New “Innovation in Behavioral Health Model” Opportunity from CMS

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On January 18, 2024, the Centers for Medicare & Medicaid Services (CMS) announced a new innovation model to test approaches for addressing the behavioral and physical health, as well as health-related social needs, of people with Medicaid and Medicare. This bidirectional health home integration approach will focus on the integration of physical and behavioral health within community-based behavioral health settings to improve overall health outcomes. An additional goal will be to have alignment in payment for integrated behavioral health and physical health services provided to patients and families. The notice for funding from CMS will be released in the spring of 2024.

In the fall of 2024, funding will be provided across up to eight different states for a period of eight years. For this initiative, the focus will be on community-based behavioral health organizations as well as community mental health organizations and the like. Safety-net providers who serve vulnerable patient populations with substance use, psychiatric, and complex medical conditions may also be eligible to apply. The four key program pillars for this initiative include health equity, care integration, care management, and  health information technology.

To receive additional information and updates, or if you have questions about the Innovation in Behavioral Health Model, please see the resources below:

This story was contributed by NIAC Member, Dr. Stacy Ogbeide.