA). Apply for AHCCCS Medical Assistance/KidsCare ![]()
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