Targeted Investments 2.0 Program Overview
The Targeted Investments Program (TI 2.0) aligns with AHCCCS’ strategic plan and Arizona’s Section 1115 Waiver to support and incentivize providers to develop and enhance comprehensive whole person care systems that effectively address the social risk factors that adversely affect health. Eligible Medicaid provider organizations that meet certain benchmarks will receive financial incentives through managed care plans for developing infrastructure and protocols to optimize coordination of services designed to meet the member’s acute, behavioral, and health-related social needs (HRSN) and address identified health inequities among their patient population.
Announcements
Stakeholders can stay informed on the latest TI 2.0 announcements by signing up for the TI newsletter. Check the TI website often to see the latest news about the program.
| TI 2.0 |
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TI 2.0 MILESTONES: All TI 2.0 participating organizations will need to complete Year 2 and Year 3 milestones to earn incentive payment. The latest version of the milestones documents include payment percentage allocation for each annual milestone of each Core Component (initiative) per area of concentration (AOC). Contact the AHCCCS TI team at targetedinvestments@azahcccs.gov for milestone questions. The current milestone document should have the date 7/31/2024 in the footnote. Year 2 & Year 3 TI 2.0 Milestones by Area of Concentration (Version Date: 7/31/2024):
Go to the TI 2.0 Milestone Resources web page to review document validation criteria with a checklist of necessary elements each policy/procedure must include to satisfy the Year 2 and Year 3 process milestones. NCQA TI 2.0 milestone resources are also available on the TI 2.0 Milestone Resource web page. |
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NEW TO TI 2.0? Review the TI 2.0 Welcome Packet and get acquainted with TI program requirements and resources. Contact the TI team with questions at targetedinvestments@azahcccs.gov. NOTE: Minor edits were made to the original Welcome Packet since the previous publish date on 3/8/2024. The most current Welcome Packet should have the date 4/8/2024 in the footnote. |
YEAR 1 PAYMENT: AHCCCS continues to validate Year 1 applications for all TI clinics. This process is essential for accurate calculation of payments, integrity of the program, CMS reporting, future AHCCCS provider enrollment requirements, and, ultimately, minimizing the potential recoupment of incentives. Participants’ timely cooperation with AHCCCS’ outreach to confirm and understand discrepancies in participating addresses, NPIs, and licensure is appreciated. Year 1 participation must be finalized before AHCCCS can begin calculating payments. AHCCCS will finalize participation by 11/30/2024 to distribute payment as soon as possible in 2025. |
| TI 1.0 |
| PAYMENT 1: TI 1.0 participants’ Authorized Users should have received Year 6 payment #1 details via email on April 30, 2024. Participants should have received the first Year 6 payments from each health plan by July 1, 2024. |
| PAYMENT 2:TI 1.0 participants’ Authorized Users should have received Year 6 payment #2 details via email on September 23, 2024. Participants should have received the second Year 6 payments from each health plan by October 31, 2024. |
TI 2.0 Program Quick Links
Click on the links below to view the list of Targeted Investments Program (TI 2.0) participating organizations by area of concentration.
Year 1 (10/1/2022 - 9/30/2023) - Onboarding / Application / Required systems & processes
Year 2 (10/1/2023 - 9/30/2024) - Establish new systems and processes & Meet targets on performance measures
Year 3 (10/1/2024 - 9/30/2025) - Implementation and Evaluation of systems and processes & Meet targets on performance measures
Year 4 (10/1/2025 - 9/30/2026) - Meet targets on performance measures
Year 5 (10/1/2026 - 9/30/2027) - Meet targets on performance measures
| PCP Adult and Peds |
BH Adult and Peds |
Justice Adult |
|---|---|---|
| Non-Specialty PCP Outpatient Clinics Integrated Outpatient Clinics (IC) Non-Hospital Affiliated Clinic (05) Non-Integrated Primary Care Outpatient Clinics (under an 01-group) Non-facility PCP Providers Working In the Clinics MD-Physician DO-Physician Osteopath Registered Nurse Practitioner Physicians Assistant With Specialties: Family Practice General Practice Internal Medicine Obstetrician and/or Gynecology Pediatrician Registered Nurse Practitioner |
Outpatient BH Clinics Integrated Outpatient Clinics (IC) Behavioral Health Outpatient Clinics (77) Non-facility BH Providers Working In the Clinics MD-Physician DO-Physician Osteopath Licensed independent Substance Abuse Counselor (LISAC) Licensed Clinical Social Worker (LCSW) Psychologist 86 Licensed Marriage & Family Therapist (LMFT) Licensed Professional Counselor (LPC) School Based Guidance Counselor School Based Certified School Psychologist Behavioral Health Counselor Board Certified Behavioral Analyst Provider MHS Social Worker MHS Nurse- Psychologists Registered Nurse Practitioner |
Outpatient Clinics With Reliable Access to PCP and BH Services Integrated Outpatient Clinics (IC) Federally Qualified Health Center (C2) Rural Health Centers (29) Behavioral Health Outpatient Clinics (77) Competitive by Population Served Application demonstrates robust collaborative agreements with a justice partner (e.g., Clinics co-located with or adjacent to probation, parole facilities, court, diversion) |
In order to participate and receive a Targeted Investments payment, providers must be in good standing with AHCCCS, including, but not limited to: an active registered provider, and in good financial standing. If a provider is not in good standing with AHCCCS, no payment will be made to the provider, even if the provider previously completed an attestation. If a provider is not in good standing with AHCCCS and a payment is made, AHCCCS is required to recoup the payment.
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 2.0 Program, Primary Care providers must have delivered a relatively large number of qualifying primary care health outpatient services to ACC and ACC-RBHA members during the recent program Year.
- Behavioral Health Provider Eligibility Requirements: To participate in the TI 2.0 Program, Behavioral Health providers must have delivered a relatively large number of qualifying behavioral health outpatient services to ACC members during the recent program year.
The Targeted Investments Program (TI 2.0) was approved by the Centers for Medicare & Medicaid Services (CMS) for $250 million as part of Arizona’s Section 1115 Waiver. The program is active for 5 years from October 1, 2022 through September 30, 2027. See the AHCCCS news release,the CMS announcement and the Targeted Investments (TI 2.0) Proposal.
Health Plan Deliverables
| Name of Report | Deadline | Frequency of Report | Reporting Format | Delivery |
|---|---|---|---|---|
| TI Contacts | Within 15 days of the start of the contract year | Annually | Reporting Form as provided by the Program Administrator | Email Notification to: TargetedInvestments@azahcccs.gov |
| TI Member PCP Assignment | 12th day of each month | Monthly | Reporting Form as provided by the DHCS TI Program Administrator | FTP Server |
| TI Payment Distribution Details | Within 30 days of receipt of TI Payment detail from AHCCCS | Ad Hoc | Reporting Form as provided by the Program Administrator | FTP Server |
| TIP Justice Referral | 12th day of each month | Monthly | Reporting Form as provided by the Program Administrator | FTP Server |
| TI 2.0 Supplemental Encounter File | 12th day of each month | Monthly | Reporting Form as provided by the Program Administrator | FTP Server |
Contact Us
AHCCCS uses Constant Contact to send out notifications and program updates to TI Providers. To make sure that these messages do not end up in your “Promotions” or “Spam” folder, please add the Targeted Investments email address: targetedinvestments@azahcccs.gov to your email address contact list. If your IT systems do not allow emails from Constant Contact as a marketing site, please notify us.
If you have questions or concerns, please contact the AHCCCS Targeted Investments team at targetedinvestments@azahcccs.gov.
Program Integrity
In order to receive a Targeted Investments payment, providers must be in good standing with AHCCCS, including, but not limited to: an active registered provider, and in good financial standing. If a provider is not in good standing with AHCCCS, no payment will be made to the provider, even if the provider previously completed an attestation. If a provider is not in good standing with AHCCCS and a payment is made, AHCCCS is required to recoup the payment.
