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:
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:
Native American Community Health Center has a Contract with AHCCCS to provide case management services to enrolled tribal members who qualify for ALTCS:
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 |
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.
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).
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
Information about becoming an AHCCCS ALTCS Provider can be found in the Provider Enrollment section on the AHCCCS website.