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This document provides insights into the performance measure regarding the initiation of home and community-based services (HCBS) for elderly and physically disabled members in Arizona, detailing
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How to fill out Arizona Long Term Care System Performance Measure

01
Gather necessary patient information including demographics, diagnosis, and care needs.
02
Review the specific performance measures required for Arizona Long Term Care System.
03
Complete each section of the performance measure form accurately, ensuring all data is relevant and up to date.
04
Include any additional documentation that supports the information provided in the form.
05
Submit the completed performance measure form by the designated deadline.

Who needs Arizona Long Term Care System Performance Measure?

01
Individuals receiving long-term care services in Arizona.
02
Health care providers involved in delivering long-term care.
03
Care coordinators and case managers responsible for patient assessments.
04
Policy makers and administrators evaluating the effectiveness of long-term care services.
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Income Limits Family SizeGross Monthly Income Limit Effective 02/01/2025 Applicant Only $1,305 Applicant and Spouse $1,763
Income Limits Household SizeGross Monthly Income Limit Effective 02/01/2025 1 $1,735 2 $2,345 3 $2,954 4 $3,5642 more rows
Income & Asset Limits for Eligibility 2025 Arizona Medicaid Long-Term Care Eligibility for Seniors Type of MedicaidSingle Income Limit Asset Limit Institutional / Nursing Home Medicaid $2,901 / month* $2,000 Home and Community Based Services $2,901 / month† $2,0001 more row • Jun 4, 2025
The Arizona Long Term Care System (ALTCS) is the State of Arizona's Medicaid program that provides long term care services, at little or no cost, to financially and medically eligible Arizona residents who have an age related and/or physical disability requiring nursing facility level care or have a developmental
In 2025, a single Nursing Home Medicaid applicant in Arizona must meet the following criteria: 1) Income under $2,901 / month 2) Assets under $2,000 3) Require a Nursing Home Level of Care.
Be determined in need of a nursing home level of care as determined by AHCCCS; • Be a citizen or qualified immigrant; • Have a Social Security Number (SSN) or apply for one; • Be an Arizona resident; • Live in an approved living arrangement, such as your own home, or an AHCCCS certified nursing facility or assisted

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The Arizona Long Term Care System Performance Measure is a set of metrics designed to evaluate the quality and efficiency of services provided to individuals in long-term care within Arizona's healthcare system.
Organizations and providers who deliver long-term care services under the Arizona Long Term Care System are required to file the performance measures.
To fill out the Arizona Long Term Care System Performance Measure, providers must follow the guidelines laid out by the state, gathering relevant data, completing the required metrics on the form, and submitting it by the designated deadline.
The purpose of the Arizona Long Term Care System Performance Measure is to ensure accountability, improve quality of care, and enhance the overall efficiency of long-term care services across the state.
Providers must report on various metrics including service utilization, patient outcomes, compliance with care standards, and any other relevant data that reflects the quality of long-term care provided.
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