Page 19 - Desert Oracle September 2020

with the caregiver.

3. If the caregiver passes the pre-screening, the Caregiver Resource Specialist
will mail or email a copy of the application, Medical Need Verification Form and

W-9 (to receive a reimbursement check, if approved).

4. The family caregiver will need to complete and submit the application and

required documents below.
5. Once all documents are submitted to the Caregiver Coalition, they will be

reviewed, and the family caregiver will be contacted on next steps within 90

days.

Important

The family caregiver must be the qualified family members’ spouse, child,

grandchild, stepchild, parent stepparent, grandparent, sibling, in-law, uncle or

aunt including half blood or by adoption.

Home modifications and/or purchases for assistive technology must occur in
the same calendar year (on or after January 1, 2020).

Applications will be reviewed on a first come first served basis upon

submission due to limited funding.
Family caregivers who receive reimbursement are not eligible to apply again

for three (3) consecutive calendar years.

For reimbursement over $600, a 1099 tax form will be issued by the Arizona
Department of Economic Security (DES) to the family caregiver and is

considered taxable income.

Applications and program details are available starting January 1, 2020 by
speaking with a Caregiver Resource Specialist at (888) 737-7494.

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