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Medicaid Planning · Arizona

Arizona Medicaid look-back rules

Medicaid look-back rules rules for Arizona.

Published: September 4, 2026. Last checked: October 7, 2026.

Look-back period

60 months

Source: AHCCCS Eligibility Policy Manual, Transfers Overview [state-medicaid-agency] — Revised July 17, 2020

Transfer-penalty divisor

$9,117.67 per month in Maricopa, Pima, and Pinal Counties; $8,239.92 per month in all other counties, from October 1, 2026 through September 30, 2027

Source: AHCCCS Eligibility Policy Manual, Transfer Penalty Period [state-medicaid-agency] — Rates effective October 1, 2026 through September 30, 2027; revised September 29, 2026

How the state administers the rule

Use the rate for the county of residence at first ALTCS approval. Divide uncompensated value by that rate, retain fractional months, multiply the fraction by 30, and drop any fraction of a day.

Source: AHCCCS Eligibility Policy Manual, Transfer Penalty Period [state-medicaid-agency] — Rates effective October 1, 2026 through September 30, 2027; revised September 29, 2026

Sources

Methodology & sources

Checked at least annually and whenever the state publishes a new transfer-penalty divisor or administration rule.

General information, not legal advice.