The ALTCS benefit provides a continuum of benefits to those who qualify.  And contrary to common misconception, the benefit covers services beyond those offered in a nursing facility or assisted living center.  Rather, through the ALTCS program, Arizona Medicaid provides Home and Community Based Services (HCBS) to individuals right in their home.  The idea here is that by receiving care in the home, people can stay healthy longer and perhaps even avoid nursing home care altogether. One issue that sometimes arises with HCBS recipients, however, is that their well spouse becomes overwhelmed with caregiving responsibilities.  As much as a well