The document was released on May 7, 2018, by the Arizona Department of Economic Security (DES). It describes planned changes to the Arizona Long-Term Care System Developmental Disability Program (ALTCS-DD). Currently, the participants receive acute health care services and long-term services and supports (LTSS) from a Medicaid managed care organization (MCO). If the individual needs behavioral health services, the MCOs coordinate with the local Regional Behavioral Health Authority serving the geographic service area. DES intends to implement new plans that provide integrated acute care, LTSS, and behavioral health services . . .