Differential Adjusted Payment (DAP)

The Differential Adjusted Payment (DAP) is a positive adjustment to the AHCCCS Fee-for-Service (FFS) rates to distinguish providers who have committed to supporting designated actions that improve patients’ care experience, improve members’ health, and reduce cost of care. Since their inception in 2016, DAPs have been targeted to be short-term payments to incentivize specific behaviors on the part of the providers. Due to the short-term nature of DAPs, AHCCCS’ intention is for the DAPs not to become part of a provider’s base reimbursement.

AHCCCS health plans are required to pass through DAP increases to their contracted rates to match the corresponding AHCCCS Fee-For-Service rate increase percentages. DAP adjustments are based on a contract year with dates of service beginning on October 1st and ending on September 30th. For providers to receive the DAP, the provider must include the value of the additional DAP increase when billing directly to AHCCCS or an MCO for services.

Public Notices

Qualifying Providers

The files on this page list the AHCCCS-registered Arizona providers who are deemed to have met the established criteria to qualify for Differential Adjusted Payments. Nothing on this website should be construed as a guarantee of payment.

Behavioral Health Outpatient Clinics & Integrated Clinics

Behavioral Health Providers - A3, A4, A5, & A6

Dental Providers

DRG Hospital

DRG Hospital - Long-Acting Reversible Contraception

Employment Staff Training

Freestanding Emergency Departments

Home & Community Based Services (HCBS) Providers

IHS and 638 Tribally Owned and/or Operated Facilities

Nursing Facilities

Other Hospitals and Inpatient Facilities

Physician, NP, PA

Therapeutic Foster Homes

Workforce Development and Pipeline AZ

Contacts

Have a question about AHCCCS Fee-for-Service reimbursement rates? Email us at AHCCCSDAP@azahcccs.gov.