TI 2.0 Program Eligibility & Payment

The Targeted Investments Program (TI 2.0) eligibility and payment are assessed each year. Participating TI 2.0 Organizations must meet eligibility requirements; process requirements, milestones requirements and performance measures; as well as AHCCCS thresholds to be considered for payment. TI 2.0 participants must demonstrate compliance with eligibility criteria by completing the annual application process through the AHCCCS Online TI 2.0 Application Portal at the end of each program year. The TI 2.0 Program applies to ACC and ACC-RBHA lines of business and is for 5 years beginning October 1, 2022, ending September 30, 2027.

Eligibility Requirements

Be in good financial standing with AHCCCS and maintain active status in the AHCCCS Provider Enrollment Portal (APEP).

  • Participating TI 2.0 Organizations must be an active, registered provider with AHCCCS and must be in good financial standing with AHCCCS. If a provider is not in good financial 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.
  • Participating TI 2.0 Organization must not be under active suspension or termination. To view active suspensions or terminations, visit the Provider Suspensions and Terminations page.
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)

Maintain accurate clinic information on the National Plan and Provider Enumeration System (NPPES).

Maintain commitment to adopt the new Health Information Exchange and bidirectional data sharing.

Year 1 (October 1, 2022 – September 30, 2023) Year 2 (October 1, 2023 – September 30, 2024)
Year 3 (October 1, 2024 – September 30, 2025)		 Year 4 (October 1, 2025 – September 30, 2026)
Year 5 (October 1, 2026 – September 30, 2027)
All participating TI 2.0 organizations completed either a Scope of Work with Contexture OR Health Information Exchange (HIE) Commitment Letter during the application process All TI 2.0 Participants committed to the following:
  • Electronic Health Record (EHR) System Requirement: No later than 9/30/2025, all participating clinics under the participating Tax ID will implement an EHR system capable of sending and receiving data from Contexture.
  • Health Information Exchange (HIE) Requirement: By 9/30/2025, or within one year of Contexture’s new platform availability (whichever is later), all participating clinics under the participating Tax ID will achieve bi-directional data sharing with the new HIE platform.
  • Submit Year 2 and Year 3 application in the AHCCCS Online TI 2.0 Application Portal:
    • Attest that your organization is meeting or is on track to meet the EHR System requirement and the HIE requirement by 9/30/2025
 All TI 2.0 Participants are required to maintain the following commitments:
  • Maintain Electronic Health Record (EHR) System Requirement for all participating clinics under the enrolled Tax ID must maintain an EHR system that can send and receive data with Contexture through 9/30/2027.
  • Maintain Health Information Exchange (HIE) Requirement: All participating clinics under the enrolled Tax ID will maintain bi-directional data sharing with Contexture through 9/30/2027
  • In the Year 4 and Year 5 applications within the AHCCCS Online TI 2.0 Application Portal, participants must attest that their organization is meeting the EHR System requirement and is committed to maintaining it through 9/30/2027.

Milestones and Performance Measures

In addition to fulfilling overall program and payment eligibility criteria, participating TI 2.0 Organizations must meet milestone and performance measure requirements specific to each program year.

All participating TI 2.0 organizations will need to complete milestone requirements to earn incentive payment.

Each milestone has a payment percentage allocation for each Core Component (initiative) per area of concentration (AOC). The values signify the percentage of payment that will be allocated to the milestone per AOC each year.

Participating TI 2.0 Organizations must satisfy all of the milestones for each AOC in a program year to receive the full payment.

Although strongly encouraged, participants are not required to meet all milestones each year. Participants that do not meet at least one milestone in each TI Program Year will be removed from the TI program. Each milestone is associated with a percentage of payment, and failing to meet a milestone will forfeit that portion of that year’s payment.

Year 1 (10/1/2022 - 9/30/2023)
Participating TI 2.0 Organizations in Primary Care and Behavioral Health were required to complete process requirements. Justice participants were required to submit Commitment Letters.
Year 2 (10/1/2023 - 9/30/20234
Participating TI 2.0 Organizations were required to complete at least one milestone.
Year 3 (10/1/2024 - 9/30/2025)
Participating TI 2.0 Organizations must complete at least one milestone.
Year 4 (10/1/2025 - 9/30/2026)
Participating TI 2.0 Organizations must complete at least one milestone and meet performance measure targets.
Year 5 (10/1/2026 - 9/30/2027)
Participating TI 2.0 Organizations must complete at least one milestone and meet performance measure targets.

Payment By Program Year

Payment methodologies vary by participating program type.

Participation is limited to organizations that serve a relatively large number of AHCCCS members to ensure meaningful incentives and broad member impact. Organizations are evaluated per Managed Care Organization (MCO).

The TI 2.0 Program applies to ACC and ACC-RBHA lines of business.

Year 1

Payment Timeline:

  • Organizations that applied by September 30, 2023 were required meet eligibility criteria and submit baseline deliverables to be accepted into the program.
  • Completion of these requirements was necessary to remain eligible for Year 1 payment.
  • July 17, 2025: AHCCCS sent payment notifications to eligible TI 2.0 participants.
  • August 1, 2025: Managed Care Organizations (MCOs) received payment notifications.
  • August 31, 2025: Final deadline for MCOs to distribute payments to providers (within 30 days of receipt).
  • Year 1 Justice Only: The TI 2.0 Justice incentive payment is calculated per clinic, with “Primary” clinics receiving a one-time block payment in their first year based on available wrap-around services.

Year 2

Payment Timeline:

  • Year 2 application is closed.
  • Organizations were able to add new TINs for participation until the application closed.
  • Payments are anticipated to be distributed in 2026, with notifications sent to Authorized Users and Delegates. Register for the TI Program Newsletter to receive the latest program updates. Submit a Support Ticket to ensure contact information is current and key individuals receive updates.

Year 3

Payment Timeline:

  • Year 3 application will open in 2026.
  • Payments are anticipated to be distributed in 2027, with notifications sent to Authorized Users and Delegates. Register for the TI Program Newsletter to receive the latest program updates. Submit a Support Ticket to ensure contact information is current and key individuals receive updates.
  • No new organizations (TINs) can apply for Year 3 of the TI 2.0 Program. New TINs cannot be considered for payment.
  • Organizations cannot add new Areas of Concentration for payment.

Year 4

Payment Timeline:

  • Payments are anticipated to be distributed in 2028, with notifications sent to Authorized Users and Delegates. Register for the TI Program Newsletter to receive the latest program updates. Submit a Support Ticket to ensure contact information is current and key individuals receive updates.
  • No new organizations (TINs) can apply for Year 4 of the TI 2.0 Program. New TINs cannot be considered for payment.
  • Organizations cannot add new Areas of Concentration for payment.

Year 5

Payment Timeline:

  • Payments will be distributed in 2029, with notifications sent to Authorized Users and Delegates. Register for the TI Program Newsletter to receive the latest program updates. Submit a Support Ticket to ensure contact information is current and key individuals receive updates.
  • No new organizations (TINs) can apply for Year 5 of the TI 2.0 Program. New TINs cannot be considered for payment.
  • Organizations cannot add new Areas of Concentration for payment.

The Payment Team Review Process

The TI 2.0 Program Payment Team follows a structured process to validate eligibility. Contact the TI Team at targetedinvestments@azahcccs.gov for questions.

TIN Review

Confirm the Tax Identification Number (TIN) is eligible, active, and in good standing with AHCCCS Provider Enrollment.

Provider Type Review

Ensure applications are matched to the correct provider type(s) for the Area of Concentration (BH, PCP, Justice).

Site-Level Review (By TIN and Address)

Validate site participation using NPI, APEP, licensure, and TI Application Portal Submissions.

Threshold Eligibility Criteria Evaluation

TIN Level (Organizational) Threshold - Participation is limited to organizations that serve a relatively high volume of qualifying primary care health outpatient or behavioral health outpatient services to ACC and ACC-RBHA members during the most recent program year. This ensures meaningful incentives and broad member impact. Thresholds are evaluated individually per Managed Care Organization (MCO) and per TIN.

MCO Threshold - AHCCCS TI 2.0 Program process requires that TI Program payments must exceed $200 per MCO payment.

Eligible Provider Types by Area of Concentration

  • Behavioral Health (BH): The number of qualifying BH outpatient service units provided to ACC and ACC-RBHA members during the fiscal year evaluated.
  • Primary Care (PCP): The number of qualifying unique AHCCCS members served under ACC and ACC-RBHA during the fiscal year evaluated. Note that CMS now requires that this be determined based on utilization, rather than attribution.
  • Justice Clinics (Justice): The number of unique AHCCCS members served. Year 1 payments were Block payments for eligible “Primary” clinics.

Health Plans Distribute Payment

Incentive payments are calculated for each site within a participating organization and then totaled by provider type. The total payment is distributed through TI organization’s contracted AHCCCS ACC and ACC-RBHA Managed Care Organizations (MCOs) based on each MCO’s proportion of service utilization (BH, PCP, or Justice).

The TI Incentive is not a grant. Unlike a grant, participants have full discretion over how the earned incentive payments are used. There are no restrictions on expenditures, and participants are not required to report spending details to AHCCCS.

The Targeted Investments team is unable to estimate payment amounts in advance, therefore, a request to preview payments cannot be fulfilled. Eligible participants will be notified of their incentive amounts as soon as calculations are complete.

Contracted MCOs are expected to issue incentive payments within 30 days of receiving the allocated funds. It is the responsibility of each participating organization to promptly communicate any changes that may impact eligibility, payment, or program participation. This includes updates to site information, contracted health plans, or organizational structure. Timely communication ensures accurate payment processing and continued program compliance.