The federally regulated and jointly funded Medicaid program ensures access to vital health care services for low-income Americans from coast to coast. In Arizona, the state Medicaid program called the Arizona Health Care Cost Containment System covers more than 1.4 million state residents, one-fifth of whom are elderly, blind or disabled.
Those who qualify for the AHCCCS program receive numerous health care services, including primary and specialist care, hospital and emergency room services, lab tests, diagnostic screenings, X-rays and prescription medications.
Qualifying for Arizona Medicaid
Sun City West seniors aged 65 or older and disabled or blind adults aged 64 or younger must be American citizens or legal immigrants to qualify for coverage. Applicants must also meet the program’s income guidelines, which allow a maximum monthly income of $1,041 for single people and $1,409 for married couples who both apply.
Senior residents of Sun City West can apply for AHCCCS medical coverage online or by phone at (800) 565-5465.
Arizona Long-Term Care System
Sun City West residents who are eligible for the AHCCCS program and assessed as needing long-term care may qualify for services through the Arizona Long Term Care System. The program provides comprehensive Medicaid medical coverage and:
- Service coordination
- Case management services
- Hospice care
- Adult day health services
- In-home care
- Assisted living care
- Nursing home care
- $1,000 in dental services per year
To qualify for the ALTCS program, applicants must:
- Be aged 65 or older or blind or disabled if aged 64 or younger
- Be assessed to verify they require a nursing home level of care
- Have no more than $2,313 in monthly income and $2,000 in countable assets if single
- Have no more than $4,626 in monthly income and $4,000 in combined countable assets if married and both spouses are applying
All sources of income count against the limits. However, several assets are excluded, including a principal home valued under $585,000, household furnishings, one vehicle, personal effects and irrevocable burial trusts.
Exceptions to Income and Asset Limits Arizona Medicaid offers two options that may help seniors qualify for the ALTCS program if they’re over the income or asset limits.
- A married applicant who’s over the limit for income and assets may have them reduced significantly if their spouse isn’t applying for coverage. They may transfer a maximum of $3,160.50 of their monthly income and up to $126,420 in jointly owned assets to their spouse, which may bring their countable amounts down below the required limits. These transfers are living and resource allowances mandated by federal law to deter spousal impoverishment.
- Those who exceed the income limits can set up a Qualified Income Trust. This type of trust is specifically designed for Medicaid applicants who have excessive income but need assistance to pay for long-term care. Any monthly income that’s over the $2,313 limit must be placed in the trust and can only be removed to pay care expenses or medical bills approved by Medicaid.
To apply for long-term care services through the program, seniors and disabled adults can visit the
Phoenix ALTCS office located at 801 East Jefferson Street or call (888) 621-6880.