3) Move from licensed and registered nursing facility to licensed Assisted Living Facility (ALF) that is NOT registered with AHCCCS.
An active ALTCS customer lives in a skilled nursing facility in January 2026. The nursing facility is licensed and registered with AHCCCS. The customer is not married and has no other health insurance. The share of cost calculation is as follows:
Total countable income $2053.00 Personal Needs Allowance -$149.10 Total Share of Cost =$1903.90
On April 25, 2026, the customer moved to an ALF. The ALF is licensed but is NOT registered with AHCCCS. The customer notified AHCCCS of the move on the same day.
Because the ALF is licensed but not registered with AHCCCS, the net income test is used when the customer is in the unregistered facility for the full month. The customer is over income using the net test income limit of 100% of the Federal Benefit Rate for May 2026. The change is an adverse action in which the customer must be notified at least 10 days before it is effective. As a result, the customer will be discontinued for ALTCS effective June 1, 2026.
The customer’s personal needs allowance (PNA) will be increased in April 2026 because the customer is HCBS for part of the month. The increase in the PNA reduces the customer’s share of cost (SOC). A reduction in SOC is not an adverse action and is effective April 1, 2026.