Long Term Care System in Arizona

As an alternative to Medicaid, Arizona has come up with an alternate system Arizona Long-Term Care System (ALTCS) which has been operating since late 1980s. This program provides LTC services to Arizona's economically justified and senior residents who are blind or disabled. However, it requires resources not exceeding $ 2,000 for a single candidate - and these include bank accounts, real estate, you do not live in the cash value of certain insurance, cash, stocks, bonds, certificates of deposit and non-exempt vehicles.

The ALTCS is consists of two populations: the elderly and the physically disabled (EPD) and developmentally disabled (DD). Grouping these populations separately, the ALTCS manages a care program that pays its subcontractors member per month in per capita production. The per capita production includes payments for all covered services, including nursing facilities, acute care and home and community-based services (HCBS).

To push forth to its efforts towards improving its health care system, Arizona Long Term Care Partnership Program was amended. This partnership program between the Arizona State and private LTCi companies which provides asset disregard when the policyholder seek eligibility for Medicaid assistance. It is then administered by the Arizona Health Care Cost Containment System or AHCCCS.

In the past, three state agencies were already involved in shaping the LTC plan, and they are the Department of Social Services, Department of Economic Security, and Arizona Health Care Cost Containment System (AHCC). Each of these agencies has developed plans, as consolidated and revised the plans and sought the views of consumers in regional meetings with stakeholders and state-wide public forums.

However, various major issues that emerged from this planning process and they are (a) labour force shortages, (b) consumer education and information, (c) consumer-centred care management, and, (d) provider networks. In accordance to the proposed plan, solutions to the problems of labour force requires legislative changes in tax and credentialing and scope of practical limitations, and adequate labour market. The proposals include the use of Medicaid funds to pay spouses and parents, personal care attendants, the development of consumer services, and provide wage increases for home and community providers.

With consumer education and information, the agencies are planned to develop and distribute educational materials to help consumers make informed choices and provide training for consumers and suppliers. AHCC began requiring all contractors to use a member or supplier for advice reviews and information on Long Term Care plans.

While on the consumer-centred care management, the goal is to provide continuing education to consumers on managed care focuses on the consumer and encourage self-representation. And, with its provider networks, agencies are conducting an ongoing analysis of state service networks, including the development of AHCCCS contractor's formal network development and management plans.

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