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.

The TI 2.0 Program Whole Person Care Initiatives

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
TI 2.0 APPLICATIONS: TI 2.0 applications were due at 5 p.m. (MST/AZ Time) October 20, 2023. The application period is closed.

Providers that submitted an application in Year 1 are able to apply for an additional area of concentration in Year 2. Please 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 MILESTONES: All TI 2.0 participating organizations will need to complete Year 2 and Year 3 milestones to earn incentive payment. Each milestone will count towards a percentage of payment. Payment weighting per milestone will be available on the TI Website by March 29, 2024. Contact the AHCCCS TI team at targetedinvestments@azahcccs.gov for milestone questions.

Year 2 & Year 3 TI 2.0 Milestones by Area of Concentration:

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.

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

SAVE THE DATE: Block off your calendar for two Quality Improvement Collaborative (QICs) sessions this program year hosted by the Targeted Investments Program Quality Improvement Collaborative (TIPQIC). Participation in QICs is required for a portion of the TI incentive payment. More information will be provided via email in March. Sign up and registration links will be available on the TIPQIC website.

TI Year 2 QICs will be held virtually:

  • May 9, 2024 from 11:30 AM to 1:00 PM
  • August 8, 2-24 from 11:30 AM to 1:00 PM

TI 2.0 PARTICIPANT CONTACT INFORMATION: All participating organizations must complete the TI Contact Information Form. Participants are responsible for using the form to make updates as team members change. The form collects up to four individuals’ names, emails, and phone numbers for each of the four categories of contacts:

  • Authorized User(s): Individual(s) who will be responsible for the accuracy of each attestation and serves as the primary point of contact for payment-related information and post-pay audits.
  • Project Manager(s): Individual(s) who are responsible for TI program related logistics and communications. They serve as the main point of contact for the TI Program at their organization.
  • Billing & Credentialing Contact(s): The Billing/Credentialing Contact(s) are the individuals responsible for AHCCCS Provider Enrollment.
  • General Contact(s): Additional Individuals who want to stay up to date with their organization’s participation in the TI Program. Communication is limited to TI program news and performance updates.
TI 1.0
Eligible Year 6 participants can expect Year 6 payment in the next few months. AHCCCS will email the organization’s Authorized User(s) as soon as the calculations are finalized.
Looking for ways to improve patient outcomes and your performance on TI measures? Check out the Performance Improvement page on the TIPQIC.org website.

TI 2.0 Program Quick Links


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
Integrated Outpatient Clinics

Non-Integrated Primary Care Outpatient Clinics

Non-facility PCP Providers Working In the Clinics
MD-Physician
DO-Physician Osteopath
Registered Nurse Practitioner
Physicians Assistant
*Obstetrician and gynecologist practices*
Integrated Outpatient Clinics

77-Behavioral Health Outpatient clinics

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
Integrated Settings

Integrated Outpatient Clinics
Federally Qualified Health Centers
Rural Health Centers

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.

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.


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.