TI 2.0 Application Requirements and Example Documents

The following example documents are organized by Process Requirements 1 through 5 as seen on the following TI 2.0 Application Summaries:

These examples included below are not one-size fits-all templates; applicants must create similar policies and procedures that are applicable to the organization. The examples are only intended to provide a visual representation and context of the application process.

The deadline to submit an application for the TI 2.0 program was October 20, 2023 by 5 p.m. (MST/ AZ time). Applications for the TI 2.0 Program are no longer being accepted.

Process Requirements 1-5

PROCESS REQUIREMENT 1 (PCP & BH)

Procedures for screening all members for health-related social needs (HRSN) and other conditions affecting whole person health, and coordinating referrals and engagement with other providers serving that member or available to provide needed services to members, including communication protocols with accessible resources to ensure effective care coordination to meet members’ comprehensive health needs.

1.1 HRSN Screening Procedure

1.1A HRSN Screening Procedure
1.1A HRSN Screening Procedure: Justice/Legal Screening Question Examples Question Phrasing: PRAPARE: In the past year, have you spent more than 2 nights in a row in a jail, prison detention center, or juvenile correctional facility? (Located in the Optional section) VI-SPDAT Single Adult: In the past year, have you spent more than 2 nights in a row in a jail, prison detention center, or juvenile correctional facility? (Located in the Optional section) VI-SPDAT Family: Do you or anyone in your family have any legal stuff going on right now that may result in them being locked up, having to pay fines, or that make it more difficult to rent a place to live? Are there any children that have been removed from the family by a child protection service within the last 180 days? Do you have any family legal issues that are being resolved in court or need to be resolved in court that would impact your housing or who may live within your housing?
1.1B-D HRSN Screening Procedure
1.1E-G HRSN Screening Procedure

1.2 Care Coordination Protocol(s)

1.2A Care Coordination Protocol(s)
1.2B Care Coordination Protocol(s)
1.2C Care Coordination Protocol(s)

PROCESS REQUIREMENT 2 (PCP & BH)

Identification of accountable position(s) to pursue whole person care and population health initiatives.

2.1 Job Description(s)

2.1A Job Description(s)
2.1B Job Description(s)

2.2 Initiative Coordinations Protocol(s)

2.2A-B Initiative Coordinations Protocol(s)

PROCESS REQUIREMENT 3 (PCP & BH)

Protocols for utilizing member-centered, culturally sensitive, evidence-based practices in trauma-informed care.

3.1 Trauma Informed Care Protocol(s)

3.1A-D Trauma Informed Care Protocol(s)

3.2 Training Documentation

3.2A Training Documentation

PROCESS REQUIREMENT 4 (PCP - ONLY)

Policies for identifying, tracking, and coordinating care for high-risk members, particularly those with identified social risk factors, to best allocate resources, reduce redundancies, and improve member experience.

4.1 High-Risk Registry Procedure(s)

4.1A-E High-Risk Registry Procedure(s)

4.2 High-Risk Care Coordination Procedure(s)

4.2A-C High-Risk Care Coordination Procedure(s)

PROCESS REQUIREMENT 5 (PCP - ONLY)

Policies that demonstrate how a psychiatric provider is readily available for consultation and processes that explain how the clinics collaborate with the consultant and other providers to manage the member's care.

5.1 Behavioral Health Consultation Policy

5.1A Behavioral Health Consultation Policy

5.2 Uploaded Referral and Collaboration Protocol(s)

5.2A-C Uploaded Referral and Collaboration Protocol(s)
5.2B Uploaded Referral and Collaboration Protocol(s)