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Arizona Assisted Living Facilities

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Cost of Arizona Assisted Living Facilities

According to the 2015 Genworth Financial cost of care survey, the average cost of assisted living in Arizona is $3,420 per month.

The monthly base rate for Arizona assisted living is typically lower when compared to neighboring states. Arizona is also less expensive compared to the national average.

This cost is the base cost for a one-bedroom assisted living unit in Arizona. Additional fees beyond the base rate may apply.

More info on Assisted Living Costs

Monthly Costs Compared to Neighboring States

New Mexico$3,500

Assisted Living Regulations

Arizona defines Assisted Living Facility as a residential care institution including Adult Foster Care providing supervisory care services, personal care services, or directed care services on a continuing basis. These regulations have been in effect since November 1998. Arizona operates within a universal assisted living license sub-classified by size and level of services. Facilities are required to comply with resident rights, food service requirements, administration requirements, abuse reporting, and resident agreements.

Arizona Assisted Living Facility Scope of Care

In Arizona, there are three licensed levels of care; "Supervisory Care Services" - meaning general supervision that includes daily awareness of resident's functioning and continuing needs, the ability to intervene in a crisis, and assistance in the self-administration of Medications; "Personal Care Services" - meaning assistance with daily living activities including intermittent nursing services and the administration of medications and treatments. A facility licensed to provide Personal Care Services may not accept or retain residents unable to manage their own care and lastly; "Directed Care Services" - meaning programs and services provided to those incapable of recognizing danger, summoning assistance, expressing need, or making basic care decisions. Residents in facilities licensed to provide Personal Care Services or Directed Care Services may not be bed bound, have stage III or IV pressure sores, or require continuous nursing services unless the resident is under the care of a licensed hospice service agency or nursing services are provided by a private duty nurse. Residents in Assisted Living Facilities may receive nursing services or health-related services from a licensed home health care agency, hospice service agency, or private duty nurse.

Arizona Assisted Living Admission Requirements

A facility must not accept or continue having in the facility, any resident requiring physical or chemical restraints; behavioral health residential services; or services that the assisted living facility is not licensed or able to provide.

Arizona Assisted Living Care Plan Requirements

A plan must be created for every resident and include specific information, there is no required standard form. A resident assessment and service plan must be developed and completed within 14 days of the resident moving in. The service plan must be updated every three months for direct care, every six months for personal care, and yearly for supervisory care. Service plans must be updated when any changes of condition occur.

Arizona Assisted Living Medication Management Requirements

The administration of medications is permitted by licensed nurses, certified assisted living managers and trained caregivers, who may also provide medication assistance to residents and can provide medication administration with a physician order and appropriate training.

Arizona Assisted Living Facility Requirements

Facilities must be in compliance with local building codes, ordinances, fire codes, and zoning requirements. Private bedrooms must be a minimum of 80 square feet and shared bedrooms must be a minimum of 60 square feet per resident. A maximum of two residents allowed per bedroom, and shared bathrooms are permitted with at least one full bathroom for every eight residents.

Arizona Assisted Living Staffing Requirements

It is required that sufficient staff be present at all times to provide services at the level of service for which the facility is licensed. Managers must be at least 21 years of age and certified as assisted living facility managers. Staff must have six hours of annual training related to promotion of resident dignity, independence, self-determination, privacy, choice, and resident rights; fire safety and emergency procedures, infection control, and abuse, neglect, and exploitation prevention and reporting requirements. They must have an additional two hours for Personal Care Services and an additional four hours for Directed Care Services. Staff must be trained in first aid and CPR specific to adults. Caregivers must be at least 18 years of age, trained at the level of service the facility is licensed to provide, and have a minimum of three months of health-related experience. Assistant caregivers must be at least 16 years of age. For staff providing a supervisory level of care: 20 hours of training, for staff providing a personal level of care: 20 hours of training, plus an additional 30 hours; for staff providing a directed level of care: 50 hours of training, plus an additional 12 hours; and For certified managers: 62 hours of training, plus an additional eight hours.

Arizona Assisted Living Medicaid Policy

A Medicaid facility and community-based services waiver will cover the cost of services in assisted living.

Arizona Medicaid Coverage of Assisted Living and Related Services

The Arizona Long Term Care System is a federally funded Medicaid program of supports and services for individuals who are 65 or older, blind, or disabled and need ongoing services at a nursing facility level of care. Participants do not have to reside in a nursing home. Many can live in their own homes or an assisted living facility and receive needed in-home care services.

The Arizona Long Term Care program contracts with several health plans to provide covered services; it works like a Health Maintenance Organization (HMO). The program supplier works with doctors, nursing homes, assisted living facilities, hospitals, pharmacies, specialists, and others to provide care. The participant will be assigned a case manager to coordinate the care.

People who qualify for long term care can receive the following services:

Nursing Facility


Attendant Care

Day Treatment and Training

Assisted Living Facility

Employment Support Services


Adult Day Care Health Services

Home Health Services, such as nursing services, home health aide, and therapy

Home Delivered Meals

Case Management

Although the Arizona Medicaid Waiver program does not operate like a typical 1915(c) waiver for long term care; it is unique and operates a statewide 1115 Demonstration Project waiver.

The general differences between the 1915(c) waiver and the statewide 1115 are described as:

Section 1115 of the Social Security Act - allows the Secretary of Health and Human Services of that State the authority to approve experimental, pilot, or demonstration projects that promote the objectives of the Medicaid and CHIP programs. The state is allowed to evaluate other long term care policies and approaches such as:

- Expand eligibility to individuals who are not Medicaid or CHIP eligible.

- Add services not covered by Medicaid.

- Develop innovative service delivery systems that improve care, increase efficiency, and reduce costs.

The statewide Section 1115 is approved for a five-year period with options to renew for three more years.

A list of the Arizona Long Term Care System (ALTCS) Office Locations

Is there a waiting list in Arizona?

There is not a waiting list in Arizona. And you do not have to be a resident in the state for a set time in order to get services but you must prove residency.

What state department in Arizona handles the Medicaid waiver program?

Arizona Department of Health Services, Division of Assurance and Licensure, Office of Assisted Living Licensure Phone (602) 364-2639

Contact Larry Martens Phone (602) 364-2639


Web Site

What is the best number to call to get started?

The main numbers for Arizona's waiver are (602) 542-0419 and (866) 229-5553 (toll free). A more direct line for young children is (602) 771-0400. A more direct line for older kids and adults is (602) 246-0546.


Arizona Contacts

Arizona Department of Health Services, Division of Assurance and Licensure, Office of Assisted Living Licensure

Phone: (602) 364-2639

Larry Martens
Phone: (602) 364-2639

Much of the information above was adapted from the National Center of Assisted Living 2010 Regulatory Review.

License information source: Arizona Department of Health Services

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