Year 4 Measures

In TI Program Year Four, milestone incentive payments will be based on performance measures in contrast to the Core Components used in Years Two and Three. Year Four metrics align with various other applications and uses, including the CMS Core Set and Statewide Targeted Investments measures.


AHCCCS TI Program Resources


HEDIS Resources

Providers do not need to be contracted with the plan to access these resources.

Care 1st
  • See 2020 at-a-glance guides for Key Pediatric Measures, Key Behavioral Measures (17 and younger), and Key Behavioral Measures (18 and older) on the general resource page for billing codes and tips for all of the TI Program measures.

Mercy Care Plan
  • See 2020 HEDIS Billing Guide and Tips on general resource page for billing codes and tips for all of the TI Program measures except Initiation of Alcohol and Other Drug Abuse or Dependence Treatment (14/34-day) measures.

United Healthcare
NCQA
  • For more information on HEDIS measures or to get your own license: https://www.ncqa.org/hedis/
    • For NDC code lists, navigate to “HEDIS Measures and Technical Resources” > “HEDIS Technical Resources” > “HEDIS 2020 (Measurement Year 2019)” > “Medication List Directory (NDC codes)”