Innovation in Behavioral Health (IBH) Model

IBHModel@cms.hhs.gov

The Centers for Medicare & Medicaid Services (CMS) offers funding for state Medicaid agencies to test the impact of a value-based payment (VBP) model aligned across Medicaid and Medicare that supports an integrated care delivery framework in specialty behavioral health organizations and settings for adult Medicaid, Medicare, and dually eligible beneficiaries with severe mental health conditions and/or substance use disorders. The IBH Model will:

• Build and strengthen connections to physical healthcare for beneficiaries
• Promote screening and referral for needs that impact health
• Identify beneficiary issues that interfere with diagnosis, management, and treatment of health conditions, such as food, housing, and transportation needs
• Leverage care management and care coordination to increase access to and engagement with primary care and community services
• Encourage investment in certified health information technology products and infrastructure improvement for their practice and patient population

The IBH Model will have a 7 year performance period comprised of a 2 year pre-implementation period and a 5 year implementation period. Applicants must include plans to reach rural, safety-net specialty behavioral health providers, under-resourced providers, tribal providers, and providers serving vulnerable populations in their recruitment strategy.

Eligible applicants are state Medicaid agencies in all 50 states, Washington DC, and U.S. territories. Applicants may select to participate at the state level or designate a sub-state region, subject to CMS approval during the application review.

Award ceiling: $7,500,000
Project period: 7 years
Estimated number of awards: 5
Estimated total program funding: $37,500,000

Links to the full announcement and online application process are available through grants.gov The application instructions will be found on the related documents tab.

CMS recommends an optional letter of intent to apply for this funding opportunity.