State Medicaid Waiver Directory

Arizona has no program labeled 'TEFRA' or 'Katie Beckett.' KFF's 2026 state tracking lists Arizona as offering a comparable pathway: a child who is medically eligible for long-term care can qualify for ALTCS under the AHCCCS 1115 demonstration without the parent's income counting. Which income rules apply depends on which of AHCCCS's two ALTCS income tests is used — see the financial rules below. Children with developmental disabilities access services through DD-ALTCS.

For children with developmental disabilities who need long-term care, DD-ALTCS is the primary route. The Children's Rehabilitative Services (CRS) program serves children with certain chronic medical conditions.

ALTCS is for financially and medically eligible residents who need long-term care. DD-ALTCS specifically serves individuals with developmental disabilities.

AHCCCS applies two different income tests for ALTCS, and which one applies determines whether a parent's income counts. Under the gross income test — used when the person is in a setting where long-term care services can be provided and is not refusing HCBS services — countable gross income is compared with 300% of the federal benefit rate, and AHCCCS policy states that income is not deemed from a parent under this test, so a child's eligibility rests on the child's own income. Under the net income test — used when the person is in a setting where long-term care services cannot be provided or refuses HCBS services, which provides a limited acute-care service package — countable income minus allowable deductions is compared with 100% of the federal benefit rate, and for a child under 18 living with an ineligible parent, a portion of the parent's income is deemed to the child after allowed deductions. For a child receiving home and community-based services at home, the gross income test generally applies, so parental income is not counted. Confirm which test applies to your situation with AHCCCS.

Arizona requires medical eligibility for ALTCS, which generally means nursing-home-level needs.

DDD services can begin at birth. CRS generally serves children under 21.

Arizona Vocational Rehabilitation (des.az.gov/vocational-rehabilitation) assists people with disabilities to prepare for, enter into, maintain, and advance in employment. Services include vocational evaluation, counseling, assistive technology, job training, job placement and coaching, and transition services for youth ages 14+. Services are free. VR also coordinates with the Ticket to Work program for Social Security beneficiaries.

AzTAP (aztap.org) provides free short-term AT device loans (up to 2 weeks) for trial at work, school, or home; open-ended long-term device loans of refurbished equipment; hands-on demonstrations; and AzLAT (Arizona Loan$ for Assistive Technology) — low-interest loans to purchase AT. The Arizona AT/DME Reuse Coalition also connects individuals to medical loan closets and equipment reuse programs statewide.

Raising Special Kids (raisingspecialkids.org) provides information, training, resources, and support to families of children with disabilities and special healthcare needs across Arizona. Services include parent education, peer support, advocacy training, and information on special education rights, IEPs, transition planning, and community resources. Phone: (602) 242-4366 · Toll-free: (800) 237-3007.

AzEIP (des.az.gov/azeip) is Arizona's statewide system of services and supports for families with infants and toddlers, birth through age 2, with developmental delays or disabilities. Services are provided in homes and communities. Families can refer themselves or be referred by anyone. Services are individualized based on each child's and family's needs and strengths.

First Things First (firstthingsfirst.org) funds family resource centers across Arizona providing free tools, resources, parenting guidance, developmental screenings, and referrals to families with young children. Services support family stability, early childhood learning, and child development. Available in multiple communities statewide.

Arizona offers Short-Term Disability (STD) insurance through the State (benefitoptions.az.gov/STD) that provides income replacement when workers cannot work due to illness or injury — typically 66.67% of weekly wages up to a maximum. Arizona also launched a Paid Parental Leave (PPL) pilot program offering up to 12 weeks of paid leave to eligible employees following birth or adoption.

Disability Rights Arizona (disabilityrightsaz.org) is the state's Protection and Advocacy (P&A) agency, providing free legal services, advocacy, and information on disability rights, education rights, employment issues, AHCCCS access, and abuse/neglect reporting. Phone: (602) 317-9711 · Toll-free: (833) 675-4357.