TI 2.0 - FAQs

• Q1: How many years will the TI 2.0 program be active?
• Q2: How much incentive payment can a participant expect to receive?
• Q3: When can TI 2.0 participants anticipate Year 1 payment?
• Q4: Who is eligible to participate in TI 2.0?
• Q5: How do I apply for TI 2.0?
• Q6: How will providers participate in TI 2.0?
• Q7: Do all providers/sites within a TIN have to participate?
• Q8: Will new clinics be able to participate in the TI 2.0 BH and PCP program?
• Q9: I’m a TI 1.0 participant- can I add new sites for TI 2.0?
• Q10: Am I required to meet all milestones to earn payment each year?
• Q11: When is the deadline for TI 2.0 applications?
• Q12: How will AHCCCS communicate when the application portal is open?
• Q13: How will TIN level work if we have multi specialties under one TIN?
• Q14: Does my practice have to be an integrated clinic to participate in TI 2.0?
• Q15: I’m not sure if TI is for me. Whom may I contact?
• Q16: Where can I find information about TI 2.0 program eligibility requirements?
• Q17: Do I have to participate in all areas of concentration?
• Q18: How can I request assistance with the application?
• Q19: How do I know if my EHR is capable of bi-directional data exchange with the Contexture HIE?
• Q20: Does my EHR system need to be connected to the HIE to participate in TI 2.0?
• Q21: Will we continue to have QIC meetings?
• Q22: I missed the TI Information Session, where can I find the slide deck?
• Q23: When will the performance measures be finalized?

FAQs

• A1: How many years will the TI 2.0 program be active?

  Five years.

• A2: How much incentive payment can a participant expect to receive?

  The TI 2.0 program was approved for $250M for 5 years. The amount each participant receives depends on the size of the organization and the organization’s performance on core components and milestones relative to all other participants. Therefore, we are unable to estimate any annual incentive payment for a specific provider until the final payment is calculated.

• A3: When can TI 2.0 participants anticipate Year 1 payment?

  Year 1 payment will be distributed in Fall, 2024.

• A4: Who is eligible to participate in TI 2.0?

  TI 2.0 will be limited to organizations with Medicaid-facing outpatient primary care and behavioral health clinics (adults and pediatrics). With the exception of one program (Adults Transitioning from the Criminal Justice System), FQHCs and RHCs will not be eligible to participate in either cohort. View eligible provider types on the TI Program Overview webpage. View criteria to apply on the TI 2.0 application requirements webpage.

• A5: How do I apply for TI 2.0?

  The deadline to submit an application for the TI 2.0 program is September 30, 2023 by 5 pm (MST/ AZ time). There are benefits to applying early. See TI 2.0 application requirements webpage for information.

  Applicants must submit through the AHCCCS Online Portal TI Application Portal. The TI 2.0 Application Portal will be available during the Summer of 2023 (sign up for the TI Newsletter to be notified).

• A6: How will providers participate in TI 2.0?

  PCP and BH providers will apply for TI 2.0 at the organization Tax ID (TIN) level. All eligible AHCCCS outpatient sites operating under the TIN will be expected to adopt and meet the requirements of the TI 2.0 initiatives that the TIN attests to completing each year.

• A7: Do all providers/sites within a TIN have to participate?

  Due to the population-health initiatives, AHCCCS encourages all eligible outpatient clinics under the TIN to participate in the program. Applicants will have the ability to exclude settings where coordination of whole-person-care may not be applicable, such as some specialty clinics.

  PLEASE NOTE: AHCCCS provider IDs must be up to date with service addresses, provider IDs, NPIs. Organizations must also coordinate with MCOs.

• A8: Will new clinics be able to participate in the TI 2.0 BH and PCP program?

  Yes. Organizations can include all outpatient clinics under the TIN that meet provider type requirements (per area of concentration).

• A9: I’m a TI 1.0 participant- can I add new sites for TI 2.0?

  Yes. Provider organizations will apply for TI 2.0 at the Tax ID (TIN) level. All eligible AHCCCS outpatient sites operating under the TIN (including new sites) will be expected to adopt and meet the requirements of the TI 2.0 initiatives that the TIN attests to completing each year.

• A10: Am I required to meet all milestones to earn payment each year?

  No. Each milestone is weighted, so each milestone attained will secure a portion of that year’s payment. Incentive payments will be structured and administered similar to the TI 1.0 program. Visit the TI website for additional information.

• A11: When is the deadline for TI 2.0 applications?

  9/30/2023

• A12: How will AHCCCS communicate when the application portal is open?

  The opening of the TI 2.0 Program application portal will be announced on the TI website and broadcasted through the email newsletter. Organizations interested in applying should sign up to receive TI Program newsletter and check the website often to see the latest updates.The portal is expected to become available 9/1/2023.

• A13: How will TIN level work if we have multi specialties under one TIN?

  Organizations will select the TIN’s non-specialty clinics (those best suited to participate in the program) that are enrolled with AHCCCS at time of application.

• A14: Does my practice have to be an integrated clinic to participate in TI 2.0?

  No. The Targeted Investments Program strives to improve healthcare integration at the provider level regardless of current integration status. For more information, view the eligible provider types on the TI 2.0 Program Overview webpage.

• A15: I’m not sure if TI is for me. Whom may I contact?

  Please email the TI mailbox to learn more about the program: TargetedInvestments@AZAHCCCS.gov. AHCCCS can connect interested providers to similar providers that participated in the original TI program if desired.

• A16: Where can I find information about TI 2.0 program eligibility requirements?

  To find out information about the TI 2.0 eligibility criteria website visit the TI 2.0 application requirements webpage and select from the list of Application Summary documents in the following area of concentrations: Adult or Pediatric Primary Care, Adult or Pediatric Behavioral Health, and Justice (Adult Only).

• A17: Do I have to participate in all areas of concentration?

  No, participants do not need to participate in all areas of concentration.

• A18: How can I request assistance with the application?

  Submit a provider interest form to request application assistance. If you submit before 9/25/2023 you guarantee assistance prior to the TI 2.0 application deadline (9/30/2023).

• A19: How do I know if my EHR is capable of bi-directional data exchange with the Contexture HIE?

  Check with your IT department. If you already have a relationship with Contexture, contact your Contexture Account Representative. Otherwise, lookup your EHR system in the Certified Health IT database and determine if the “Certification Criteria” includes 170.315 (B)(4): COMMON CLINICAL DATA SET SUMMARY RECORD - CREATE and 170.315 (B)(5): COMMON CLINICAL DATA SET SUMMARY RECORD - RECEIVE.

• A20: Does my EHR system need to be connected to the HIE to participate in TI 2.0?

  Not immediately. The organization must plan to connect to the new HIE platform once it is available (anticipated 2025). Details of the EHR requirement are explained on the TI 2.0 application requirements webpage.

• A21: Will we continue to have QIC meetings?

  Yes, the TI 2.0 QIC kick-off meeting will be held in-person on Monday, February 5, 2024 at the ASU Memorial Union located at 301 E Orange St. Tempe, AZ 85281. Representatives from all TI 2.0 organizations will be required to attend in person. Attendance will be credited towards the QIC milestone and will affect payment. More information on representative requirements and future meetings will be disclosed at a later date.

• A22: I missed the TI Information Session, where can I find the slide deck?

  A video recording of the presentation and a PDF of the slide deck is available on the TI Website homepage.

• A23: When will the performance measures be finalized?

  As soon as possible. Unlike the prior program, TI 2.0 requires CMS to approve the incentivized metrics prior to implementation. AHCCCS continues to work with Federal partners to finalize meaningful measures in a timely manner. If the measures are not finalized before Year 2, attaining performance targets will not affect payment until Year 3.