TI 2.0 Year 2 Requirements

All TI 2.0 applicants must complete a TI Authorized User Agreement Form. It must be signed by a CEO or project manager directly employed by the organization. The signatory is responsible for the accuracy of each attestation and serves as the primary point of contact for payment-related information and post-pay audits. Additional individuals privy to payment-related information can be added at the bottom of the form.

Eligibility Requirement: Health Information Exchange (Contexture)

Year 1 (October 1, 2023 – September 30, 2024)

Year 2 (October 1, 2023 – September 30, 2024) Year 3 (October 1, 2024 – September 30, 2025)

All 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

Bi-directional Data Exchange Requirements

Bi-directional Data Exchange between AHCCCS TI 2.0 Program participants and Contexture is defined as a TI participant sending patient health information to Contexture and the TI participant receiving patient health information from Contexture. Bi-directional data exchange is considered complete when both of these components have been operationalized by the TI participant utilizing any combination of the following standards and services:

1. Standards
1. HL7 v2 – can be used to send and/or receive patient information
2. HL7 v3 - can be used to send and/or receive patient information
3. C-CDA - can be used to send and/or receive patient information
4. Query-Response - can be used to receive patient information
2. Services
1. Provider Portal - can be used to receive patient information
2. Alerts & Notifications - can be used to receive patient information

A Medicaid Provider Enrollment with the appropriate licensure & enrollment type(s) are required to determine Medicaid eligibility and TI Program eligibility.

BH Outpatient Clinics [Provider Type 77] whose services are limited to crisis line call centers do not provide the range of services necessary to meet the Targeted Investments requirements and are not eligible to participate in the TI Program.

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.

1. Primary Care Provider Eligibility Requirements: To participate in the TI Program, Primary Care Provider sites must have a minimum threshold of assigned AHCCCS members across all health plans with which they are contracted. Applicants are encouraged to contact their AHCCCS Complete Care health plans to ensure mutual understanding of the PCP assignment panel. Applicants must ensure that the PCPs with assigned membership are actively enrolled with AHCCCS. Members assigned to disenrolled PCPs or PCPs that no longer work for the organization will not be counted.
2. Behavioral Health Provider Eligibility Requirements: To participate in the TI Program, Behavioral Health providers must have delivered a relatively large number of qualifying behavioral health outpatient services to ACC members during a recent 12-month period.