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Arizona ALTCS Fax Number (888) 507-3313

Government

Arizona ALTCS — Application Fax

Phoenix, AZ

Verified Mar 2026

Fax number

(888) 507-3313

Pre-filled below — send online in about a minute. No fax machine.

What to include

  • Cover sheet with applicant name and daytime phone
  • Completed DE-101 / DE-202 or other forms AHCCCS requested
  • Supporting documents listed in official ALTCS instructions
  • Clear copies—keep originals

Send your fax

Quick info

Department: Arizona Long Term Care System (ALTCS) — AHCCCS

Fax line: (888) 507-3313

  • Use for ALTCS application materials when azahcccs.gov lists this fax
  • Include the DE-101 Request for Application when starting a new application
  • Confirm (888) 507-3313 on the current ALTCS Offices page before sending

Confirm on azahcccs.gov/members/altcslocations.html. Toll-free fax is (888) 507-3313; local fax (602) 253-6385 is also listed—match the number on current AHCCCS materials.

Prerequisites — what to prepare

Before you fax Arizona ALTCS — Application Fax, gather these items into one PDF when possible:

  • Cover sheet with applicant name and daytime phone
  • Completed DE-101 / DE-202 or other forms AHCCCS requested
  • Supporting documents listed in official ALTCS instructions
  • Clear copies—keep originals

Step-by-step — send via RonFax

No fax machine required. Pay once from $1.99 for up to 3 pages ($0.50 per extra page).

  1. Export your ALTCS application packet as one PDF.
  2. Confirm (888) 507-3313 on azahcccs.gov ALTCS Offices page.
  3. Upload to RonFax, review page price, pay once, and save your status link.

Frequently asked questions

What is the fax number for Arizona ALTCS — Application Fax?
The commonly listed fax line for Arizona ALTCS — Application Fax (Arizona Long Term Care System (ALTCS) — AHCCCS) is (888) 507-3313. Always confirm on the institution’s latest instructions before you send — numbers can change.
How do I fax to Arizona ALTCS — Application Fax online without a fax machine?
Open the send form on this page (number is pre-filled), upload a PDF or image, pay, and RonFax transmits the fax for you. You’ll get a status page and email confirmation when delivery completes.
How much does it cost to send a fax to Arizona ALTCS — Application Fax?
RonFax is pay-as-you-go: $1.99 covers up to 3 pages, then $0.50 per extra page. No monthly plan required.
What should I include when faxing Arizona ALTCS — Application Fax?
Typical packets include: Cover sheet with applicant name and daytime phone; Completed DE-101 / DE-202 or other forms AHCCCS requested; Supporting documents listed in official ALTCS instructions; Clear copies—keep originals. Use a cover page if the institution asks for a subject or routing note.
Is this an official Arizona ALTCS — Application Fax page?
No — this is an independent send guide from RonFax. We help you transmit documents to the listed number; we are not affiliated with Arizona ALTCS — Application Fax. Verify requirements on their official site when unsure.

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