Centers for Medicare & Medicaid Services -- Integrated Care for Kids (InCK)

Funding Agency:
Department of Health and Human Services

The Integrated Care for Kids (InCK) Model provides funding opportunities to states and local organizations to test whether payment supporting integrated service delivery across behavioral health, physical health, and other child services reduces Medicaid and Children’s Health Insurance Program (CHIP) expenditures and improves the quality of care for covered children. The InCK Model will assist states and local communities in addressing priority health concerns for children, such as behavioral health challenges, including opioid and other substance use, and the effects of opioid use on families. 

CMS will support Awardees in developing state-specific pediatric alternative payment models (APMs) that incorporate provider accountability and focus on meaningful improvements in care quality and health outcomes. Successful Awardees will use model funding to support infrastructure investments and activities necessary to support model planning and operations including (but not limited to): state and local investments in information technology, strategic planning and analysis for model design, model operations and staffing, and federal evaluation activities. 

The InCK Model aims to empower states and local organizations to 1) Improve performance on priority measures of child health, including rates of substance and opiate use; 2) Reduce avoidable inpatient hospitalizations and out-of-home placements resulting from issues such as family instability driven by substance use; and 3) Create sustainable Alternative Payment Models (APMs) that ensure provider accountability for cost and quality outcomes. 


  • Letter of Intent: March 11, 2019 (optional)
  • Application: June 10, 2019

Agency Website

Eligibility Requirements

CMS intends to award one cooperative agreement per state. A State Medicaid agency, or its partner Lead Organization, may submit multiple applications to participate in the model, as long as each application is sufficiently different. For example, 1) the Lead Organization must be different on each application, and 2) the model service areas must also be different.

Amount Description

The amount available during the pre-implementation period, years 1 and 2 of the model, is up to $3 million per awardee per year for a total amount of up to $6 million. The amount available during the performance period, years 3-7 of the model, is up to $2 million per awardee per year for a potential total amount of $10 million during the performance period. Continuation of funding each year is dependent on Awardees’ completion of certain milestones related to program operations (“Operational Milestones”) during each previous award year and subject to the availability of funds. During years 5-7 of the model funding period, $500,000 of the $2 million available each year will be contingent upon the Awardee’s ability to meet specific Performance Milestones ($100,000 per Milestone for up to 5 milestones). For additional details on Performance Milestones and their link to funding see Section F 5.1.1.

Funding Type





Medical - Clinical Science

External Deadline

June 10, 2019