Differential Adjusted Payment (DAP)

The Differential Adjusted Payment (DAP) is a positive adjustment to the AHCCCS Fee-for-Service (FFS) rates to distinguish providers who have committed to supporting designated actions that improve patients’ care experience, improve members’ health, and reduce cost of care. Since their inception in 2016, DAPs have been targeted to be short-term payments to incentivize specific behaviors on the part of the providers. Due to the short-term nature of DAPs, AHCCCS’ intention is for the DAPs not to become part of a provider’s base reimbursement.

AHCCCS health plans are required to pass through DAP increases to their contracted rates to match the corresponding AHCCCS Fee-For-Service rate increase percentages. DAP adjustments are based on a contract year with dates of service beginning on October 1st and ending on September 30th. For providers to receive the DAP, the provider must include the value of the additional DAP increase when billing directly to AHCCCS or an MCO for services. For more information, please refer to the DAP Frequently Asked Questions.

Public Notices

Qualifying Providers

The lists provided identify AHCCCS-registered Arizona providers that have satisfied the established criteria for eligibility to receive Differential Adjusted Payments. The following information does not constitute a guarantee of payment. Additionally, the list of qualifying providers is subject to modification at any time during the contract year.

Behavioral Health Outpatient Clinics & Integrated Clinics

Behavioral Health Providers - A3, A4, A5, & A6

Dental Providers

DRG Hospital

Freestanding Emergency Departments

Home & Community Based Services (HCBS) Providers

IHS and 638 Tribally Owned and/or Operated Facilities

Nursing Facilities

Other Hospitals and Inpatient Facilities

Physician, NP, PA

Contacts

Have a question about AHCCCS Fee-for-Service reimbursement rates? Email us at AHCCCSDAP@azahcccs.gov.