CMS Requests Information on Potential Pediatric Alternative Payment Model

Added on Mar 16, 2017

CMS Requests Information on Potential Pediatric Alternative Payment Model
Industry Edge March 2017

Underscoring its commitment to support comprehensive and innovative care for children, the Centers for Medicare & Medicaid Services (CMS) has issued a Request for Information (RFI) on a draft pediatric care model concept focused on improving the health of children and youth covered by Medicaid and the Children’s Health Insurance Program (CHIP).

Through the RFI, the agency is seeking concepts 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 cited the following as examples of concepts on which it is seeking input:

  • Opportunities and impediments to extending and enhancing integrated service model concepts such as accountable care organizations to the pediatric population
  • Flexibilities and supports that states and providers may need in order to offer such models of care to a state’s pediatric population
  • Approaches for states and providers to coordinate Medicaid and CHIP benefits and waivers with other health-related social services for children and youth


Comments must be received by March 28, 2017, in order to be considered. More information on the RFI is available here.