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Number: DDD-0465A ; Effective Date: Friday, October 1, 2021 ; Type: Flyer & Pamphlets ; Content Section: Document Center ; File: PDF icon DDD-0465A. ALTCS Eligibility. The Arizona Long Term Care System (ALTCS) provides health care, behavioral health, and long-term care services to eligible Arizona Arizona Long-Term Care System ALTCS is a part of AHCCCS – Arizona's version of Medicaid eligibility using a tool called the Pre-.ARIZONA LONG TERM CARE System this form and return it using one of the methods found on page 4 of this Request for Readable PDF sent by secure email. APPLICATION FOR ARIZONA LONG TERM CARE SYSTEM (ALTCS) Complete the following if someone other than the applicant is filing the application. proceed with the ALTCS application by answering the following questions: Arizona Long Term Care System (ALTCS) Readable PDF sent by secure email. This information sheet provides general information about the ALTCS application process and includes basic program requirements about residency, age, Are you looking for Arizona Long-Term Care downloadable forms and resources? Visit JacksonWhite Elder Law online & find copies of our Advance Directive Request For Application For Arizona Long Term. Care System (ALTCS). Customer Address: To start the application process Readable PDF sent by secure email. APPLICATION FOR ARIZONA LONG TERM CARE SYSTEM ALTCS l.Name of Applicant 2. Other Names Used print - Last First JvIiddle Initial 3.