Differential Adjusted Payment (DAP) Program CYE 2023

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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 Contexture, the umbrella organization for Health Current, Arizona’s sole qualifying HIE.

You can jump to each section of the DAP Program using the quick links below.

AHCCCS PUBLIC NOTICE

  • Final Public Notice Posted March 18, 2022: Click Here
  • LabCorp Authorization Form: Click Here (to meet COVID reporting requirements)
  • COVID-19 Related Milestones Acknowledgement Form: Click Here
  • COVID-19 Related Milestones Acknowledgement Form SNF: Click Here

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LETTERS OF INTENT (LOI) & SDOH REGISTRATION FORMS/SPREADSHEETS – DUE DATE: APRIL 1, 2022
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 and return the appropriate LOI template(s) below and send to DAP@healthcurrent.org by April 1, 2022.

Provider Types who are eligible to participate in the Social Determinants of Health (SDOH) HIE Incentive must complete and return the SDOH Closed-Loop Referral (CLR) Form and SDOH CLR Spreadsheet below and send to DAP@healthcurrent.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 a Health Current 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
2.0%
0.5%
Critical Access Hospitals (CAH)
8.0%
2.0%
Other Hospitals and Inpatient Facilities (Types 71, B1, B3, B5, B6, C4)
2.0%
0.5%
IHS and 638 Tribally Owned and/or Operated Facilities (Type 02)
2.5%
N/A
N/A
N/A
Nursing Facilities (Type 22)
1.0%
N/A
N/A
N/A
Integrated Clinics (Type IC)
1.0%
1.0%
Behavioral Health Outpatient Clinics (Type 77)
1.0%
1.0%
Behavioral Health Providers (Types A3, A4, A5, A6)
N/A
N/A
1.0%
Physicians, Physician Assistants, and Registered Nurse Practitioners, (Types 08, 18, 19, 31)
N/A
N/A
1.0%
Physicians, Physician Assistants, and Registered Nurse Practitioners, (Types 08, 18, 19, 31) Specialty Types (Obstetrics and Gynecology, Pediatrics, Cardiology and Nephrology)
1.0%
1.0%
Home and Community Based Services Providers: Assisted Living Centers (Type 49)
1.0%
N/A
N/A
N/A
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)
N/A
N/A
2.0%
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
3.0%
N/A
N/A
N/A

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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, Social Determinants of Health (SDOH) Milestones and Data Quality Metrics.

AHCCCS ELIGIBLE PROVIDER TYPESWEBINARS & PRESENTATIONS
Critical Access Hospitals (CAH)
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

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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, please contact our recruitment team at recruitment@healthcurrent.org.

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