Innovation In Behavioral Health

 

The CMS Innovation Center is announcing a new NOFO focusing on improving the quality of care for people with behavioral health needs.

Active 93.610 Centers For Medicare and Medicaid Services, Department of Health and Human Services B - Project Grants; Z - Salaries and Expenses Not applicable. Social Security Act, section 1115A Section 1115A of the Social Security Act (the Act) establishes CMMI to test innovative health care payment and service delivery models that have the potential to lower Medicare, Medicaid, and CHIP spending while maintaining or improving the quality of beneficiaries’ care. Eligible applicants are all 50 states, Washington DC, and territories. Eligible U.S. territories include American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, and the United States Virgin Islands. The IBH Model will include adult Medicare and Medicaid beneficiaries (including dually eligible individuals) who receive care for moderate to severe mental health conditions and/or SUD in a community-based setting. The IBH Model will not include or exclude beneficiaries solely based on diagnosis. All adult beneficiaries receiving care from eligible Practice Participants identified using claims analysis will be eligible for the Model, regardless of their specific BH diagnoses. Recipients should encourage Practice Participants to educate beneficiaries regarding IBH services and develop standardized practices to determine their need for IBH care delivery framework services. Not applicable. Preapplication coordination is not applicable. 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Application guidelines will be included in the NOFO listing. All qualified applications will be forwarded to a merit review committee. The results of the merit review of the applications by qualified experts will be used to advise the CMS approving official. In making these decisions, the CMS approving official will take into consideration: recommendations of the review panel; the readiness of the applicant to conduct the work required; the scope of overall projected impact on the aims; reviews for programmatic and grants management compliance; the reasonableness of the estimated cost to the government and anticipated results; and the likelihood that the proposed project will result in the benefits expected. Notification is made in writing by a Notice of Award (NoA). Applications will be due 60 days after the NOFO is posted. The application review period will take approximately 60 days. Not applicable. Not applicable. Not applicable. Cooperative Agreement funding is to be used for Recipient’s costs in developing and operationalizing the IBH Model. Funding may be used for statewide infrastructure, health IT, staffing, interoperability projects, and convening. Cooperative Agreement funds may not be used to pay providers for services covered under Medicare, Medicaid, and/or CHIP, including services already covered under such programs or any newly covered services under this model. Recipients are encouraged to leverage other Medicaid funding sources, such as Medicaid 90/10 funding, to advance the Model aims. Recipients will be required to develop the Medicaid APM in accordance with CMS and state-based Medicaid policy. Cooperative agreement cannot be used to finance the care delivery services provided under the Model. Performance Reports: Frequency and content of performance reports to be determined. In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, nonfederal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503 Recipients are required to maintain grant accounting records 3 years after the date they submit the final Federal Financial Report. If any litigation, claim, negotiation, audit or other action involving the award has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later. 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. CMS will award eight-year cooperative agreements to a maximum of eight award Recipients (“Recipients”). The Model consists of a three-year Pre-Implementation Period along with a five-year Implementation Period. Method of awarding/releasing assistance: Recipients drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web-based payment system for HHS awards. Awards will be made through Cooperative Agreements. The Center for Medicare and Medicaid Innovation 7500 Security Boulevard, Baltimore, MD 21244 Isaac Devoid
7500 Security Blvd
Windsor Mill, MD 21244 USA
IBHModel@cms.hhs.gov
Phone: 877-267-2323 75-0522-0-1-551 (Salaries and Expenses) FY 23$0.00; FY 24 est $0.00; FY 25 est $20,000,000.00; FY 18$0.00; FY 19 est $0.00; FY 20 est $0.00; FY 17$26,715,516.00; FY 16$119,108,914.00; - CMS will make a total of $7.5 million available to each state participating in The IBH Model. Awardees will have access to $2.5 million during the three-year pre-implementation period, and $1 million each year of the 5 year implementation period. The entire period of performance is eight years. Not applicable. Not applicable.