Targeted Investments Program 1.0 Overview

The Targeted Investments (TI) 1.0 Program was AHCCCS’ strategy to provide financial incentives to eligible AHCCCS providers to develop systems for integrated care. In accordance with 42 CFR 438.6(c) and the 1115 Waiver, managed care plans were provided financial incentives to eligible Medicaid providers who met certain benchmarks for integrating and coordinating physical and behavioral health care for Medicaid beneficiaries. The 1.0 TI Program aimed to:

1: Reduce fragmentation between acute and BH care. 2: Increase efficiencies in service delivery for members with BH needs by improving integration at the provider leve. 3: Improve health outcomes for members with physical health and BH needs.

CMS Correspondence for TI 1.0

On January 18, 2017, the Centers for Medicare and Medicaid Services (CMS) approved Arizona's request to begin a Targeted Investments Program for $300 million available over five years to Arizona providers who assist the State in promoting the integration of physical and behavioral health care, increasing efficiencies in care delivery, and improving health outcomes. In 2021, CMS approved a Year 6 extension to the original program and updated Waiver and Expenditure Authorities and STCs.