Pediatric Alternative Payment Model Opportunities: General Information

Abstract

Through the RFI, input is being sought on approaches to improve the quality and reduce the cost of care for children and youth enrolled in Medicaid and CHIP. In particular, concepts are being explored that encourage pediatric providers to collaborate with health-related social service providers (e.g., early childhood development programs, child welfare services, and home and community based service providers) at the state and local levels and share accountability for health outcomes for children and youth enrolled in Medicaid and CHIP. CMS seeks input through the RFI from the broad community of child and youth-focused stakeholders on concepts critical to addressing the comprehensive health needs of children and youth, such as: Opportunities and impediments to extending and enhancing integrated service model concepts like accountable care organizations (ACOs) to the pediatric population; Flexibilities and supports states and providers may need in order to offer such models of care to a state’s pediatric population; and Approaches for states and providers to coordinate Medicaid and CHIP benefits and waivers with other health-related social services for children and youth.