TI Year 6 Program Requirements
The Centers for Medicare and Medicaid Services (CMS) has extended AHCCCS’ 1115 Waiver Demonstration authority for a one-year period, through Sept. 30, 2022, while they continue to review the agency’s 2021-2026 Waiver renewal application. Find more information about the 1115 Waiver extension at the AHCCCS News and Updates webpage.
The extension grants authority to continue specific programs for a sixth year, including the Targeted Investments Program.
The TI Program “Year 6” extension, beginning October 1, 2021, will mirror TI Year 5:
- Up to $50M in total funding, anticipated to be paid through MCOs around December 2023;
- Same milestone performance measures, administered by ASU-CHiR, with targets TBD by early 2022;
- Same QIC attendance requirements, anticipating ASU-CHS to continue monthly QIC sessions in January;
- Same attestation requirements, including the IPAT score for ambulatory participants, once the Year 6 portal is available in early 2023;
- Same participants, unless the practice has withdrawn or has been removed from the program - no application necessary.
The full 1115 Waiver renewal package, seeking to implement new initiatives such as coverage of traditional healing, Targeted Investments 2.0, and the Housing and Health Opportunities demonstration, was submitted to CMS on December 21, 2020 and will be subject to negotiation over the next 12 months. If approved, in part or in full, the next five-year waiver will run from Oct. 1, 2022 through Sept. 30, 2027.
The AHCCCS Targeted Investments website and TIPQIC website will provide more information on this update in the next few days. TIPQIC will continue technical assistance efforts, proactively engaging participants for data harmonization and developing the “Best Practice” guides. We look forward to continuing to support the important work you are doing to improve care for AHCCCS members.
Please do not hesitate to reach out to us if you have any questions.
