CMS Announces Integrated Care for Kids Model to Address the Opioid Crisis

On August 23, 2018, the Centers for Medicare & Medicaid Services (CMS) announced a new model that is intended to address the opioid crisis for children.  The Integrated Care for Kids (InCK) Model aims to reduce expenditures and improve quality for kids covered by Medicaid and the Children’s Health Insurance Program (CHIP).  The model will seek to address behavioral health conditions in children, including the use of opiates and other substances.

Model participants will be state Medicaid agencies and local entities, referred to as “Lead Organizations” that will convene community partners to integrate the core services for the attributed population.  Participants will coordinate the integration of core child service types, including clinical care, schools, housing, child welfare, early care and education, and food.  States will work with CMS and the Lead Organization to design and implement one or more APMs.  The goal of the APMs will be to promote accountability for improved outcomes and ensure long term sustainability of the model.

CMS anticipates releasing the notice of funding opportunity in fall 2018.  Applications will be due in winter 2018.

The CMS fact sheet is available here.

The model webpage is available here.


For more information on the Quality Payment Program visit the McDermottPlus Payment Innovation Resource Center or contact Mara McDermott at 202-204-1462,