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 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.
General information about this opportunity
Last Known Status
Centers For Medicare and Medicaid Services, Department of Health and Human Services
Type(s) of Assistance Offered
A - Formula Grants
Section 1115A of the Social Security Act (the Act), as added by § 3021 of the Affordable Care Act, Title Section 1115A of the Social Security Act, Section 1115A
Section 1115A of the Social Security Act (the Act), as added by § 3021 of the Affordable Care Act
Who is eligible to apply/benefit from this assistance?
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.
All applicants under this announcement must have: o An Employer Identification Number (EIN), otherwise known as a Taxpayer Identification Number (TIN), to apply. o All applicants must have a Dun and Bradstreet (D&B) Data Universal Numbering System (DUNS) number. o The applicant must also register in the System for Award Management (SAM) database in order to be able to submit the application.
What is the process for applying and being award this assistance?
Preapplication coordination is required. N/A
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. CMS will award funding for InCK Model implementation through a cooperative agreement to a single entity, either a Lead Organization or a state Medicaid agency. For this model the Lead Organization is defined as an existing or newly created business entity that meets the definition of a covered entity under HIPAA (examples could include a hospital system, managed care plan, or local health department). The Lead Organization and state Medicaid agency must partner to write and submit a single model application, and must commit to work together to implement the model if awarded. Each applicant for the InCK Model must submit a Model Implementation Plan, Model Impact Analysis, and a completed Model Budget Proposal and Program Duplication Questionnaire. The Awardee will be responsible for determining the budget allocations for staff time and infrastructure costs consistent with the terms of the cooperative agreement, and demonstrating how the state and Lead Organization will use funds to accomplish their respective roles in model implementation as part of their application. The application procedure is as follows: Application materials will be available for download at http://www.grants.gov. Please note that HHS requires applications for all announcements to be submitted electronically through http://www.grants.gov. For assistance with http://www.grants.gov, contact firstname.lastname@example.org or 1-800-518-4726. At Grants.gov, applicants will be able to download a copy of the application packet, complete it off-line, and then upload and submit the application via the Grants.gov website. Specific instructions for applications submitted via http://www.grants.gov: o You may access the electronic application for this project at http://www.grants.gov. You must search the downloadable application page by the CFDA number. o At the http://www.grants.gov website, you will find information about submitting an application electronically through the site, including the hours of operation. HHS strongly recommends that you do not wait until the application due date to begin the application process through http://www.grants.gov because of the time needed to complete the required registration steps. o The applicant must be registered in the System for Award Management (SAM) database in order to be able to submit the application. Applicants are encouraged to register early, and must have their DUNS and EIN/TIN numbers in order to do so. o Authorized Organizational Representative: The Authorized Organizational Representative (AOR) who will officially submit an application on behalf of the organization must register with grants.gov for a username and password. AORs must complete a profile with Grants.gov using their organization's DUNS Number to obtain their username and password at http://grants.gov/applicants/get_registered.jsp. AORs must wait one business day after successful registration in SAM before entering their profiles in Grants.gov. Applicants should complete this process as soon as possible after successful registration in SAM to ensure this step is completed in time to apply before application deadlines. o When an AOR registers with Grants.gov to submit applications on behalf of an organization, that organization's E-Biz POC will receive an email notification. The email address provided in the profile will be the email used to send the notification from Grants.gov to the E-Biz POC with the AOR copied on the correspondence. o The E-Biz POC must then login to Grants.gov (using the organization's DUNS number for the username and the special password called "M-PIN") and approve the AOR, thereby providing permission to submit applications. o Any files uploaded or attached to the Grants.Gov application must be PDF file format and must contain a valid file format extension in the filename. Even though Grants.gov allows applicants to attach any file formats as part of their application, CMS restricts this practice and only accepts PDF file formats. Any file submitted as part of the Grants.gov application that is not in a PDF file format, or contains password protection, will not be accepted for processing and will be excluded from the application during the review process. In addition, the use of compressed file formats such as ZIP, RAR, or Adobe Portfolio will not be accepted. The application must be submitted in a file format that can easily be copied and read by reviewers. It is recommended that scanned copies not be submitted through Grants.gov unless the applicant confirms the clarity of the documents. Pages cannot be reduced in size, resulting in multiple pages on a single sheet, to avoid exceeding the page limitation. All documents that do not conform to the above specifications will be excluded from the application materials during the review process. o After you electronically submit your application, you will receive an acknowledgement from Grants.gov that contains a Grants.gov tracking number. CMS will retrieve your application package from Grants.gov. Please note that applicants may incur a time delay before they receive acknowledgement that the application has been accepted by the Grants.gov system. Applicants should not wait until the application deadline to apply because notification by Grants.gov that the application is incomplete may not be received until close to or after the application deadline, eliminating the opportunity to correct errors and resubmit the application. Applications submitted after the deadline, as a result of errors on the part of the applicant, will not be accepted. o After CMS retrieves your application package from Grants.gov, a return receipt will be emailed to the applicant contact. This will be in addition to the validation number provided by Grants.gov. Applications cannot be accepted through any email address. Full applications can only be accepted through http://www.grants.gov. Full applications cannot be received via paper mail, courier, or delivery service. All grant applications must be submitted electronically and be received through http://www.grants.gov by 3:00 pm Eastern Daylight Time on the applicable due date of June 10, 2019. Applications not successfully submitted to Grants.gov by the due date and time will not be eligible for review. All applications will receive an automatic time stamp upon submission and applicants will receive an email reply acknowledging the application's receipt. Please be aware of the following: 1) Search for the application package in Grants.gov by entering the CFDA number. This number is shown on the cover page of this announcement. 2) If you experience technical challenges while submitting your application electronically, please contact Grants.gov Support directly at: www.grants.gov/customersupport or (800) 518-4726. Customer Support is available to address questions 24 hours a day, 7 days a week (except on Federal holidays). 3) Upon contacting Grants.gov, obtain a tracking number as proof of contact. The tracking number is helpful if there are technical issues that cannot be resolved. To be considered timely, applications must be received by the published deadline date. However, a general extension of a published application deadline that affects all State applicants or only those in a defined geographical area may be authorized by circumstances that affect the public at large, such as natural disasters (e.g., floods or hurricanes) or disruptions of electronic (e.g., application receipt services) or other services, such as a prolonged blackout. This statement does not apply to an individual entity having internet service problems. In order for there to be any consideration there must be an effect on the public at large. Grants.gov complies with Section 508 of the Rehabilitation Act of 1973. If an individual uses assistive technology and is unable to access any material on the site including forms contained with an application package, they can email the Grants.gov contact center at email@example.com or call 1-800-518-4726.
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.
February 18, 2019 to June 10, 2019 Deadline to submit applications for InCK is June 10, 2019.
Approval/Disapproval Decision Time
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.
How are proposals selected?
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.
How may assistance be used?
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
What are the requirements after being awarded this opportunity?
Awardees are required report of their progress on a set of program milestones that cover operational aspects of model implementation as well as performance on specific measures of beneficiary impact. These milestones are detailed in the Notice of Funding Opportunity. These reports will be submitted as part of the quarterly progress reports.
For the duration of the model, Awardees are required to maintain a record of all identifiable source data used to generate the values reported for Milestones and must make this data available to CMS for program monitoring, auditing, and evaluation purposes upon request.
Other Assistance Considerations
Formula and Matching Requirements
Statutory formula is not applicable to this assistance listing.
Matching requirements are not applicable to this assistance listing.
MOE requirements are not applicable to this assistance listing.
Length and Time Phasing of Assistance
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. Method of awarding/releasing assistance: Quarterly.
Who do I contact about this opportunity?
Regional or Local Office
7500 Security Blvd, MS WB-05-53
Baltimore, MD 21244 USA
7500 Security Blvd, MS WB-05-33
Baltimore, MD 21244 USA
(Formula Grants (Cooperative Agreements)) FY 18$0.00; FY 19 est $0.00; FY 20 est $24,000,000.00; FY 17$0.00; -
Range and Average of Financial Assistance
CMS will award up to eight (8) cooperative agreements of up to $16 million per award. Funding will be awarded over a total model funding period of 7 years with an anticipated start date of FY 2020. 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.
Regulations, Guidelines and Literature
InCK Website: https://innovation.cms.gov/initiatives/integrated-care-for-kids-model/ InCK Notice of Funding Opportunity: https://www.grants.gov/web/grants/view-opportunity.html?oppId=312759
Examples of Funded Projects