When a person is on ALTCS (Arizona Long Term Care System) they are obligated to “pay what they can” for their care. The state recognizes that the member may need their income when they reside at home. Therefore, the state allows the member to keep their income to help pay for the costs to live and receive services while residing at home. (*Rules may not allow for this if the member has an Income Only Trust.)


However, when the member is in a residential setting like a skilled nursing center, or an assisted living facility, the member must pay a “share of the cost” for their services. Arizona calls this amount paid towards care different depending on the type of setting the person lives in, but the amount is evaluated generally the same way.

  • If the member is in a skilled nursing center the amount is called “Share of Cost” and it is determined by ALTCS.
  • When in an alternative setting, the amount is called the “Room and Board” amount, and it is determined by the program contractor.

The share of cost/room and board amount varies from person to person. The amount primarily depends on the amount of the recipient’s monthly income and whether the recipient is married. Generally speaking, single applicants pay the facility all of their monthly income, less insurance costs, and a lesser Personal Needs Allowance (PNA) of $106.50 as the amount due for their care.

With married applicants, the calculation is somewhat more complicated.

ALTCS has adopted the policy that a community spouse is entitled to a monthly income of at least $1,892. If the community spouse’s income falls short of this amount, the community spouse can draw from the applicant spouse’s income to bring his or her income up to $1,892.

The applicant spouse then takes a Personal Needs Allowance of $106.50, and any remaining monthly income goes to the facility. Also, if the community spouse pays their own utilities, ALTCS allows the community spouse to take an additional allowance based on the amount paid out.

An example of this is:

· Well-spouse makes $500/month

· Ill spouse makes $2,000/month

If the ill spouse goes to the nursing home, the well-spouse can keep $1,677.50 of the ill-spouse’s income. The ill spouse gets to keep an additional $126.15 as their Personal Needs Allowance. Therefore, the share of cost would be assessed at $196.35.

Paying share of cost is an important part of a member’s responsibility of receiving this benefit. Considering that the average cost of skilled nursing care in Maricopa County is more than $7,900 per month, even applicants with relatively high incomes still have much to gain from qualifying for ALTCS.


Contact the JacksonWhite Elder Law team today at (480)467-4337 and learn how we can help to ensure you receive the maximum ALTCS benefits available, while preserving as many of your assets as possible.

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