Last updated: April 2026

Medicaid HCBS Waiver in Tucson, Arizona

Program: Arizona Long Term Care System (ALTCS)
Status: Open enrollment

What is Medicaid HCBS Waiver?

Home and Community-Based Services (HCBS) waivers allow Medicaid to pay for home care, personal assistance, and support services instead of nursing home care. These waivers enable elderly and disabled individuals to remain in their homes and communities while receiving the care they need. Each state administers its own HCBS waiver programs with different names and eligibility requirements, but all share the common goal of supporting aging in place.

In Arizona, this program is known as Arizona Long Term Care System (ALTCS). ALTCS is Arizona's managed long-term care Medicaid program. It covers nursing home care, home care, and assisted living for eligible Arizona residents who need nursing-facility-level care. ALTCS is administered through contracted health plans.

Eligibility Requirements in Arizona

Requirement Arizona Standard (2026)
Age 65 or older (or disabled)
Income (single person) $2,742/month
Income (married couple) $5,484/month
Asset limit Typically $2,000 individual; home often exempt
Residency Must be a Arizona resident
Level of care Must need assistance with activities of daily living
Additional requirement Must be assessed as needing nursing facility level of care
Don't assume you don't qualify. Many families don't apply because they think their income is too high. A free assessment can determine if you qualify for any portion of these benefits. Take the free quiz →

How to Apply in Tucson, Arizona

  1. Contact Arizona Health Care Cost Containment System at (602) 417-4000 to begin the application process
  2. Request a functional eligibility assessment
  3. Gather financial documentation (tax returns, bank statements, Social Security award letter)
  4. Complete the Medicaid application through your state's portal or in person
  5. If approved, work with a care coordinator to develop your care plan
  6. Online application: You can start the application process online at Arizona Health Care Cost Containment System's website.

Your local Area Agency on Aging - the Pima Council on Aging at (520) 790-7262 - can also help you navigate the application process at no charge.

Get Your Application Checklist →

Frequently Asked Questions About Medicaid HCBS Waiver in Tucson

  • What is the income limit for Arizona Long Term Care System (ALTCS) in Arizona?
    In Arizona, the income limit for Arizona Long Term Care System (ALTCS) is typically $2,742/month for a single person and $5,484/month for a married couple. Some income may be disregarded in calculations.
  • How long is the waitlist for Arizona Long Term Care System (ALTCS) in Arizona?
    Waitlist times vary significantly. Contact Arizona Health Care Cost Containment System at (602) 417-4000 for current waitlist status. Some states have open enrollment while others have waitlists of several months to years.
  • What services does Arizona Long Term Care System (ALTCS) cover in Arizona?
    Covered services typically include personal care assistance, homemaker services, adult day health services, respite care, home health aide services, and skilled nursing visits. Specific services vary by program.
  • Can I keep my Medicare coverage while on Arizona Long Term Care System (ALTCS)?
    Yes. Medicaid HCBS waivers supplement but do not replace Medicare coverage. You may qualify for both programs simultaneously if you meet eligibility requirements for each.
  • How are Medicaid assets calculated in Arizona?
    In Arizona, asset limits for Medicaid are typically $2,000 for an individual. Your primary home, one vehicle, personal belongings, and certain other assets may be exempt from this calculation.

Other Subsidies Available in Tucson

Medicaid Waiver in Other Arizona Cities

Need Help With the Application?

Download our free application checklist for Arizona Long Term Care System (ALTCS), or let our Grant Concierge handle the paperwork for you.