Differential Adjusted Payment Program CYE 2026
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)
- HIE Data Quality
- Social Determinants of Health (SDOH) – CommunityCares
- Crisis Providers
AHCCCS Public Notice
The Preliminary Public Notice was posted on January 30, 2025
The Final Public Notice will be posted on March 15, 2025
Scope of Work (SOW)
Due: April 1, 2025
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 2026 as it relates to HIE milestones, Data Quality, Crisis Provider or SDOH milestones, or if your organization has not yet signed an Arizona HIE Participation Agreement, please contact DAP@contexture.org.
| Provider Description | Provider Type | HIE | HIE Data Quality | SDOH | Crisis Bed Registry |
|---|---|---|---|---|---|
| Hospitals Subject to APR-DRG Reimbursement, excluding Critical Access Hospitals |
02 |
— |
.75%* | .5% | — |
| Critical Access Hospitals | CAH | 8.0% | — | 1.0% | — |
| Other Hospitals and Inpatient Facilities | 71, B1, B3, B5, B6, C4 | — | .75%* | .5% | — |
| Indian Health Services (IHS) and 638 Tribally Owned and/or Operated Facilities | IHS/638 | 1.5% | — | .5% | — |
| Nursing Facilities | 22 | .25% | .25%* | — | — |
| Behavioral Health Outpatient Clinics and Integrated Clinics | 77, IC | .5% | .5%* | 1.0% | — |
| Providers with Specialty in Obstetrics and Gynecology, Pediatrics, Cardiology and Nephrology | 08, 18, 19, 31 | 1.0% | — | — | — |
| Behavioral Health Providers | A3, A4, A5, A6 | — | — | 1.0% | — |
| Home and Community Based Services Providers | 23 | 1.0% | — | 2.0% | — |
| Home and Community Based Services Providers | 49 | 1.0% | — | — | — |
| Home and Community Based Services Providers | 39, 40, 46, 95, F1 | — | — | 2.0% | — |
| Crisis Providers (Only existing Participants with a Crisis Bed Registry SOW signed by 12/31/22) | B5, B6, B7, 71, 77, IC | — | — | — | 3.0% |
*Cohort 1 (Established Participants Only)
Webinar Recording & Presentation
To learn more about the DAP Program, HIE, SDOH and Crisis Provider Milestones or Data Quality Metrics, check out the links below.
DAP CYE 2026 Webinar Recording: Click Here
DAP CYE 2026 Presentation Slides: 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.
