Differential Adjusted Payment Program CYE 2027
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)
- Social Determinants of Health (SDOH) – CommunityCares
- Arizona Healthcare Directives – AzHDR
AHCCCS Public Notice
The Preliminary Public Notice was posted on February 4, 2026
The Final Public Notice will be posted on March 22, 2026
Scope of Work (SOW)
Due: April 1, 2026
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 2027 as it relates to HIE, SDOH, or AzHDR milestones, or if your organization has not yet signed an HIE Participation Agreement, please contact DAP@contexture.org.
| Provider Description | Provider Type | HIE | SDOH | AzHDR |
|---|---|---|---|---|
| Residential Treatment Centers and Subacute Facilities | B1, B3, B5, B6 | 0.75% | 0.5% | — |
| Indian Health Services (IHS) and 638 Tribally Owned and/or Operated Facilities | IHS/638 | 1.5% | 0.5% | — |
| Nursing Facilities | 22 | 0.75% | — | — |
| Behavioral Health Outpatient Clinics and Integrated Clinics | 77/IC | 0.25% | — | — |
| Home and Community Based Services Providers | 23
49 |
1.0%
1.0% |
—
— |
—
— |
| Hospice | 35 | — | — | 2.0% |
| Dialysis Clinics | 41 | — | — | 2.0% |
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 2027 Webinar Recording: Click Here
DAP CYE 2027 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.
