DAP Program and Health Information Exchange
The Arizona Health Care Cost Containment (AHCCCS) Differential Adjusted Payment (DAP) 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 (HIE) organization such as Health Current, Arizona’s sole qualifying HIE.
AHCCCS Final Public Notice
- AHCCCS published its DAP CYE 2022 Final Public Notice on April 5, 2021: Click Here
- LabCorp Authorization Form: Click Here
Below is a summary of the revised deadlines and related HIE milestones:
FOR ALL PROVIDER TYPES*:
- By May 1, 2021, facilities that utilize external reference labs for any lab result processing must submit necessary provider authorization forms to the qualifying HIE, if required by the external reference lab, to have all outsourced lab test results flow to the qualifying HIE on their behalf.
- By May 1, 2021, or within 30 days of initiating COVID-19 lab testing, submit all COVID-19 lab test codes and the associated LOINC codes to qualifying HIE to ensure proper processing of lab results within the HIE system.
- By May 1, 2021, or within 30 days of initiating COVID-19 antibody testing, submit all COVID-19 antibody test codes and the associated LOINC codes to the qualifying HIE to ensure proper processing of lab results within the HIE system.
- By May 1, 2021 or within 30 days of initiating COVID-19 immunizations, submit all COVID-19 immunization codes and the associated CDC-recognized code sets to the qualifying HIE organization to ensure proper processing of immunizations within the HIE system.
*FOR NURSING FACILITIES (SNF/22) & BEHAVIORAL HEALTH OUTPATIENT CLINICS (77) PROVIDER TYPES:
By the SNF/clinic’s go-live date for new data suppliers, or within 30 days of initiating the respective COVID-19 related services for current data suppliers, the SNF/clinic must complete the following COVID-19 related milestones, if they are applicable: Related to COVID-19 testing services, submit all COVID-19 lab test codes and the associated LOINC codes to the qualifying HIE organization to ensure proper processing of lab results within the HIE system.
- Related to COVID-19 antibody testing services, submit all COVID-19 antibody test codes and the associated LOINC codes to the qualifying HIE organization to ensure proper processing of lab results within the HIE system.
- Related to COVID-19 immunization services, submit all COVID-19 immunization codes and the associated CDC-recognized code sets to the qualifying HIE organization to ensure proper processing of immunizations within the HIE system
Letters of Intent (LOI) Templates – Deadline: April 1, 2021
Eligible providers must submit a Letter of Intent (LOI) 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 the appropriate LOI template(s) below and send it to AHCCCSDAP@azahcccs.gov, and DAP@healthcurrent.org by April 1, 2021. If you have questions about the DAP Program for CYE 2022 as it relates to HIE milestones or if your organization has not yet signed a Health Current Participation Agreement, please contact recruitment@healthcurrent.org.
Click on the appropriate LOI template(s) below to complete and return by April 1, 2021 deadline.
| AHCCCS Eligible Provider Types | HIE Incentive | Download LOI Template |
|---|---|---|
| Behavioral Health Outpatient Clinics (Type 77) | 1.0% | Click to Download |
| Critical Access Hospitals (CAH) | 10%* | Click to Download |
| Hospitals Subject to APR-DRG Reimbursement (Type 02) excluding Critical Access Hospitals | 2.5%* | Click to Download |
| IHS and 638 Tribally Owned and/or Operated Facilities (Type 02) | 2.5% | Click to Download |
| Integrated Clinics (Type IC) | 10% | Click to Download |
| Nursing Facilities (Type 22) | 1.0% | Click to Download |
| Other Hospitals and Inpatient Facilities (Types 71, B1, B3, B5, B6, C4) | 2.5%* | Click to Download |
*Hospitals, CAH and Other Inpatient Facilities will participate in HIE Data Quality Improvement activities. See Preliminary Public Notice for quality standards and criteria.
Health Current Webinars
The recorded webinars and PowerPoints below are designed to provide an overview of the HIE-related DAP requirements and answer any questions you might have.
- DAP CYE 2022 Requirements for Hospitals, Inpatient Facilities and Indian Health Service (IHS) /638 Providers: Presentation
- DAP CYE 2022 Requirements for Hospitals, Inpatient Facilities and Indian Health Service (IHS) /638 Providers: Recorded Webinar
- DAP CYE 2022 Requirements for Integrated Clinics, Behavioral Health Clinics (77), & Nursing Facilities (SNF/22): Presentation
- DAP CYE 2022 Requirements for Integrated Clinics, Behavioral Health Clinics (77), & Nursing Facilities (SNF/22): Recorded Webinar
Top 4 Reasons Arizona Healthcare Providers Connect to Health Current: Click Here
Questions
Existing HIE Participants should contact their Health Current Account Manager with questions.
If you are new to the DAP Program or need more information about DAP, contact our recruitment department here.
To learn more about the AHCCCS DAP HIE Incentive for the SDOH referral system connectivity, click here.