Differential Adjusted Payment Program CYE 2024
Differential Adjusted Payment Program CYE 2024
DAP Program & Health Information Exchange
The Arizona Health Care Cost Containment (AHCCCS) Differential Adjusted Payment aims to distinguish providers that have committed to supporting designated actions to 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 HIE.
The program has proven to be a success and continues to expand to include new provider groups across the state for related DAP requirements within:
- Health information exchange (HIE)
- Arizona Healthcare Directives Registry (AzHDR)
- Social determinants of health (SDOH) – CommunityCares
- Crisis providers
AHCCCS Public Notice
Scope of Work (SOW)
Due: April 1, 2023
Scope of Work (SOW)
Eligible providers must submit a Scope of Work (SOW) for each DAP Program provider type they wish to participate in. A SOW is required in order to participate in the program. If you intend to participate, Contact Contexture or your Quality Improvement (QI) Advisor to complete and return your SOW and provider forms. If you do not know your QI Advisor, email DAP@contexture.org.
If you have questions about the DAP Program for CYE 2024 as it relates to HIE milestones, AzHDR, SDOH or Crisis Provider milestones, or if your organization has not yet signed an Arizona HIE Participation Agreement, please contact DAP@contexture.org.
| AHCCCS ELIGIBLE PROVIDER TYPES | HIE INCENTIVE | AzHDR INCENTIVE | SDOH INCENTIVE | CRISIS PROVIDERS INCENTIVE |
|---|---|---|---|---|
| Hospitals Subject to APR-DRG Reimbursement (Type 02) excluding Critical Access Hospitals |
1.5% |
0.5% |
0.5% | — |
| Critical Access Hospitals (CAH) | 8.0% | 1.0% | 1.0% | — |
| Other Hospitals and Inpatient Facilities (Types 71, B1, B3, B5, B6, C4) | 1.5% | 0.5% | 0.5% | — |
| IHS and 638 Tribally Owned and/or Operated Facilities (Type IHS/638) | 1.5% | 0.5% | 0.5% | — |
| Nursing Facilities (Type 22) | 0.5% | 0.5% | — | — |
| Behavioral Health Outpatient Clinics and Integrated Clinics (Types 77, IC) | 1.0% | — | — | — |
| Physicians, Physician Assistants and Registered Nurse Practitioners, (Types 08, 18, 19, 31) | — | — | 1.0% | — |
|
Specialty Types: Obstetrics and Gynecology, Pediatrics, Cardiology and Nephrology (Types 08, 18, 19, 31) |
1.0% | — | — | — |
| Behavioral Health Providers (Types A3, A4, A5, A6) | — | — | 1.0% | — |
| Home and Community Based Services Providers (Types 23, 49, *39, *40, *46, *95, *F1) | 1.0% | — | *2.0% | — |
| Crisis Providers
(Types B5 – B7, **71, **77, **IC) |
— | — | — | 3.0% |
*Not Eligible for HIE, Only SDOH
**With a Crisis Bed Registry SOW signed by 12/31/22
Webinar Recording & Presentation
To learn more about the DAP Program, HIE Milestones, AzHDR, SDOH and Crisis Provider Milestones and Data Quality Metrics. Click on the PowerPoint presentation or video archive.
DAP CYE 2024 Presentation: Click Here
DAP CYE 2024 Video Recording: Click Here
Questions?
- Existing HIE Participants should contact their Contexture quality improvement advisor with questions.
- If you’re new to the DAP Program or need more information about DAP, please contact our QI team at DAP@contexture.org.
Featured Events
Contexture, Arizona’s health information exchange (HIE), is offering webinars for the HIE 3.0 Navigation and Features to new and existing AZHIE Participants and their staff.
Contexture, Arizona’s health information exchange (HIE), is offering webinars for the HIE 3.0 Navigation and Features to new and existing AZHIE Participants and their staff.
Contexture, Arizona’s health information exchange (HIE), is offering webinars for the HIE 3.0 Navigation and Features to new and existing AZHIE Participants and their staff. The webinar will cover services offered by Arizona’s HIE including: Navigation and features of HIE 3.0 Security best practices Support Be sure to take advantage of this opportunity to ...
