Arizona psychiatric hospitals (Provider Type 71, excluding public hospitals) participating in MOUD Enhancement or Maternal Syphilis Program and meeting all stated milestones are eligible for 2% Medicaid DAP increase for the year. Critical Access Hospitals (CAHs) in Arizona (non-IHS/638) participating in MOUD Enhancement or Maternal Syphilis quality improvement initiatives are eligible for a 2% Medicaid rate increase upon meeting all application, participation, and milestone requirements. Eligible Arizona hospitals (excluding Critical Access Hospitals) participating in either the Maternal Syphilis Program or Medications for Opioid Use Disorder (MOUD) Enhancement Program may receive a 2% increase on all inpatient and outpatient Medicaid services if all milestone requirements are met. Psychiatric hospitals (provider type 71; non-public) participating in the Maternal Syphilis or MOUD programs are eligible for a 2.0% DAP rate increase. Non-IHS/638 Critical Access Hospitals (CAH) participating in either the Maternal Syphilis or MOUD Enhancement Program are eligible for a 2.0% DAP increase. AHCCCS-registered hospitals (Provider Type 02) participating in the Maternal Syphilis Program or Medications for Opioid Use Disorder Enhancement Program are eligible for a 2.0% DAP increase for inpatient and outpatient Medicaid claims. This notice establishes performance-based Differential Adjusted Payment (DAP) strategies for select AHCCCS-registered Arizona providers for contract year October 1, 2024 through September 30, 2025. Qualifying providers such as hospitals, critical access hospitals, behavioral health clinics, and others may receive a percentage rate increase to AHCCCS payments if they meet specific milestones related to Health Information Exchange, Social Determinants of Health referrals, data quality, advance directives registry, and opioid harm reduction. Providers must meet criteria and deadlines as specified to be eligible for payment increases. This notice describes the opportunity for eligible Arizona Medicaid providers to receive Differential Adjusted Payment (DAP) rate increases for the contract year October 1, 2025, through September 30, 2026 (CYE 2026). DAP is a positive adjustment to the AHCCCS Fee-for-Service rates, intended to incentivize quality, efficiency, and specific clinical or operational milestones. Eligible providers include various hospitals, behavioral health and crisis providers, residential treatment, dental, home/community based care,...
Eligibility
Psychiatric Hospitals (Provider Type 71), excluding public hospitals, participating in MOUD Enhancement or Maternal Syphilis Program.
CAHs (non-IHS/638) designated by March 15, 2026 that agree to participate in and meet milestones for the MOUD Enhancement Program or Maternal Syphilis Program.
Arizona hospitals subject to APR-DRG reimbursement (Provider Type 02) that agree to participate in and meet milestones for the MOUD Enhancement or Maternal Syphilis Program.
Arizona private psychiatric hospitals (non-public, provider type 71).
Critical Access Hospitals (excluding IHS/638), determined by March 15, 2026.
Arizona hospitals subject to APR-DRG; must participate in either Maternal Syphilis or MOUD Enhancement Program.
Select AHCCCS registered Arizona providers that meet agency established performance criteria, including Hospitals (including Critical Access Hospitals), Freestanding Emergency Departments, Indian Health Services and 638 Tribal Facilities, Nursing Facilities, Behavioral Health and Integrated Clinics, Physicians and Nurse Practitioners, Dental Providers, Home and Community Based Services Providers, Therapeutic Foster Homes, and Crisis Providers.
Select AHCCCS-registered Arizona providers that meet agency-established performance criteria, including but not limited to: Hospitals (general, psychiatric, specialty, CAH, IHS and Tribally-owned), Residential Treatment/Subacute Facilities, Freestanding Emergency Departments, Behavioral Health Providers, Dental Providers, Home and Community Based Services Providers, Therapeutic Foster Homes, Crisis Providers, and Nursing Facilities.
Psychiatric HospitalCAHHospitalCritical Access HospitalIndian Health Services Facility638 Tribal Health FacilityFreestanding Emergency DepartmentNursing FacilityBehavioral Health Outpatient ClinicIntegrated Health ClinicPhysicianPhysician AssistantNurse PractitionerDental ProviderHome and Community Based Services ProviderTherapeutic Foster HomeCrisis ProviderRural HospitalIndian Health Service/Tribal HospitalSpecialty HospitalResidential Treatment FacilitySubacute FacilityBehavioral Health Provider
Requirements Checklist
Submit LOI by April 1, 2026
Participate in required workgroups
Submit facility policy, reports, and outcomes as called for in milestones
Submit LOI by April 1, 2026
Participate in Arizona Statewide Clinical Opioid/Maternal Syphilis workgroups
Submit facility policies and reports as specified
Complete quality improvement projects and submit required metrics
Submit Letter of Intent by April 1, 2026
Participate in required workgroups
Submit facility policy reports as specified
Complete and report quality improvement projects and required metrics
Assign an MOUD Champion (if applicable)
Submit LOI by April 1, 2026; Fulfill program-specific policy, participation, and data metrics milestones.
Submit LOI by April 1, 2026; Meet program milestones, policy, and reporting requirements.
Submit Letter of Intent by April 1, 2026; Meet milestones related to program participation, policy submission, project completion, and data reporting.
Meet milestone deadlines specified for each DAP initiative (e.g., HIE agreements, data submission, screenings/referrals, attestation, LOI, policy development).
Submit agreements and required documentation to AHCCCS or HIE organizations by established deadlines.
Participate in audits as required.
Maintain participation in milestone activities throughout the year.
Submit Letter of Intent for Naloxone Distribution Program (if applicable).
Complete onboarding processes for HIE, SDOH, and AzHDR platforms.
Providers must: maintain active AHCCCS IDs by April 1, 2025; meet provider-type specific participation milestones as described; submit Letters of Intent and/or signed agreements (HIE Participation Agreements, SDOH Agreements, etc.) by listed due dates; implement and document required data sharing, workflow, or quality improvement activities; submit policies and attestations as required to AHCCCS or designated partners; engage in regular data submission and quality review/auditing.
Required attachments
Letter of Intent
Facility Policy
Metrics Reports
Letter of Intent (LOI)
Metrics/Reports
Facility Policy/Attestation
Program-Specific Metrics
Project Documentation
Health Information Exchange Participation Agreement
Differential Adjusted Payment Statement of Work (DAP SOW)
CommunityCares Agreement (if applicable)
AzHDR Subscription Agreement (if applicable)
Submission Instructions
Email (AHCCCSDAP@azahcccs.gov)
Documentation and attestations submitted by email (e.g., AHCCCSDAP@azahcccs.gov), agreements requested/returned to Contexture (DAP@contexture.org), and onboarding with specified platforms (HIE, CommunityCares, AzHDR)
Submission of Letters of Intent and/or required agreements and documentation to AHCCCS (AHCCCSDAP@azahcccs.gov) and/or HIE organization (e.g. DAP@contexture.org), as specified for each DAP initiative.