TI 2.0 - FAQs

Contact the Targeted Investments team if you can’t find an answer to your question below.

TI 2.0 Program Operations:

• Q1: How will providers participate in TI 2.0?
• Q2: How many years will the TI 2.0 program be active?
• Q3: How will participation at the organization level (Tax ID level) work if we have multi specialties under one TIN?
• Q4: If my organization has more than one Tax ID Number, do I need more than one User Acceptance Agreement Forms (TI Authorized User Form)?
• Q5: Who needs to sign the TI 2.0 Authorized User From? Can more than 1 person be an authorized user?
• Q6: How much incentive payment can a participant expect to receive?
• Q7: When can TI 2.0 participants anticipate Year 1 payment?
• Q8: When are QIC meetings?
• Q9: Are QIC meetings mandatory?
• Q10: What percentage of incentive payment does attendance at the TI 2.0 Kick Off Meeting account for (occurred on February 5, 2024)?
• Q11: Am I required to meet all milestones to earn payment each year?
• Q12: When will the performance measures be finalized?
• Q13: What milestones are TI 2.0 Participants expected to complete each year?

Application/Attestation:

• Q14: When is the TI 2.0 Year 2 application and attestation process going to begin?
• Q15: What is the difference between the application and attestation processes in TI 2.0?
• Q16: How often do TI organizations need to submit an application??
• Q17: I have more than 1 TIN in my organization, can I submit the application for both using the same AHCCCS Online account?
• Q18: I’m not a TI 2.0 participant. Is it too late to apply?
• Q19: I’m a TI 2.0 participant. Is it too late to add a new area of concentration?

TI 2.0 Year 1 Participation:

• Q20: Who is eligible to participate in TI 2.0?
• Q21: Do all providers/sites within a TIN have to participate?
• Q22: Will new clinics be able to participate in the TI 2.0 BH and PCP program?
• Q23: What are eligible provider types for TI 2.0?
• Q24: What are the TI 2.0 EHR Requirements?
• Q25: How do I know if my EHR is capable of bi-directional data exchange with the Contexture HIE?
• Q26: Does my EHR system need to be connected to the HIE to participate in TI 2.0?
• Q27: Is there a contact with the HIE Contexture that we can have direct access to?
• Q28: Can organizations add a new clinic during Year 1 or do they have to join Year 2?
• Q29: What does good financial standing mean?

FAQ: Answers

TI 2.0 Program Operations

• Q1: How will providers participate in TI 2.0?

  Q1 Answer: PCP and BH providers will apply for TI 2.0 at the organization Tax ID (TIN) level. All eligible AHCCCS outpatient sites operating under the TIN will be expected to adopt and meet the requirements of the TI 2.0 initiatives that the TIN attests to completing each year.

• Q2:How many years will the TI 2.0 program be active?

  Q2 Answer: Five years.

• Q3: How will participation at the organization level (Tax ID level) work if my organization has multiple specialties clinics under one TIN?

  Q3 Answer: Organizations will select the TIN’s non-specialty clinics (those best suited to participate in the program) that are enrolled with AHCCCS at time of attestation.

  See list of provider types that are eligible to participate in TI 2.0 on the TI website.

• Q4: If my organization has more than one Tax ID Number (TIN), do I need more than one User Acceptance Agreement Forms (TI Authorized User Form)?

  Q4 Answer: Yes. Each TIN must have at least one Authorized User that is directly employed by the organization. Organizations are allowed to have multiple Authorized Users for their organization. Authorized users are responsible for incentive payment logistics, attestation, and interfacing with AHCCCS regarding post-pay audits when necessary.

  If you need to be an authorized user for your organization, please download the form, review it, sign it, and email it to targetedinvestments@azahcccs.gov.

• Q5: Who needs to sign the TI 2.0 Authorized User From? Can more than 1 person be an authorized user?

  Q5 Answer: Authorized Users must be directly employed by the organization. They are responsible for incentive payment logistics, attestation, and post-pay audits when necessary.

  Organizations are allowed to have multiple Authorized Users for their organization.

  If you need to be an authorized user for your organization, please download the form, review it, sign it, and email it to targetedinvestments@azahcccs.gov.

  Download TI User Agreement Form (Authorized User Form)

• Q6: How much incentive payment can a participant expect to receive?

  Q6 Answer: The TI 2.0 program was approved for $250M for 5 years. The amount each participant receives depends on the size of the organization and the organization’s performance on core components and milestones relative to all other participants. Therefore, we are unable to estimate any annual incentive payment for a specific provider until the final payment is calculated.

• Q7: When can TI 2.0 participants anticipate Year 1 payment?

  Q7 Answer: Eligible TI 2.0 participants can expect Year 1 payment in Fall 2024. Participants can help expedite this process by ensuring AHCCCS Provider Enrollment (i.e., APEP), ADHS licensure (when applicable) and the NPPES Registry have matching information for participating clinics. Discrepancies must be resolved prior to payment calculation.

• Q8: When are QIC meetings?

  Q8 Answer: QICs for Year 2 of the TI 2.0 Program will be held virtually on the following dates:

  • May 9, 2024 from 11:30 AM to 1:00 PM
  • August 8, 2024 from 11:30 AM to 1:00 PM

  The registration links will be available on the TIPQIC website. Contact the TIPQIC team at TIPQIC@asu.edu for questions related to QIC meetings.

• Q9: Are QIC meetings mandatory?

  Q9 Answer: No, but they are an incentivized milestone. Virtual attendance, in addition to other requirements listed in Core Component 1, is required to satisfy the QIC milestone. Organizations that do not satisfy the QIC milestone will forfeit the associated incentive.

• Q10: What percentage of incentive payment does attendance at the TI 2.0 Kick Off Meeting account for (occurred on February 5, 2024)?

  Q10 Answer: Organizations are eligible to receive 5% of their full Year 2 TI incentive payment if at least one representative attended the meeting on February 5th, 2024. There is no opportunity to make up for this activity.

• Q11: Am I required to meet all milestones to earn payment each year?

  Q11 Answer: No. Each milestone is weighted, so each milestone attained will secure a portion of that year’s payment. Incentive payments will be structured and administered similar to the TI 1.0 program. Visit the TI website for additional information.

• Q12: When will the performance measures be finalized?

  Q12 Answer: As soon as possible. Unlike the prior program, TI 2.0 requires CMS to approve the incentivized metrics prior to implementation. AHCCCS continues to work with Federal partners to finalize meaningful measures in a timely manner. If the measures are not finalized before Year 3, attaining performance targets will not affect payment until Year 4.

• Q13: What milestones are TI 2.0 Participants expected to complete each year?

  Q13 Answer: Milestones vary based on the area of concentration. Milestones are published on the TI Webpage.

Application/Attestation:

• Q14: When is the TI 2.0 Year 2 application and attestation process going to begin?

  Q14 Answer: Fall 2024

• Q15: What is the difference between the application and attestation processes in TI 2.0?

  Q15 Answer: The application refers to the process of completing an annual TI 2.0 application through the AHCCCS Online TI 2.0 Application Portal. Organizations must be prepared to select clinics (including new clinics) that they would like to participate in the program. They need to confirm that their AHCCCS provider enrollment clinic information is accurate, this includes checking that providers current and ongoing certification or licensure are active. Organizations also must have documentation required for milestones and attestation. Each year organizations will receive email notifications in advance specifying the portal open and close dates.

  Attestation is an annual process where participants log into AHCCCS Online TI 2.0 Application Portal and select the completed milestones and upload supporting documentation for that program year. These milestones are legally binding and correspond directly with payment. Attestation is mandatory to receive the incentive payment. In the event of the Office of Inspector General (OIG) audit, participants may be audited. Participants are required to keep all documents and attestation records on file for a minimum of 7 years.

• Q16: How often do TI organizations need to submit an application?

  Q16 Answer: TI organizations will complete the application and attestation on an annual basis. This process is required to receive the TI Incentive Payment.

• Q17: I have more than 1 TIN in my organization, can I submit the application for both using the same AHCCCS Online account?

  Q17 Answer: No, each TIN needs a separate AHCCCS Online Account and login credentials.

  For assistance, please contact the Customer Support Center by emailing your request to servicedesk@azahcccs.gov. Please do not include personal or sensitive information such as usernames or passwords.

• Q18: I’m not a TI 2.0 participant. Is it too late to apply?

  Q18 Answer: Yes, the application period is closed. TI 2.0 applications were due at 5 p.m. (MST/AZ Time) on October 20, 2023.

• Q19: I’m a TI 2.0 participant. Is it too late to add a new area of concentration?

  Q19 Answer: No. Providers that submitted an application in Year 1 are able to apply for an additional area of concentration in Year 2. Contact the TI team if you are interested in this opportunity. This opportunity will not be available in Years 3, 4, or 5.

TI 2.0 Participation:

• Q20: Who is eligible to participate in TI 2.0?

  Q20 Answer: TI 2.0 will be limited to organizations with Medicaid-facing outpatient primary care and behavioral health clinics (adults and pediatrics). With the exception of one program (Adults Transitioning from the Criminal Justice System), FQHCs and RHCs will not be eligible to participate in either cohort. View eligible provider types on the TI Program Overview webpage. View criteria to apply on the TI 2.0 application requirements webpage.

• Q21: Do all providers/sites within a TIN have to participate?

  Q21 Answer: No. Due to the population-health initiatives, AHCCCS encourages all eligible outpatient clinics under the TIN to participate in the program. Applicants will have the ability to exclude settings where coordination of whole-person-care may not be applicable, such as some specialty clinics.

• Q22: Will new clinics be able to participate in the TI 2.0 BH and PCP program?

  Q22 Answer: Yes. Organizations can include all outpatient clinics under the TIN that meet provider type requirements (per area of concentration). Organizations can add new BH and PCP clinics through Year 2. After Year 2 of TI organizations cannot add new BH and PCP clinics.

• Q23: What are eligible provider types for TI 2.0?

  Q23 Answer: Visit the TI 2.0 website homepage and select the dropdown menu options labeled “Eligible Provider Types” to see the full list of provider types.

• Q24: What are the TI 2.0 EHR Requirements?

  Q24 Answer: Participants must have an EHR system capable of bi-directional exchange of a core data set with Contexture’s new 3.0 HIE platform and commit to connecting to the new platform once available

• Q25: How do I know if my EHR is capable of bi-directional data exchange with the Contexture HIE?

  Q25 Answer: First- check with your IT department.If you already have a relationship with Contexture, contact your Contexture Account Representative. Otherwise, lookup your EHR system in the Certified Health IT database and determine if the “Certification Criteria” includes 170.315 (B)(4): COMMON CLINICAL DATA SET SUMMARY RECORD - CREATE and 170.315 (B)(5): COMMON CLINICAL DATA SET SUMMARY RECORD - RECEIVE.

• Q26: Does my EHR system need to be connected to the HIE to participate in TI 2.0?

  Q26 Answer: Not immediately. The organization must plan to connect to the new HIE platform once it is available (anticipated 2025).

• Q27: Is there a contact with the HIE Contexture that we can have direct access to?

  Q27 Answer: Your Contexture Account Manager can best assist with Contexture-related questions. If you don't have one, or you're not clear who this may be, contact their general inbox: helpdesk@contexture.org.

• Q28: Can organizations add a new clinic during TI 2.0 Year 1 and receive payment?

  Q28 Answer: If a clinic opens after TI 2.0 Year 1 (9/30/2023), organizations need to wait until Year 2 (9/30/2024) to add it as a participating clinic. Clinics open after Year 1 will not receive Year 1 payment until Year 2.

• Q29: What does good financial standing mean?

  Q29 Answer: Generally speaking, an agency is in "good financial standing" if there is no reason AHCCCS wouldn't pay them for services. An agency isn't in good financial standing if there are any divisions of AHCCCS with quality, compliance, financial or program integrity concerns about the agency at the time of inquiry. An agency may move in and out of good financial standing with AHCCCS and it may or may not lead to an official AHCCCS action being taken against the agency.