Integrated Care for Kids Model

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.