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 m

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.

CMS intends for Awardees to use model funding for staff time and infrastructure costs incurred due to activities that are required to design, implement and operate the model. Below we list examples of potentially allowable expenses for model funding (assuming there is no supplanting of other federal, state, or local program funding): • InCK model enrollment and assessment systems development, adaption, or expansion; • Staff training on InCK model activities; • Promotional material for beneficiary outreach; • Coalition building activities between InCK model Partnership Council members; • Population health management activities related to the Model (i.e. data analysis, strategic planning, and process improvement); • Mobile crisis system development, adaptation, or expansion; • Participation in CMS evaluation activities, including data collection and reporting; and • Annual independent audit of staff time and effort accounting

The InCK Model will be implemented using a cooperative agreement. Funding will be available on an annual basis for seven (7) years with a model start date in FY 2020 and end date in FY 2026.

1. All applications submitted to Grants.gov will be reviewed for completeness. 2. Complete applications will be forwarded to an objective review panel. 3. The review panel will evaluate the proposal based on how well applicant addresses the evaluation criteria outlined in the FOA and create a rank list. 4. CMS will review the rank list and advice generated by the review panel and will approve the selected application and issue a Notice of Award. 5. The final list of selected applicants will be reviewed notified of award by the CMS Office of Acquisitions and Grant Management.

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.

Deadline to submit applications for InCK is June 10, 2019. *The application period has closed, and this is a 1-time funding opportunity.

6 Months

CMS reserves the right to approve or deny any or all proposals for funding. Note that section 1115A of the Social Security Act, which creates the Center for Medicare and Medicaid Innovation (CMMI). Section 1115A(d)(2) states that there is no administrative or judicial review of the selection of organizations, sites, or participants to test models.