Financial incentives were paid on an annual basis to participating primary care clinics, behavioral health clinics, and hospitals, based on requirements that varied over the five years of the Targeted Investments Program. For Year 1 of the TI 1.0 Program, participating TI providers received payment following acceptance into the program. For Years 2 and 3 of the TI 1.0 Program, participants earned payments by reaching process-based milestones tied to TI initiatives, known as Core Components. For Years 4, 5, and 6 of the TI 1.0 Program, payments were based on meeting or exceeding performance measure targets for related HEDISⓇ quality measures. Each milestone and performance measure target was weighted per relative level of effort, so a participating clinic could earn partial-payment for meeting some requirements.
| Targeted Investments Program Incentive Payment By Year |
||
|---|---|---|
| TIY 1 (10/16-9/17) Contingent upon acceptance into the program |
TIY 2 (10/17-9/18) and 3 (10/18-9/19) Contingent upon successful completion of Core Components and Milestones for Ambulatory and Hospital Projects |
TIY 4 (10/19-9/20) and 5 (10/20-9/21) and 6 (10/21-9/22) Contingent upon meeting or exceeding performance improvement targets |
Primary care, behavioral health and hospital providers completing required Core Components within their chosen area of concentration for one of the two TI 1.0 Program projects: 1. Ambulatory Project and 2. Hospital Project.
The documents below detail the payment methodology AHCCCS used to determine annual TI incentive payments for Targeted Investments providers. Reference the information below based on your area(s) of cConcentration.
Primary Care Payment Determination Process
Behavioral Health Payment Determination Process
Hospital Payment Determination Process
Justice Payment Determination Process
Performance Measure Milestone Examples
