STATE PROFILE • Last updated: November 11, 2026
Arizona Elder Care & Medicaid
Arizona's Long Term Care System (ALTCS) operates as an entitlement program, providing comprehensive managed care services for eligible seniors who meet nursing home level of care criteria, often requiring a Miller Trust for income over the cap.
leaderboard
RANKED #9
GRADE B
FEATURED
Medicaid Coverage Guide for Arizona
Full breakdown of ALTCS (Arizona Long Term Care System) for seniors: waiver programs, nursing home eligibility, income and asset limits, spend-down rules, and how to apply.
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Program
ALTCS (Arizona Long Term Care System)
Income cap
$2,982/mo
Medically-needy
No
Elder Care Index Report Card
5-pillar composite scoring vs other states
B
Grade
AFFORDABILITY
GRADE A · 97
QUALITY
GRADE A · 70
STAFFING
GRADE C · 39
ACCESS
GRADE F · 10
MEDICAID SUPPORT
GRADE C · 36
Composite score: 69.4 / 100 (50 = average state)
Methodology arrow_forward
Arizona At a Glance
Nursing Home Facilities
140
Senior Medicaid Waivers
1
National Rank
#9 / 51
Range #7–#15 when the pillar weights shift
Senior Care Costs in Arizona
local_hospital
Nursing Home
$7,832/mo
-29.1% vs national avg
- 140 nursing homes · 16,023 beds
- Avg CMS rating 3.42★ (43 rated 5★, 10 rated 1★)
- 4.12 nurse hrs/resident/day (0.72 RN)
Source: CMS Nursing Home Compare
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home_health
Home Health Aide
$27/hr
- Median aide wage $17.37/hr
- ~69,100 aides employed statewide
Source: BLS OEWS
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