3) Effect on Enrollment Examples

The customer has been living in Yavapai County and receiving long-term care services in his home. His county of fiscal responsibility is Yavapai. A few months later, he decides to give up his apartment and move into his son’s home in Pima County. The county of fiscal responsibility is changed to Pima County. However, the ALTCS Health Plan that the customer was enrolled with in Yavapai County does not provide services to Pima County. The customer’s enrollment must also be changed to an ALTCS Health Plan that serves Pima County.

The customer was living in her own home in Maricopa County for many years. When ALTCS was approved, her county of fiscal responsibility was Maricopa. A year later, she moves to her daughter’s home in Cochise County. The county of fiscal responsibility must be changed to Cochise, but because the customer’s current ALTCS Health Plan serves both counties, enrollment does not change.