Long-Term Care (ALTCS)
Long-Term Care (ALTCS) Legal Services in Mesa, Arizona
While the Arizona Long-Term Care System (ALTCS) offers valuable benefits, the application and approval process can be time-consuming and frustrating. Up to 79 percent of ALTCS applicants are ultimately denied long-term health care coverage due to the complex application process.
With proper planning and help from an experienced Mesa elder law attorney, you can drastically increase your odds of getting approved for ALTCS. Our Mesa elder law team has helped thousands of individuals become eligible for ALTCS and quickly qualify for benefits.
For more information about how we can help you or your loved one qualify for ALTCS, contact our office at 480-470-7390.
What to Know About ALTCS
ALTCS is a medical health insurance program in Arizona that provides long-term health coverage to individuals who meet certain medical and financial eligibility requirements. As a Medicaid program, ALTCS is needs-based, meaning only those who meet the strict eligibility requirements will qualify for benefits.
The ALTCS is based on a managed care concept where the state pays for a variety of services. The program generally covers nursing home and skilled nursing costs, as well as certain in-home services. Home- and community-based services are often less costly for the state to provide and are typically preferable to individuals.
ALTCS offers a variety of health coverage benefits, such as:
- Acute Care Services – This includes hospitalization, access to doctor care, reduced prescription costs, testing, lab work, x-rays, and treatment from specialists.
- Alternative Facility Care – This includes care that is provided in a residential care facility, licensed nursing facility, rehabilitation care facility, group home, or assisted living center.
- Home- and Community-Based Services – This includes personal and respite care, home daycare, mental health services, medical transportation, attendant care, homemaker services, and home health aides.
- Services for Developmentally-Disabled Adults and Children – This includes benefits for specialized care for developmentally-disabled adults and children.
Importance of Planning for ALTCS
One of the biggest mistakes that a person in need of long-term care can make is waiting too long to apply for the ALTCS benefit. Being proactive with your health care needs ensures a more favorable outcome, such as obtaining in-home care that postpones the need to move to a facility or community.
It’s best to start preparing for the ALTCS benefit at the first signs of requiring long-term care. Long-term health coverage can be difficult to obtain and Medicare generally only covers a limited amount of care in nursing facilities. Paying out-of-pocket for long-term care can be extremely costly.
Why Many ALTCS Applications are Denied
Poor planning is the number one cause of ALTCS application denials. It takes an average of three to five months to process an ALTCS application, meaning a single error could set an individual back many months. By preparing for the ALTCS in advance, a person can ensure that they meet the strict medical and financial requirements for the ALTCS benefit before submitting their application.
The Mesa elder law team is dedicated to helping seniors qualify for healthcare coverage while preserving their resources.
Who Is Eligible for ALTCS and How Can I Qualify?
To qualify for the ATLCS, applicants must meet certain financial and medical requirements. Applicants must go through a medical screening process referred to as the Pre-Admission Screen (PAS). During this process, the applicant must provide the assessor with personal information, such as their date of birth, age, physician information, and living arrangements.
ALTCS applicants must also meet other general criteria to qualify. The financial requirements can be complex and difficult to understand. Many applicants struggle with this portion of the application. For assistance determining whether or not you qualify for ALTCS and for help completing the application, contact a Mesa elder law attorney.
Income can also impact ALTCS eligibility. Whether or not a person is married will determine the amount of income that they can receive under ALTCS guidelines. As of 2022, single applicants cannot have a monthly income that exceeds $2,523. A Mesa elder law attorney can help you determine if your income qualifies. If your income is too high, you may qualify with a Miller/Income-Only Trust.
Getting Help to Qualify for ALTCS
Applying for ALTCS benefits without help from a knowledgeable Mesa elder law attorney can result in a denied application. An elder law attorney can provide families with advice when completing their application and answer any questions they may have along the way.
Many families also have concerns about protecting their rights during the ALTCS process. A Mesa elder law attorney can thoroughly analyze the situation to find the most satisfactory result for everyone involved.
Mesa Elder Law offers decades of experience helping families with the difficult ALTCS process, from the initial planning phases to the follow-up after a successful approval. If you or your loved one needs help qualifying for ALTCS, trust the Mesa elder law team.
Contact a Mesa Elder Law Attorney Today
When it comes to planning your long-term care, don’t trust just anyone to handle your needs. Mesa elder law attorneys Richard White, Eric Macdonald, and Tyler White have decades of experience and an in-depth knowledge of Arizona elder law. Contact our office today to learn how we can help you or set up a no-obligation consultation on our website.