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How to enroll in Long Term Care

First, you must be enrolled in the Arizona Long Term Care System (ALTCS), which is part of the Arizona Health Care Cost Containment System (AHCCCS). 

Check if you’re eligible

For general information about Arizona Medicaid eligibility and enrollment, visit the State of Arizona site.

View specific information about applying for ALTCS.

How to apply

All applicants must fill out the Request For Application For Arizona Long Term Care System (ALTCS).

Submit your completed Request for Application form by:

Fax (toll-free):



801 E Jefferson St MD 3900
Phoenix AZ 85034

In person:

At any local Arizona Long Term Care System (ALTCS) Office. Find an ALTCS Office near you

Need help?

Our Long Term Care plan specialists can answer questions and help you enroll.

Call us toll-free at 1-800-293-3740, TTY 711
8 am–5 pm local time, Monday–Friday.