Tribal Arizona Long Term Care System

Overview of the Tribal ALTCS

The Tribal Arizona Long Term Care System (Tribal ALTCS) Program provides Medicaid services to elderly and/or physically disabled American Indians who are determined eligible for ALTCS. Members will remain eligible for Tribal ALTCS if they continue to meet the Medicaid medical and financial requirements. A member will be enrolled with Tribal ALTCS if he/she lives on or lived on a reservation prior to admission into an off-reservation facility.

Tribal ALTCS is an integrated health plan that covers the following services:

  • Acute Medical and Behavioral Health Services
  • Long Term Care Services
    • Adult Day Health Care Services
    • Attendant Care
    • Community Transition Service
    • Dental
    • DME/Medical Supplies
    • Emergency Alert System
    • Habilitation Services
    • Home Delivered Meals
    • Home Health Agency Services
    • Home Modification
    • Homemaker Services
    • Hospice Services (HCBS and Institutional)
    • Nursing Facility Services
    • Personal Care
    • Respite Care (In-home)
    • Respite Care (Institutional)
    • Therapies
    • Transportation

Tribal ALTCS Programs

AHCCCS (Arizona Health Care Cost Containment System) works in partnership with seven Tribes and one urban American Indian Health Center. The partnership is formed by an Intergovernmental Agreement or Contract to provide long term care case management services to respective tribal members enrolled in ALTCS.

An Intergovernmental Agreement (IGA) with AHCCCS is developed with each tribe listed below to provide case management services to enrolled tribal members who qualify for ALTCS:

  • Gila River Indian Community
  • Hopi
  • Navajo Nation
  • Pascua Yaqui
  • San Carlos Apache
  • Tohono O’Odham Nation
  • White Mountain Apache

Native American Community Health Center has a Contract with AHCCCS to provide case management services to enrolled tribal members who qualify for ALTCS:

  • Ak-Chin Indian Community
  • Cocopah Tribe
  • Colorado River Indian Tribes
  • Fort McDowell Yavapai Nation
  • Fort Mohave Indian Tribe
  • Havasupai Tribe
  • Hualapai Tribe
  • Kaibab-Paiute Tribe
  • Quechan Tribe
  • Salt River Pima-Maricopa Indian Community
  • Tonto Apache Tribe
  • Yavapai Apache Nation
  • Yavapai Prescott Tribe
Long Term Care Tribal Contractors Website Phone Number
Gila River Indian Community https://grhc.org 602-528-1200
Hopi Tribe www.hopi-nsn.gov 928-734-3551
Navajo Nation – Chinle Office 928-674-2236
Navajo Nation - Fort Defiance Office www.nndss.navajo-nsn.gov 928-871-7988
Navajo Nation - Tuba City Office 928-283-3250
Navajo Nation - Dilkon Office 928-657-8036
Pascua Yaqui Tribe www.pascuayaqui-nsn.gov 520-879-6020
San Carlos Apache Tribe 928-475-2138
Tohono O'Odham Nation www.tonation-nsn.gov 520-383-6075
White Mountain Apache Tribe www.wmat.nsn.us 928-338-1242
Native Health www.nativehealthphoenix.org 602-279-5262

Long Term Care Services Authorization

The Tribal ALTCS Case Manager assigned to the member is responsible for creating and submitting the prior authorization.

There are specific services that require an authorization by the AHCCCS Administration (Division of Fee-For-Service Management (DFSM) Prior Authorization (PA) Unit).

Providers should work with the assigned Tribal ALTCS case manager to obtain Prior Authorization before rendering services to avoid delays in payments.

Long Term Care Payments

Authorized long term care services are paid at the fee-for-service (FFS) rate and reimbursed through the AHCCCS FFS System.

(Tribal ALTCS Programs only authorize services and provide case management services. They do not reimburse providers for services).

Additional information about ALTCS

ALTCS provides services and settings for members who are elderly and/or have physical disabilities and/or have developmental disabilities. For more information, see the AHCCCS Medical Policy Manual, Chapter 1200 - Arizona Long Term Care System Services and Settings for Members Who Are Elderly and/or Have Physical Disabilities and/or Have Developmental Disabilities

Tribal ALTCS Case Management Resources

Tribal ALTCS Programs shall establish a system of record keeping that maintains case file documentation in a secure and organized manner. Case Managers are responsible for maintaining complete and comprehensive case file documentation for each member. Below are forms utilized by Tribal ALTCS Case Managers.

Becoming an AHCCCS/ALTCS Provider

Information about becoming an AHCCCS ALTCS Provider can be found in the Provider Enrollment section on the AHCCCS website.

Tribal ALTCS Notifications

View past email notifications