Arizona currently operates one 1115 demonstration waiver and serves all children with disabilities through this program. View Arizona’s Health Care Cost Containment System Page. Because Arizona operates its program through a demonstration waiver, some federal rules are waived.

Arizona Advocacy Organizations:

Last updated 10/22/25

Programs in Arizona

  • Target Population: Children of all ages with disabilities as determined by state guidelines
  • Levels of Care: Intermediate Care Facility, Nursing Facility, Hospital
  • Income Waiver: If a child qualifies based on disability, eligibility is based on the child’s income only. Parent income is not counted.
  • Waiver Type: 1115
  • Spots: unlimited
  • Expiration Date: 9/30/2027
  • Description: The following services are available: attendant care, day treatment and training, employment services and supports, habilitation, home health aide, home modifications, home nursing, housekeeping, medical services, respiratory therapy, therapies, and transportation.
  • Online State Information: Assistance can be found at the Division of Developmental Disabilities or through the Long Term Care program (ALTCS).
  • Official Federal Information
  • How to Apply: Go to AHCCCS to begin the application process.
  • Waiting List: There may be waiting lists for some services.

Additional Information

  • Arizona offers a Licensed Health Aid (LHA) program (click on LHA tab), which allows parents who obtain an LHA certificate to be paid to care for minor children, including those with substantial medical technology like trachs and feeding tubes. More information is available here and through the AHCCCS Website.
  • As of February 2024, parents of minors under the age of 18 can be paid to provide attendant care and habilitation services when the care meets an “extraordinary care” definition. See this Paid Caregiver Information from the state, as well as this page of Paid Caregiver Documentation. Care is limited to 40 hours per week per child. New rules that would have limited this option have been paused as of 10/15/25.
  • Parents/guardians of adult participants over the age of 18 can be paid to provide attendant care and habilitation hours up to the approved maximum.
  • We have reports the parents who are nurses can be paid in Arizona.
  • Raising Voices Coalition works on paid parent caregiving in AZ and can be a helpful resource for the most up-to-date-information.

Arizona Family Caregiver Reimbursement Program – reimburses individuals over age 18 for home modifications and some other limited expenses.