TI 2.0 Application Requirements
The deadline to submit an application for the TI 2.0 program is October 20, 2023 by 5 p.m. (MST/ AZ time). Applicants must submit through the AHCCCS Online TI 2.0 Application Portal.
The link to the TI 2.0 Application Portal will only be visible to the organization’s Master Account Holder or another AHCCCS Online User that is granted access by the Master Account Holder. Please note that Master Accounts are locked after 90 days of inactivity; Individual Accounts are deleted after 120 days of inactivity. If there are no active Master Accounts or User Accounts to promote, applicants must register for a new AHCCCS Online account at least a month prior to the application deadline to receive the authentication code via postal mail.
Application Requirements by Area of Concentration
|Primary Care Project: Adult|
|Outpatient Behavioral Health Project: Adult|
|Primary Care Project: Pediatric|
|Outpatient Behavioral Health Project: Pediatric|
|Adult Ambulatory: Criminal Justice Focused|
|9/1/2023:||Application portal opens for BH and Justice Applicants only|
|9/12/2023:||Application portal opens for all applications (Includes PCP Applicants)|
|9/15/2023: *||Deadline to request application document review - Submit provider interest formprior to submitting official application through the AHCCCS Online portal. Documents submitted through the portal are considered final; there will not be an opportunity to correct documents missing required criteria after the application deadline.|
|10/6/2023:||Deadline to upload documents for Application Document Review- AHCCCS will provide feedback on documents received by 10/6 before the application portal closes.|
|10/20/2023:||Application portal closes- all documentation must be submitted by 5 p.m. (MST/ AZ Time) via AHCCCS Online portal.|
|12/29/2023:||Notification of participation- Applicants will be notified of their acceptance into the program before year’s end. Year 1 incentive payment will be received in Fall 2024.|
*The Provider Interest Form is not the official TI 2.0 Application. The official TI 2.0 Application will be submitted through the AHCCCS Online Targeted Investments 2.0 Portal. The application portal is available from September 1, 2023 through October 20, 2023 (5 p.m. MST/ AZ ).
A Medicaid Provider Enrollment with the appropriate licensure & enrollment type(s) are required to determine Medicaid eligibility and TI Program eligibility.
BH Outpatient Clinics [Provider Type 77] whose services are limited to crisis line call centers do not provide the range of services necessary to meet the Targeted Investments requirements and are not eligible to participate in the TI Program.
AHCCCS Threshold Requirements
To ensure that the incentive is meaningful to participants and we reach as many AHCCCS members as possible, participation must be limited to organizations that serve a relatively large number of AHCCCS members.
- Primary Care Provider Eligibility Requirements: To participate in the TI Program, Primary Care Provider sites must have a minimum threshold of assigned AHCCCS members across all health plans with which they are contracted. Applicants are encouraged to contact their AHCCCS Complete Care health plans to ensure mutual understanding of the PCP assignment panel. Applicants must ensure that the PCPs with assigned membership are actively enrolled with AHCCCS. Members assigned to disenrolled PCPs or PCPs that no longer work for the organization will not be counted.
- Behavioral Health Provider Eligibility Requirements: To participate in the TI Program, Behavioral Health providers must have delivered a relatively large number of qualifying behavioral health outpatient services to ACC members during a recent 12-month period.
Qualified applicants will ensure all participating clinics under the TIN are using an EHR system capable of bi-directional data exchange with the HIE (Contexture) that is either:
- Transmitting data on a core data set for all AHCCCS members to the HIE as of 10/20/2023, or
- Under a signed Scope of Work with Contexture and will accomplish this by 10/20/2024.
Bi-directional Data Exchange between AHCCCS TI 2.0 Program participants and Contexture is defined as a TI participant sending patient health information to Contexture and the TI participant receiving patient health information from Contexture. Bi-directional data exchange is considered complete when both of these components have been operationalized by the TI participant utilizing any combination of the following standards and services:
- HL7 v2 – can be used to send and/or receive patient information
- HL7 v3 - can be used to send and/or receive patient information
- C-CDA - can be used to send and/or receive patient information
- Query-Response - can be used to receive patient information
- Provider Portal - can be used to receive patient information
- Alerts & Notifications - can be used to receive patient information