Federal grant programs / Department of Health and Human Services

Integrated Care for Kids Model (93.378)

• Awarded, FY 2021 to 2025$76.8 million
• Grant awards8
• Typical award$11.0 million
• Awarded in FY 2025$13.9 million
• Size rank883 of 1,823
• Type of assistanceCooperative agreement

Key findings

• Annual funding fell from $23.0 million in fiscal 2021 to $13.9 million in fiscal 2025.
• It is the 883rd largest of 1,823 federal grant programs by five-year awards.
• The 8 largest recipients received 103% of the money.
• Awards went to recipients in 7 states and territories.

What the program funds

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.

From the federal Assistance Listing. Read the full listing on SAM.gov.

Open opportunities

No opportunity under this program is open or forecast on Grants.gov right now. Programs often post once a year, so the funding history below shows what to expect.

Rules from the program listing

Who can apply

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.

What the money can and cannot pay for

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 Consistent with the federal government's aim to avoid program duplication, CMMI prohibits the use of InCK model funding to supplant funding for services already provided by federal, state or local agencies, programs, or models, and prohibits the use of InCK Model funding for direct service provision to beneficiaries.

Continue reading on SAM.gov

Matching requirements

This program has no statutory formula. Matching requirements are not applicable to this assistance listing. This program has MOE requirements, see funding agency for further details. N/A

Deadlines

Contact the headquarters or regional location, as appropriate for application deadlines Deadline to submit applications for InCK is June 10, 2019. *The application period has closed, and this is a 1-time funding opportunity.

Award range and average, in the agency's words

The InCK Model funded 8 cooperative agreements in December 2019 with an award period of January 1, 2020- December 31, 2026 The funding period is divided into two parts: - Pre-Implementation Period: a two year period spanning years 1-2 of the model during which the awardee will use develop capacity to operate the model - Performance Period: five year performance period spanning years 3-7 of the model during which the awardee will operate the model During the Pre-Implementation period awardees may receive up to $3 million per awardee per year for a total amount of up to $6 million. The amount available during the Performance Period is up to $2 million per awardee per year for a potential total amount of $10 million during the performance period.

Quoted from the program's federal Assistance Listing. The notice of funding opportunity is the official source for each competition's rules.

Who usually wins

Nonprofits received 59% of the money, state and local governments 27% and colleges and universities 14%.

By state

6 states have a page for this program: those that received at least $1 million or 10 awards.

Award amounts are federal obligations reported to USAspending.gov for fiscal 2021 to 2025; see how our data works.