Integrated Care for Kids Model

The purpose of this cooperative agreement funding opportunity is to support the implementation of the Integrated Care for Kids (INCK) model with up to eight (8) awardees.

The InCK Model is a child-centered state payment and local service delivery model aimed at reducing expenditures and improving the quality of care for children up to age 21 covered by Medicaid and CHIP through early identification and treatment of priority health concerns like behavioral health conditions, and physical health needs. CMS will award InCK Model cooperative agreements to partnerships between state Medicaid agencies (hereafter called the “state”) and local organizations (hereafter called the “Lead Organization”) to leverage and build on existing child programs. One or more state-driven alternative payment models (APMs) will support these partnerships to improve the coordination and quality of care through accountability for costs and outcomes. Model Awardees will develop local care delivery approaches and infrastructure to:
• Identify, assess, and risk stratify children with or at-risk for significant behavioral and physical health needs within their service area;
• Deliver integrated care coordination and case management across local child services, supported by child and family-centered information sharing and alignment of program eligibility and enrollment processes;
• Increase local capacity to shift care for children at-risk for, or already in, out-of-home placement to less costly and more effective home and community-based settings; and implement one or more APMs that support the local integrated service delivery model and promote accountability for improved outcomes, such as lower rates of opiate and other substance use, as well as long-term health system sustainability.

The InCK model will be open state Medicaid agencies and to HIPAA covered entities (including but not limited to State Medicaid Agencies, Managed Care Plans, provider groups or other HIPAA covered entities) serving Medicaid (and if applicable in the state CHIP) covered children eligible for EPSDT services.

1. Successful applicants will receive a Notice of Award (NoA) signed and dated by the CMS Grants Management Officer that will set forth the amount of the award and other pertinent information. The award will also include standard Terms and Conditions. Applicant should be aware that special requirements could apply to cooperative agreement awards based on the particular circumstances of the effort to be supported and/or deficiencies identified by the review panel.
2. Award funds will be distributed through the Payment Management System.

6 Months