Opportunity Information: Apply for CMS 2B2 20 001
The Integrated Care for Kids (InCK) grant opportunity is a Centers for Medicare and Medicaid Services (CMS) initiative designed to help states and local communities test new ways of paying for and delivering care for children covered by Medicaid and the Children s Health Insurance Program (CHIP). The central idea is to fund real-world demonstrations of integrated service delivery that connects behavioral health, physical health, and other child-serving systems, then measure whether those changes both improve care quality and health outcomes for children while also lowering overall Medicaid and CHIP spending. In other words, the program is not just paying for services; it is paying to build and test a coordinated model of care that can be evaluated and potentially scaled.
A major focus of the InCK Model is addressing pressing child health priorities that are difficult to solve when services are fragmented across agencies and providers. CMS highlights behavioral health challenges as a key concern, including opioid and other substance use issues and the ripple effects of opioid use on children and families. By encouraging coordination across traditional health care and other child services, the model aims to improve how communities identify needs early, connect children and families to appropriate supports, and maintain continuity of care across settings such as primary care, behavioral health providers, schools, and social services.
From a payment and accountability standpoint, InCK is aimed at developing state-specific pediatric alternative payment models (APMs). These APMs are intended to go beyond fee-for-service structures by building in provider accountability and creating financial and operational incentives for measurable improvements in quality and outcomes. The expectation is that awardees will design approaches that make providers and delivery systems jointly responsible for performance, using data and quality measures to track whether children are receiving more appropriate, timely, and effective care.
The award is structured as a cooperative agreement, meaning CMS is expected to have substantial involvement with awardees during planning, implementation, and evaluation rather than simply issuing funds and stepping back. Funding is intended to support the infrastructure and operational capacity needed to plan, launch, and run an integrated care model. Examples called out in the opportunity include investments in information technology (such as data-sharing and care coordination tools), strategic planning and analytic work needed to design the model, staffing and day-to-day operational functions, and participation in federal evaluation activities. This emphasis signals that CMS views the ability to share data and manage performance as essential to successful integration and to proving whether the model achieves cost and quality goals.
Administratively, this is a discretionary health funding opportunity (CFDA 93.378) offered by the Department of Health and Human Services, Centers for Medicare and Medicaid Services. The opportunity number is CMS 2B2 20 001. It was created on February 8, 2019, with an application deadline of June 10, 2019 at 3:00 pm Eastern. CMS anticipated making up to 8 awards, with an award ceiling of $16,000,000 per award. Eligible applicants were broad and included state, county, and local governments; tribal governments and tribal organizations; public housing authorities; independent school districts; public and private institutions of higher education; nonprofits (both 501(c)(3) and non-501(c)(3)); for-profit organizations (other than small businesses); and small businesses. This wide eligibility reflects the program s cross-sector goal, since integrated care for children often requires partnership among health agencies, education systems, community organizations, and other local entities.
Overall, InCK is best understood as a funding and demonstration program aimed at building integrated pediatric systems of care and testing whether those systems, supported by alternative payment approaches and strong accountability, can deliver better outcomes for children while reducing the total cost of care for Medicaid and CHIP populations.Apply for CMS 2B2 20 001
- The Department of Health and Human Services, Centers for Medicare Medicaid Services in the health sector is offering a public funding opportunity titled "Integrated Care for Kids (InCK)" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.378.
- This funding opportunity was created on Feb 08, 2019.
- Applicants must submit their applications by Jun 10, 2019 Application Due June 10, 2019 at 3 00 pm Eastern Standard Time. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $16,000,000.00 in funding.
- The number of recipients for this funding is limited to 8 candidate(s).
- Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Public housing authorities/Indian housing authorities, Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501(c)(3) status with the IRS, other than institutions of higher education, Private institutions of higher education, For profit organizations other than small businesses, Small businesses.
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Frequently Asked Questions (FAQs): Integrated Care for Kids (InCK) Grant (CMS)
What is the Integrated Care for Kids (InCK) grant opportunity?
The Integrated Care for Kids (InCK) grant opportunity is a Centers for Medicare and Medicaid Services (CMS) initiative that funds demonstrations to test new ways of paying for and delivering care for children covered by Medicaid and the Children's Health Insurance Program (CHIP). The goal is to build and evaluate real-world models that connect services across systems and measure whether they improve outcomes and quality while reducing total Medicaid and CHIP spending.
What is the main purpose of the InCK Model?
The main purpose is to support the design, implementation, and evaluation of integrated pediatric care models that link behavioral health, physical health, and other child-serving systems. InCK is intended to reduce fragmentation, improve continuity of care, and create measurable improvements in care quality and child health outcomes while lowering overall costs for Medicaid and CHIP populations.
Who is the InCK Model designed to serve?
The model focuses on children covered by Medicaid and CHIP. The funded demonstrations are intended to improve how communities identify needs early, connect children and families to supports, and maintain continuity of care across settings and service systems.
What kinds of systems or sectors does InCK aim to connect?
InCK emphasizes integrated service delivery that connects behavioral health, physical health, and other child-serving systems. Examples of care settings and systems referenced include primary care, behavioral health providers, schools, and social services.
Why does CMS emphasize integration for children under InCK?
CMS highlights that many pressing child health priorities are difficult to solve when services are fragmented across agencies and providers. By supporting coordination across health care and other child services, the model aims to improve early identification of needs, appropriate referrals and supports, and continuity across multiple settings.
What child health priorities are highlighted in the opportunity description?
The opportunity highlights behavioral health challenges as a key concern, including opioid and other substance use issues and the ripple effects of opioid use on children and families.
Is InCK mainly paying for direct services to children?
No. InCK is described as paying to build and test a coordinated model of care that can be evaluated and potentially scaled. Funding is intended to support infrastructure and operational capacity for planning, launching, and running an integrated care model, rather than simply reimbursing services under a traditional fee-for-service approach.
What does InCK say about payment reform and alternative payment models (APMs)?
InCK is aimed at developing state-specific pediatric alternative payment models (APMs) that go beyond fee-for-service. These APMs are expected to include provider accountability and create financial and operational incentives tied to measurable improvements in quality and outcomes.
What does "provider accountability" mean in the context of InCK?
Based on the opportunity description, accountability is expected to be built into the pediatric APM approach so that providers and delivery systems are jointly responsible for performance. Data and quality measures are used to track whether children are receiving more appropriate, timely, and effective care.
How will success be measured under the InCK demonstrations?
InCK emphasizes measuring whether changes improve care quality and health outcomes for children while lowering overall Medicaid and CHIP spending. The model also stresses the use of data and quality measures to monitor performance and support evaluation.
What type of award is InCK?
The award is a cooperative agreement. This means CMS is expected to have substantial involvement with awardees during planning, implementation, and evaluation, rather than only issuing funding with minimal ongoing engagement.
What kinds of activities can the funding support?
Funding is intended to support the infrastructure and operational capacity required to plan, launch, and operate an integrated care model. Examples explicitly referenced include information technology investments (such as data-sharing and care coordination tools), strategic planning and analytic work, staffing and day-to-day operations, and participation in federal evaluation activities.
Why is information technology and data-sharing emphasized?
The opportunity signals that CMS considers the ability to share data and manage performance essential for successful integration and for demonstrating whether the model achieves cost and quality goals. Data-sharing and care coordination tools are specifically mentioned as examples of eligible investments.
What federal agency is offering this opportunity?
This is a discretionary health funding opportunity offered by the U.S. Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS).
What is the CFDA number for this opportunity?
The CFDA number listed is 93.378.
What is the opportunity number?
The opportunity number is CMS-2B2-20-001.
When was this opportunity created?
The opportunity was created on February 8, 2019.
What was the application deadline?
The application deadline was June 10, 2019 at 3:00 pm Eastern.
How many awards did CMS anticipate making?
CMS anticipated making up to 8 awards.
What is the maximum funding amount per award?
The award ceiling was $16,000,000 per award.
Who was eligible to apply?
Eligible applicants were broad and included: state, county, and local governments; tribal governments and tribal organizations; public housing authorities; independent school districts; public and private institutions of higher education; nonprofits (both 501(c)(3) and non-501(c)(3)); for-profit organizations (other than small businesses); and small businesses.
Why is eligibility so broad?
The wide eligibility is consistent with InCK's cross-sector goal. Integrated care for children often requires partnerships among health agencies, education systems, community organizations, and other local entities.
What is the overall concept of InCK in plain terms?
InCK is best understood as a funding and demonstration program to build integrated pediatric systems of care and test whether those systems, supported by alternative payment approaches and strong accountability, can improve outcomes for children and reduce total costs for Medicaid and CHIP populations.
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