Differential Adjusted Payment Program CYE 2023

Differential Adjusted Payment Program CYE 2023

DAP Program and Health Information Exchange

The Arizona Health Care Cost Containment (AHCCCS) Differential Adjusted Payment aims to distinguish providers that have committed to supporting designated actions that improve patients’ care experience, improve members’ health and reduce cost of care growth. An integral part of the DAP program includes participation in and meeting milestones related to a qualifying health information exchange organization, such as Contexture, Arizona’s sole HIE.

AHCCCS PUBLIC NOTICE

Final Public Notice Posted March 18, 2022:

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LabCorp Authorization Form (to meet COVID reporting requirements):

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COVID-19 Related Milestones Acknowledgement Form:

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COVID-19 Related Milestones Acknowledgement Form SNF:

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LETTERS OF INTENT & SOCIAL DETERMINANTS OF HEALTH REGISTRATION FORMS/SPREADSHEETS – DUE DATE: APRIL 1, 2022

Eligible providers must submit a Letter of Intent for each DAP Program provider type they wish to participate in. An LOI is required in order to participate in the program. If you intend to participate, please complete and return the appropriate LOI template(s) below and send to by April 1, 2022.

Provider types eligible to participate in the Social Determinants of Health  HIE Incentive must complete and return the SDOH Closed-Loop Referral (CLR) Form and SDOH CLR Spreadsheet below and send to DAPHC@contexture.org by April 1, 2022.

If you have questions about the DAP Program for CYE 2023 as it relates to HIE milestones or SDOH milestones, or if your organization has not yet signed an Arizona HIE Participation Agreement, please contact recruitment@healthcurrent.org.

AHCCCS ELIGIBLE PROVIDER TYPES HIE INCENTIVE LOI TEMPLATE SDOH HIE INCENTIVE SDOH REGISTRATION FORM SDOH SPREADSHEET
Hospitals Subject to APR-DRG Reimbursement (Type 02) excluding Critical Access Hospitals

2%

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0.5%

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Critical Access Hospitals (CAH) 8% Download 2% Download Download
Other Hospitals and Inpatient Facilities (Types 71, B1, B3, B5, B6, C4) 2% Download 0.5% Download Download
IHS and 638 Tribally Owned and/or Operated Facilities (Type 02) 2.5% Download
Nursing Facilities (Type 22) 1% Download
Integrated Clinics (Type IC) 1% Download 1% Download Download
Behavioral Health Outpatient Clinics (Type 77) 1% Download 1% Download Download
Behavioral Health Providers (Types A3, A4, A5, A6) 1% Download Download
Physicians, Physician Assistants and Registered Nurse Practitioners, (Types 08, 18, 19, 31) 1% Download Download
Physicians, Physician Assistants and Registered Nurse Practitioners, (Types 08, 18, 19, 31) Specialty Types (Obstetrics and Gynecology, Pediatrics, Cardiology and Nephrology) 1% Download 1% Download Download
Home and Community-Based Services Providers: Assisted Living Centers (Type 49) 1% Download
Home and Community-Based Services Providers (HCBS): Attendant Care (Type 40), Fiscal Intermediaries (Type F1), Habilitation Provider (Type 39), Home Health Agency (Type 23), Non-Medicare Certified Home Health (Type 95), Nurse-RN/LPN Private (Type 46) 2% Download Download
Crisis Capacity Data Exchange: Subacute Facilities (1-16 Beds), Provider Type B5; Subacute Facilities (17+ beds), Provider Type B6; Crisis Services Provider, Provider Type B7 3%

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Download Flyer

WEBINARS & PRESENTATIONS

Watch one of the recorded DAP CYE 2023 webinars or download one of the PowerPoint presentations to learn more about the DAP Program, HIE Milestones, SDOH Milestones and Data Quality Metrics.

AHCCCS ELIGIBLE PROVIDER TYPES

AHCCCS ELIGIBLE PROVIDER TYPES

  • Critical Access Hospitals
  • Hospitals Subject to APR-DRG Reimbursement (Type 02) excluding Critical Access Hospitals
  • IHS and 638 Tribally Owned and/or Operated Facilities (Type 02)
  • Integrated Clinics (Type IC)
  • Other Hospitals and Inpatient Facilities (Types 71, B1, B3, B5, B6, C4)
Download the Presentation
Watch the Recording
  • Behavioral Health Outpatient Clinics (Type 77)
  • Nursing Facilities (Type 22)
Download the Presentation
Watch the Recording
  • Physicians, Physician Assistants and Registered Nurse Practitioners (Types 08, 18, 19, 31)
  • Individual Practitioners (Types 8, 18, 19, 31)
  • Specialty Types (Obstetrics and Gynecology, Pediatrics, Cardiology and Nephrology)
  • Home and Community-Based Services Providers & Assisted Living Centers (Type 49)
Download the Presentation
Watch the Recording

QUESTIONS?

  • Existing HIE Participants should contact their Contexture account manager with questions.
  • If you’re new to the DAP Program or need more information about DAP, please contact our recruitment team at recruitment@healthcurrent.org.

Featured Events

  • CBHC Holds the Largest Behavioral Health Conference in the State of Colorado

    Sep. 21 @ 8:00 am - Sep. 24 @ 5:00 pmCategories:
  • The HIE 3.0 Navigation & Features webinar is offered to to new and existing AZHIE Participants & their staff.

    Sep. 29 @ 1:00 pm - 2:00 pmCategories:
  • Contexture, Arizona's HIE, invites you to a monthly webinar to see the features of the HIE and watch a live demo of it's capabilities.

    Oct. 13 @ 12:00 pm - 12:45 pmCategories:
  • 1st Annual Colorado HIE Summit

    If you’re currently a Contexture Colorado HIE participant or stakeholder or interested in learning more, you won’t want to miss this event!

    Oct. 25 @ 8:00 am - 5:00 pmCategories: ,
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