How to apply for ALTCS

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Step 1 “Review Information”

https://www.azahcccs.gov/PlansProviders/NewProviders/packet.html

Step 2 “Apply for NPI Number”

https://nppes.cms.hhs.gov/?forward=static.npistart#/

Step 3 “Choosing an ALTCS Plan”

Which Plan?

Mercy CareBanner University Family CareUnited HealthCare
Mercy Care Long Term CareBUFC ALTCS/Long Term CareUnited Healthcare
Mercy Care Developmental DisabilitiesEnrollment Fee
$569.00

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Application for an Older Adult

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