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FAQ: How Do I Get Approval For ALTCS For Autism Services?

Navigating the complex process of getting approved for the Arizona Long Term Care System (ALTCS) with an autism diagnosis can be overwhelming. ALTCS is a program that provides long-term care services for eligible individuals, including those with developmental disabilities like autism. This blog aims to guide you through the steps to increase your chances of getting approved for ALTCS with an autism diagnosis.

 

 

Understand ALTCS Eligibility Criteria

Before diving into the application process, it's crucial to understand the eligibility criteria for ALTCS. Generally, to qualify, an individual must be an Arizona resident, a U.S. citizen or qualified non-citizen, aged 65 or older, or have a disability or medical condition that requires ongoing care. Autism, being a developmental disability, falls under the category of a qualifying condition.

Gather Necessary Documents

To apply for ALTCS, you will need various documents, such as identification, financial information of the applicant, medical records, and proof of disability. Be prepared to provide documentation that confirms the autism diagnosis, including reports from doctors, specialists, therapists, or psychologists.

Assess Financial Eligibility

ALTCS has specific financial criteria that applicants must meet. This includes income and asset limits. It’s important to note that financial eligibility is based ONLY on the applicant’s income, and not the household. If an application is for a minor, ALTCS will not ask about the income or assets of the child’s family. They will, however, consider the following types of accounts that are in the applicant’s name: Checking Accounts, Savings Accounts, Annuities, 401Ks, and the cash-out amount of a Life Insurance policy. College savings accounts, like a 529 account, are not considered as an asset.  ABLE accounts will also not be considered as income or asset.  Please consider reaching out to a Family Support Specialist at AZA United for guidance. They can help you with navigating the complexities and increase the chances of approval. 

Complete the Application Form

Obtain the appropriate ALTCS application form from the Arizona Health Care Cost Containment System (AHCCCS) website or your local Department of Economic Security (DES) office. Fill it out accurately and thoroughly, ensuring you include all necessary documents and information. You may also apply by phone by calling the number on the application. 

Attend All Required Assessments

ALTCS requires applicants to undergo medical and functional assessments to evaluate their care needs. These assessments are essential for determining the level of care required and eligibility for ALTCS benefits.

Be Patient and Persistent

The approval process for ALTCS can take time. Be patient and prepared for potential delays or requests for additional information. Stay persistent and follow up with the relevant agencies to ensure your application is being processed.

Getting approved for ALTCS with autism involves understanding the eligibility criteria, gathering the necessary documents, and providing comprehensive information about the medical condition. Seeking professional guidance and staying persistent throughout the application process can significantly increase your chances of a successful outcome. Remember, ALTCS is designed to provide essential long-term care services, and with the right approach, you can access the support you need. 

Download ALTCS application

AZA's Family Support Team provides support, answers, and guidance for many challenges that families face. This service is available at no charge to all members of the autism community. Make a free virtual appointment that works with your schedule: azaunited.org/supportcall

 Additional Resources:

AZA United's Family Support Program

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