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New ASPIRE Model to Deliver Support to Children and Youth with Complex Medical NeedsWhat’s new: CMS is launching the Accelerating State Pediatric Innovation Readiness and Effectiveness Model (ASPIRE) Model to help children up to age 21 with complex medical and behavioral needs live healthier lives through whole-person care delivery in Medicaid and CHIP, including wrap-around services to address physical and behavioral health needs. Why it matters: Identifying and addressing the needs of these children early in life can help them thrive in less restrictive, lower cost settings while empowering caregivers with resources to support their long-term health and wellness; improving care for this population can ensure they receive the right care at the right time, while also improving the quality of life for children and their families. What to expect: CMS will select up to five (5) state Medicaid agencies to take part in the voluntary model through a cooperative agreement; a Notice of Funding Opportunity will be available in 2026. The big picture: ASPIRE reflects the CMS Innovation Center’s commitment to helping children and youth live healthier lives by using evidence-based approaches to preventive care and empowering families with greater access to comprehensive and coordinated services aligned with the goals of their child. Additional details: ASPIRE builds upon lessons learned from the Integrated Care for Kids (InCK) Model, including the benefits of integrated care management for families, and the importance of a program design that reflects the unique state-based systems serving children. ASPIRE participants will assume accountability for the quality and cost of care for ASPIRE’s target population while including care delivery requirements focused on children and youth with complex medical and/or behavioral needs. Find out more |
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