Year 2 Application
To qualify for payment, participating organizations must submit a Year 2 application for the TI 2.0 Program through the AHCCCS Online TI 2.0 Application Portal by January 10, 2025 at 5 p.m.
Organizations are encouraged to prepare for the Year 2 application by completing the following tasks (if applicable):
- Finalize milestone documentation specified on the TI 2.0 Milestone Resources website and rename the documents to align with Document Validation naming conventions guidance.
- Ensure that your organization is meeting the program requirements.The TI 2.0 Eligibility Requirements website details the EHR/HIE commitment and Year 1 processes that must be implemented by 10/20/2024. Participants that submitted an application in Year 1 via portal or email may change the originally selected eligibility processes and/or add a new area of concentration (new eligibility processes) during the Year 2 application process.
- Confirm staff can access the AHCCCS Online TI 2.0 Application Portal.
- Confirm accuracy and consistency of each participating facility’s information in the AHCCCS Provider Enrollment Portal, ADHS Licensure, and the NPI registry. Specifically:
- Review NPI guidelines to create a new facility NPI(s) (if needed). If a facility NPI is not needed, add all clinic locations to the “secondary location” of the group/organization NPI in the NPPES NPI Registry. Email the Enumerator for any related questions: customerservice@npienumerator.com.
- Review current AHCCCS enrollment via AHCCCS Provider Enrollment Portal (APEP) and ensure effective dates and service addresses are accurate for each facility and individual provider. Submit an enrollment application for any licensed clinics not already enrolled with AHCCCS.
- Unlicensed PCP facilities only: Review ADHS Health Care Institution Exemption Attestation Form and apply for a facility license(s) as needed. AHCCCS will follow-up with participants if applicable.
Year 2 Application Resources
Participants are encouraged to use the Year 2 Application Desk Aid to submit the application.
Participants must submit an updated EHR Commitment Letter and TI Participant User Acceptance Agreement Form with the application.
- The form must be signed by the Authorized Signatory who is an executive or administrator responsible for TI attestation. 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.
- New in Year 2: Additional individuals privy to payment-related information can be added as a Delegate. Delegates are not required. Organizations are able to change the Authorized Signatory and/or Delegates by logging into their AHCCCS Online TI 2.0 Portal at any time.
