TI 2.0 Payment
| Payment By Year | |
|---|---|
| Year 1 | TI Incentive payments are made to eligible participants contingent upon meeting annual program requirements. Participating organizations that apply for the TI 2.0 program must meet eligibility criteria and submit baseline deliverables to be accepted into the TI 2.0 program and receive Year 1 payment. The Year 1 incentive payment will be distributed in early 2024. |
| Year 2 & Year 3 | Eligible participants must satisfy at least one process-milestone deliverable to qualify for TI 2.0 incentive payments in Year 2 and Year 3. The Year 2 incentive will be released in the Fall of 2025, and Year 3 incentives will be disbursed in the Fall of 2026. |
| Year 4 & Year 5 | Eligible participants must meet or exceed their annual performance measure targets to qualify for the incentive in Year 4 and Year 5. The Year 4 incentive will be distributed in the Fall of 2027, and the Year 5 incentive will be distributed in the Fall of 2028. |
The TI team cannot estimate payment, therefore a request to preview payment amounts cannot be completed. The team will send out payment amount notifications to eligible participants after final payment is calculated. Eligible participants can expect to receive a payment notification a few weeks prior to when it is dispersed.
Payment by Program Type
For both Primary Care and Behavioral Health: The incentive payment calculated for each site in a participating organization is totaled. The total is allocated to the organization’s contracted AHCCCS MCOs proportionate to each plan’s service utilization as a percent of the total service utilization paid by the organization’s contracted MCOs. AHCCCS instructs each of the organization’s contracted plans to make the specified payment to the organization.
Payment structure for Primary Care includes:
- Number of AHCCCS members assigned to providers in the practice by contracted AHCCCS Complete Care MCOs as of the last day of the Program Year; and
- Milestones attested to and validated, each weighted to a relative value based level resources needed.
Payment structure for Behavioral Health includes:
- Number of qualified service units provided during the previous Program Year based on per site [identified by the participating AHCCCS provider ID#] encounters with its contracted AHCCCS Complete Care MCOs; and
- Milestones attested to and validated, each weighted to a relative value-based level resources needed.
TIP Justice Payment
For TIP Justice, the incentive payment calculated for each site factors in the number of unique justice-involved individuals. AHCCCS instructs each of the organization’s contracted plans to make the specified payment to the organization.
Payment structure for TIP Justice includes:
- Number of unique justice-involved adult members served by the clinic during the program year; and
- Milestones attested to and validated, each weighted to a relative value based level resources needed.
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.
