AHCCCS reviews the 60 months before the month someone applies for ALTCS, with that window starting on the first day of the 60th month before the application month. Any transfer made during that period, or after the application, gets examined to see whether the applicant received full value in return — so a five-year lookback isn't limited to transactions labeled as gifts; it covers any transfer of ownership below market value.
AHCCCS separates the transfer penalty from the eligibility decision itself. An uncompensated transfer doesn't automatically stop or deny ALTCS eligibility when every other requirement is met — but during the resulting penalty period, the person only receives ALTCS's limited service package rather than full long-term-care coverage. In other words, being approved for Medicaid doesn't necessarily mean the nursing-facility or home-care costs are actually covered during that window.