​Arizona Long Term Care System (ALTCS) is a program administered under the Arizona Health Care Cost Containment System (AHCCCS) that provides benefits for qualifying individuals requiring long term care, including nursing home care. Like most public benefit programs, ALTCS has strict qualifying requirements, including an income and resource cap. Currently, the resource cap is $2,000.00. Just giving your assets to a family member will not work as ALTCS will look back five (5) years and count the gifts made in determining whether an individual qualifies for ALTCS. Thus, if an individual has resources in excess of this very modest amount and anticipates the need for long term care in the future, Christopher D. Graham, P.L.L.C. can assist with designing a plan to qualify an individual for ALTCS.

​In addition to the resource cap, ALTCS has an income cap of $2,199.00 in 2015. An individual receiving monthly income in excess of the income cap but below the amount of a Medicaid Bed ($5,808.25 in Maricopa County) may establish an Income Only Trust, or often referred to as a Miller Trust, to qualify for ALTCS.

​The rules governing qualification for ALTCS are complex and professional assistance in qualifying for the program can save a lot of time and aggravation. The rules are particularly complex when an individual seeking qualification for ALTCS is married. However, ALTCS planning can significantly increase the amount the Community Spouse is able to retain. Let the professionals at Christopher D. Graham, P.L.L.C. design a plan and ease the burden in qualifying for this extremely valuable program.


​A guardianship is the appointment by a court of an individual or entity to provide care and to make personal decisions for a minor or an incapacitated adult.


A conservatorship is a court proceeding to appoint an individual, or an entity like a private fiduciary, to manage the financial affairs of a minor or an incapacitated adult who is unable to manage his or her own property or financial matters. A conservatorship may be paired with a guardianship or established on its own.