TI 2.0 Application Requirements
The deadline to submit an application for the TI 2.0 program is September 30, 2023 by 5 p.m. (MST/ AZ time). Applicants must submit through the AHCCCS Online Portal TI Application Portal. The TI 2.0 Application Portal will be available in Summer 2023 (sign up for the Newsletter to be notified).
The link to the TI 2.0 Application Portal will only be visible to the organization’s Master Account Holder or another AHCCCS Online User that is granted access by the Master Account Holder. Please note that Master Accounts are locked after 90 days of inactivity; Individual Accounts are deleted after 120 days of inactivity. If there are no active Master Accounts or User Accounts to promote, applicants must register for a new AHCCCS Online account at least a month prior to the application deadline to receive the authentication code via postal mail.
Eligibility Requirements by Area of Concentration
|Primary Care Project: Adult|
|Outpatient Behavioral Health Project: Adult|
|Primary Care Project: Pediatric|
|Outpatient Behavioral Health Project: Pediatric|
|Adult Ambulatory: Criminal Justice Focused|
|6/30/2023:||Submit a Provider Interest Form no later than 6/30/2023 to request justice partnership concept, use-case, or negotiation review (TIP Justice 2.0 applicants only).|
|8/30/2023:||Submit TI 2.0 application no later than 8/30/2023 through the AHCCCS Online portal for prioritized document review and application submission assistance. Prioritized document review allows the opportunity to resubmit with corrections.|
|9/25/2023:||Submit provider interest form no later than 9/25/2023 to request application submission assistance. This will not include document review.|
|9/30/2023:||Submit application through AHCCCS Online portal with all required documentation by 5 p.m. (MST/ AZ Time), applicants must have an EHR system capable of bidirectional data exchange and related scope of work with the HIE (Contexture).|
|12/29/2023:||Acceptance letters will be sent by December 2023. Participants must meet baseline deliverables and be accepted into the TI 2.0 program to receive Year 1 payment. Year 1 incentive payment will be received in early 2024.|
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.
AHCCCS Threshold Requirements
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 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.
- 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.
Qualified applicants will ensure all participating clinics under the TIN are using an EHR system capable of bi-directional data exchange with the HIE (Contexture) that is either:
- Transmitting data on a core data set for all AHCCCS members to the HIE as of 9/30/2023, or
- Under a signed Scope of Work with Contexture and will accomplish this by 9/30/2024.
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:
- HL7 v2 – can be used to send and/or receive patient information
- HL7 v3 - can be used to send and/or receive patient information
- C-CDA - can be used to send and/or receive patient information
- Query-Response - can be used to receive patient information
- Provider Portal - can be used to receive patient information
- Alerts & Notifications - can be used to receive patient information