Overview
Note: This program is not a financial assistance program.
Goal
Eligibility for FCRP
To be considered eligible for the FCRP program, the Applicant must:
- Be lawfully present in the United States.
- Be an Arizona resident.
- Have incurred a Qualifying Expense.
- Meet the following income requirements
- The combined Arizona Gross Income of the Applicant and Qualified Family Member is at or below $75,000 for a single person or a married person who files their taxes separately; or
- The combined Arizona Gross Income of the Applicant and Qualified Family Member is at or below $150,000 for a married couple who files their taxes jointly; or
- Provide care for a Qualifying Family Member who
- Is at least 18 years old during the calendar year in which the Qualifying Expense occurred.
- Requires assistance with 1 or more Activities of Daily Living as certified by a Medical/Social Work Professional.
- Is related to the Applicant or Applicant’s spouse (through birth or adoption) as a
- Spouse;
- Child,
- Grandchild;
- Stepchild;
- Parent;
- Stepparent;
- Sibling; or
- Aunt or Uncle
- Submit an FCRP Application. The Application must be submitted in the same calendar year in which the Qualifying Expense occurs.
- An Applicant may not receive FCRP reimbursement for expenses already reimbursed by insurance.
Process to qualify and apply
1. Contact the Caregiver Resource Line at (888) 737-7494 to complete a questionnaire with a Caregiver Resource Specialist or complete it above.
2. Once the questionnaire is completed, the Caregiver Resource Specialist will mail or email an application packet.
3. The family caregiver will need to complete and submit the application and required documents within the same calendar year as home modification or purchases for assistive care technology occurred.
4. When documents are submitted to the Caregiver Coalition, the application packet will be forwarded to the Division of Aging and Adult Services for determination.
5. The family caregiver will be contacted on next steps within 90 days.
Qualifying Expenses
- Improving or altering the family caregivers’ residence whether it be owned or rented.
- Purchasing/leasing equipment or assistive care technology for the family member to enable/assist/carry out one or more activities of daily living activities.
- activities of daily living such as toileting, bathing, dressing, grooming, eating, mobility, or transferring.
Expenses NOT Allowable
- Regular food, clothing, transportation expenses or gifts provided to family member.
- Ordinary household maintenance or repair that is not directly related to and necessary for the care of the family member.
- Any amount that is paid for or reimbursed by the federal government or state of Arizona.
- Reimbursement does not include covered expenses from the family member’s insurance policy.
Examples of qualifying expenses are not limited to this list and include:”
Home Modification Costs
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Assistive Care Technology
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Go to: Frequently Asked Questions (FAQ)
Documents Needed to Apply
(click for printer-friendly PDF)
Family Caregiver |
Required | Copy of one (1) |
Proof of family caregiver’s and the qualified family member’s adjusted gross income in the taxable year.
The family caregiver and each qualifying family member’s income in the taxable year may not exceed:
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Proof of Age 18 years or older |
Arizona driver’s license ID card (with birthdate) Birth certificate |
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Proof of Arizona Residency |
Arizona driver’s license Utility bill |
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W-9 (provided) |
W-9 (completed)
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Proof of construction costs/ purchase or lease of assistive care technology |
Receipt (s) | |
Qualified Family Member |
Required | Signed copy |
Proof of Gross Income for Family Caregiver and Qualified Family Member’s Income Combined Earn $75,000/year or less in gross income (Caregiver + Qualified Family Member = gross income) or As a couple, earn less than $150,000/year in gross income (caregiver + spouse + qualified family member = gross income) |
Pay stub Income taxes Veteran Award Letter Social Security Income (SSI) award Any public benefit award letter (TANF, SNAP, etc.) |
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Proof of Medical Need Assistance from the family caregiver with one or more activities of daily living, (ADL) (toileting, bathing, dressing, grooming, eating, mobility, or transferring) |
Medical Need Verification Form (provided, click on form to download) | |
Proof of Age 18 years or older |
Arizona driver’s license ID card (with birthdate) Birth certificate |