OHA wins federal funds for Medicaid and CHIP recipients

The Oregon Health Authority (OHA) has been awarded up to $16 million over seven years in federal funds from the Centers for Medicare and Medicaid Services (CMS) Integrated Care for Kids (InCK) Model. The new model is designed with a goal of improving health for children and youth covered by Medicaid and the Children’s Health Insurance Program (CHIP) in five Oregon counties.

The funds are to be used by the state to reduce health risks for children and prevent excessive hospital visits and foster care placements that could have otherwise been avoided.

This is an exciting opportunity to bring extra resources to this region, connecting community partners, health care providers and families to wrap resources around our kids,” said Dana Hargunani, MD, OHA’s Chief Medical Officer. “We will be able to take what we learn from this work to help improve children’s health across the state.”

In accordance with the requirements outlined by CMS, OHA has said the funds will be used to spur integration across the spectrum of health and social services in the state. The Oregon Pediatric Improvement Partnership (OPIP) at Oregon Health & Science University will collaborate with OHA and local communities to integrate services across behavioral health, physical health, and other family supports.

OHA is one of eight states awarded the funds. Nearly $126 million in InCK Model funding will be awarded between each of the selected states and organizations for the 7-year model launching in early 2020. The other state awardees are Connecticut, Illinois, North Carolina, New Jersey, New York, and Ohio.

 

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In Oregon, the model will target children and youth ages 0 to 21 who are covered by Medicaid and CHIP in Marion, Polk, Crook, Deschutes and Jefferson counties. The ultimate goal of the model, according to OHA, is “to provide effective child- and family-centered care in order to reduce hospital stays and out-of-home placements for children and youth such as foster care and residential behavioral health.”

Programs such as those promoted through the InCK Model are responses to research about the outsize impact of social determinants of health on outcomes. It is for this reason that CMS mandates that participants in the InCK Model will be required to integrate care coordination and case management across physical and behavioral health with local service providers.

The funding sets out up to $3 million for planning and partnership development over the first two years, and up to $2 million for each of the five implementation years, with some funding contingent on performance.