🤝 For MCOs · AAAs · Discharge Planners · Case Managers

Building a Placement Pathway
for Authorized Members.
Lending Hands Outreach
Is Preparing to Serve.

If you are an MCO care coordinator, AAA case manager, hospital discharge planner, or community health worker with an ALTCS-eligible senior authorized for Adult Day Health Care in the West Valley, Lending Hands Outreach is building referral alignment now as we complete ADHS Provider Type 27 licensure and MCO contracting.

Referral Planning Steps Eligibility Quick Reference
Referral pathway from referral received to eligibility review, family intake, transportation setup, and first day of service
Partner referral pipeline open for pre-launch coordination, status updates, and placement planning.
Referral Resource

Download the Senior Care Interest & Referral Sheet

Use this one-page PDF to begin a pre-launch referral or interest conversation for an AHCCCS/ALTCS-connected or potentially eligible senior age 65+ who may need Adult Day Health Care, meals, transportation, supervision, or caregiver support.

Please do not send Social Security numbers, full medical records, or unnecessary protected health information through unsecured email or website forms.
Download Referral Sheet PDF
Who We Work With

Referral Conversations Welcome From All Authorized Sources

Lending Hands Outreach is accepting referral conversations and pre-placement coordination from partners serving ALTCS-eligible seniors in Maricopa County and the West Valley corridor. Formal intake will begin once licensure and MCO contracting are finalized.

🏥
MCO Care Coordinators
If you hold an open ADHC authorization for a member in the West Valley and cannot find a placement — contact us directly. We are contracting with all four ALTCS Managed Care Organizations: UnitedHealthcare, Arizona Complete Health, Mercy Care, and Care1st.
Priority Channel
🏛
AAA Case Managers
Area Agency on Aging case managers coordinating Home and Community-Based Services are a core referral partner for LHO. We are actively building our relationship with AAA Region One as a referral source and congregate meal site applicant.
Priority Channel
🏨
Hospital Discharge Planners
Social workers and discharge planners placing seniors returning home from inpatient stays can refer to LHO as a step-down and ongoing support resource. ADHC is one of the most effective tools for reducing 30-day readmissions in the ALTCS population.
ALTCS Required
🩺
Physicians & Primary Care Teams
Physicians identifying patients who are functionally at-risk, socially isolated, or whose caregivers are struggling can initiate the ALTCS referral pathway. We are happy to coordinate with the clinical team on member health plans and nursing documentation.
ALTCS Required
⛪
Faith Community Leaders
Pastors, congregation leaders, and community health workers in the West Valley who identify seniors in need can connect them with LHO. We will guide families through the ALTCS enrollment process at no cost — from application through first day of attendance.
We Guide Them
👨‍👩‍👧
Family Caregivers
Family members caring for a loved one 65 or older can reach out directly. If their family member is not yet ALTCS-enrolled, we will walk them through how to apply at no charge. If they are enrolled and authorized, we can begin intake immediately.
Direct Welcome
Eligibility Quick Reference

Who Qualifies for LHO Services

For MCO coordinators and case managers — a fast reference for member eligibility. All criteria must be met for immediate placement; contact us about members in the ALTCS application process.

✓
Age 65 or Older LHO serves AHCCCS-eligible seniors 65 and older. No upper age limit. Serving the frailest members is our purpose.
✓
AHCCCS and ALTCS-EPD Enrolled Member must be enrolled in Arizona Long-Term Care System (ALTCS-EPD) under one of the four Managed Care Organizations — UHC, Arizona Complete Health, Mercy Care, or Care1st.
✓
ADHC Service Authorization on File An active authorization for Adult Day Health Care services from the member's MCO must be in place before the first day of attendance. LHO will confirm authorization before intake.
✓
Functional Limitations Qualifying for ADHC Seniors with mobility limitations (wheelchair or walker users welcome), assistance with activities of daily living, health monitoring needs, or cognitive support needs. LHO is preparing to operate as an ADHS Provider Type 27 Adult Day Health Care center — not a social-only program.
✓
West Valley / Maricopa County Residence Primary service area: Maryvale, Avondale, Tolleson, Laveen, and surrounding West Phoenix communities. Members must reside within our NEMT service corridor. Call to confirm your member's address.
?
Not Yet ALTCS-Enrolled? If the senior is not yet enrolled in ALTCS, contact us anyway. We will connect the family with the ALTCS application process through DES and the appropriate Area Agency on Aging. We do not turn away families in need of guidance.
Managed Care Organizations — Contracting Status
UnitedHealthcare / UHC
Contracting
Arizona Complete Health
Contracting
Mercy Care
Contracting
Care1st Health Plan
Contracting
LHO is pursuing active contracts with all four ALTCS-EPD Managed Care Organizations. Contact us to confirm current contracting status for your member's plan before initiating the intake process. Please do not send protected member information until the appropriate referral pathway is confirmed.
📍 Primary Service Area: West Phoenix Corridor
Member Cost
$0
All ADHC and NEMT transportation services are fully funded through AHCCCS and ALTCS managed care. No copay, no deductible, no cost to the member or family — ever.
How to Refer

Projected Steps From Referral Planning to First Day

We are designing the intake process to be fast, low-burden for coordinators, and clear for families. The sequence below reflects the projected workflow after ADHS licensure, MCO contracting, and final launch readiness are completed.

1
You Contact LHO
Call (623) 301-7072 or email reach@lendinghandsoutreach.org to discuss referral planning, service area, MCO plan, and appropriate next steps.
Planning Step 1
2
Eligibility & Fit Confirmed
We confirm authorization, service area, MCO contract status, and member eligibility. We contact you with results within one business day.
Planning Step 2
3
Family Intake Meeting
We meet with the member and family to complete intake paperwork, review the program schedule, assess NEMT pickup logistics, and answer all questions.
After Launch
4
Care Plan & Authorization Aligned
We coordinate with the MCO to align the member's individualized plan, confirm authorized days, and document health and medication requirements with our licensed nurse.
After Launch
5
First Day of Service
Member begins attending. LHO's van picks them up and returns them home. You receive confirmation of first attendance and ongoing updates as required by your MCO.
After Launch
Privacy & referral documentation note: Please do not send Social Security numbers, full medical records, or unnecessary protected health information through unsecured email or website forms. Contact LHO first so we can confirm the appropriate referral process, current contracting status, and documentation pathway.
What to Include in Your Referral
  • Member full name and date of birth
  • Member home address (for NEMT logistics confirmation)
  • MCO name and member ID number
  • ADHC authorization number and authorized days per week
  • Primary diagnosis or functional limitations summary
  • Mobility status (ambulatory, walker, wheelchair)
  • Any known behavioral, cognitive, or clinical concerns
  • Your name, role, and direct callback number
What We Provide to the Referring Party
  • Same-day or next-business-day eligibility confirmation
  • Written confirmation of intake appointment
  • First-attendance confirmation for MCO records
  • Ongoing attendance reporting as required by each MCO
  • Prompt notification of any member health events or incidents
  • Coordination with MCO care coordinator on individualized plan updates
  • Licensed nurse contact for clinical questions about the member
  • Clear communication and timely updates with referring partners, families, and care coordinators
Transportation & Logistics

Door-to-Door Transportation Is Included

Lack of transportation is one of the most common reasons authorized ADHC members cannot access services. LHO eliminates that barrier entirely.

🚐 LHO Non-Emergency Medical Transportation

LHO is developing a coordinated NEMT model through Arizona transportation networks to provide door-to-door transportation for members from their home to our facility and back every program day.

Wheelchair-accessible van with lift equipment — all members can board regardless of mobility status
ADA-compliant securement — tie-downs and wheelchair securement installed per federal specifications
$0 cost to the member — NEMT is a mandatory Medicaid benefit for all ALTCS-EPD members; fully covered through managed care
Veyo/MTM credentialed — operating under HCPCS code A0130; billed directly to the MCO through Veyo's sub-provider network
West Valley pickup radius — Maryvale, Avondale, Tolleson, Laveen, Glendale corridors; call to confirm specific address coverage

🗣 Language Access

Our West Valley service corridor has a 61.8% non-English-speaking household rate. LHO is building a staff team with Spanish-language proficiency as a core staffing requirement, and we facilitate interpreter access for intake meetings in additional languages upon request.

No family should lose access to services because of a language barrier. Contact us to discuss language support needs for your member before the intake meeting.

📋 What Families Need at Intake

ALTCS member ID card and current MCO information
Current medication list — all medications, doses, and prescribing physicians
Physician orders — any current orders relevant to daily health monitoring or activity restrictions
Emergency contact information — primary and secondary family contacts
Advance directive or health care proxy — if applicable
Home address and access details — for NEMT pickup coordination

📅 Program Schedule

Hours: Monday – Friday, 8:00 AM to 2:30 PM (6.5-hour program day)
Meals included: Morning snack, lunch, and afternoon snack — CACFP compliant daily
Transportation: Van pickup begins ~7:30 AM; return drop-off by 3:00 PM
Authorized days: Program operates on member's MCO-authorized attendance schedule
Capacity: 25 members per day; please confirm availability when referring
Ready to Place a Member?

We Are Ready to Discuss Your Referral Pipeline

If you have an authorized ALTCS member in the West Valley who may need ADHC placement, contact us today to begin a referral-planning conversation. As licensure and MCO contracting are finalized, LHO is preparing the intake pathway needed to move eligible members into care safely and efficiently.

📞 Call (623) 301-7072 Send a Message
📞
Direct Line
(623) 301-7072
Mark Bertignoli, Founder & Executive Director
✉
Referral Email
reach@lendinghandsoutreach.org
Include member name, MCO, and authorization details
📍
Service Area
West Phoenix · Maryvale · Avondale · Tolleson · Laveen
Maricopa County · All ALTCS MCOs
🌐
Website
www.lendinghandsoutreach.org
EIN 39-2822365 · Arizona 501(c)(3)