A second option for self-direction for ALTCS program participants exists and is called Self-Directed Attendant Care. Under this option, ALTCS beneficiaries, who live in their homes and receive care, are allowed to share the hiring, training, and dismissal responsibilities of their caregivers with the state. Several years ago, ALTCS began a new sub-program option called “ Agency with Choice“. Critics have voiced concerns regarding access to geographically convenient, high quality services. On the downside, the managed care model decreases flexibility and consumer choice. The system simplifies logistics for the care recipient, as they work entirely with a single organization, and very likely, a single individual for coordination of all care requirements. Therefore, it is not paid for by ALTCS.įor the consumer, there are both positives and negatives to this managed care delivery model. It should be noted that with alternative residential care, sometimes called assisted living or senior living, the room and board portion of the monthly fees are not considered medical services. When a Medicaid candidate is accepted into ALTCS, he or she meets with a caseworker to determine a health care plan that covers long-term care needs, including care in a variety of settings (i.e., home, nursing homes, adult foster care, and assisted living). Via this model, services and benefits are an entitlement, which means that anyone who meets the eligibility requirements are able to receive services. Elderly and disabled residents are provided care, including nursing home care and home and community based services (HCBS), on a managed care model. Instead of the Medicaid waiver system, which has participant enrollment caps, Arizona operates ALTCS differently than most states. The program that serves this population is sometimes referred to as the Elderly & Physical Disability (E/PD) Program. However, the Medicaid office that serves elderly and disabled individuals with long term care needs is the Arizona Long Term Care System (ALTCS). Page Reviewed / Updated – FebruWaiver DescriptionĪrizona calls its Medicaid program the Arizona Health Care Cost Containment System (AHCCCS).
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