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Home→Agencies→Medicaid Estate Recovery→Arizona

Medicaid Estate Recovery in Arizona

AHCCCS administers Arizona Medicaid, and its estate recovery program seeks reimbursement for Arizona Long Term Care System (ALTCS) services — nursing home and home- and community-based care — provided to a recipient who was 55 or older when the benefits were received. Recovery is limited to assets that pass through the recipient's probate estate or a small-estate affidavit.

OverviewWhen someone dies

Medicaid Recovery

Arizona

epm.azahcccs.gov/epmplus/Policy/Chapter_1900_Estate_Recovery/1901_Estate_Recovery_Claims/A_Estate_Recovery_Program_Overview.htm→

Administering agency

Arizona Health Care Cost Containment System (AHCCCS) — Estate Recovery

Phone602-417-4000
WebsiteVisit website →

Authority

A.R.S. § 36-2935; Ariz. Admin. Code R9-22-1006, R9-28-901, R9-28-912; 42 U.S.C. 1396p

Verified May 2026

Medicaid Estate Recovery in Arizona: key facts

Recovery scope
ALTCS long-term care services (nursing home and home- and community-based services), not all Medicaid coverage.
Who is subject
Recipients who received ALTCS benefits at age 55 or older; benefits provided before age 55 are not counted.
Assets reached
Only the recipient's probate estate — property passing by will, intestacy, or small-estate affidavit. Property in joint tenancy with right of survivorship, beneficiary-deed real estate, and pay-on-death or designated-beneficiary accounts are generally outside the claim.
Deferrals and waivers
Recovery is delayed while there is a surviving spouse, a surviving child under 21, or a blind or permanently and totally disabled child of any age. Federal law also requires a waiver where an heir meets all undue-hardship criteria.

Frequently asked questions

Recovery is deferred while there is a surviving spouse, a surviving child under 21, or a blind or permanently and totally disabled child of any age. A waiver is required where an heir meets the undue-hardship criteria; the request is made in writing and may need supporting financial information.

When someone dies

Steps after a death in Arizona

5-step process for Arizona Health Care Cost Containment System (AHCCCS) — Estate Recovery.

View details →

Medicaid Recovery

Arizona

epm.azahcccs.gov/epmplus/Policy/Chapter_1900_Estate_Recovery/1901_Estate_Recovery_Claims/A_Estate_Recovery_Program_Overview.htm→

Administering agency

Arizona Health Care Cost Containment System (AHCCCS) — Estate Recovery

Phone602-417-4000
WebsiteVisit website →

Authority

A.R.S. § 36-2935; Ariz. Admin. Code R9-22-1006, R9-28-901, R9-28-912; 42 U.S.C. 1396p

Verified May 2026