NC Medicaid is sharing updates on Integrated Care for Kids (InCK).

NC Medicaid is sharing updates on Integrated Care for Kids (InCK).

NC Integrated Care for Kids (InCK) Pilot Begins

NCDHHS recently launched the Integrated Care for Kids (InCK) pilot program in Alamance, Orange, Durham, Granville and Vance counties. Supported by grant funding from CMS, the NC InCK model is a collaboration between Duke University Health System, UNC Health System and NCDHHS.

The pilot will cover approximately 95,000 children across InCK’s five counties. The NC InCK model aims to improve the quality of care and reduce expenditures for children under 21 years of age covered by Medicaid or CHIP (NC Health Choice) through prevention, early identification and treatment of behavioral and physical health needs. NC InCK also aims to bring together child-specific services from different agencies and providers to help meet the health, education and social needs of children and families. NC InCK also supports communities in coordinating services for children between health care and social services providers.

For more information, please see NC Integrated Care for Kids (InCK) Pilot Begins.

Patient Risk List Updates for Advanced Medical Homes Tier 3 Not Participating in Integrated Care for Kids (InCK)

As part of implementing the InCK pilot program, DHHS has added new valid values to the “Priority Population” field in the Patient Risk File layout transmitted from Prepaid Health Plans (PHPs) to AMH Tier 3s/or their clinically integrated network (CIN) or data partners. These new valid values identify a Service Integration Level (SIL) category for beneficiaries participating in the NC InCK program. Only AMH Tier 3s participating in the InCK pilot are expected to utilize the SIL “Priority Population” designations for their associated beneficiaries.

The InCK pilot project currently includes AMH Tier 3 practices in the Duke Connected Care, UNC Health Alliance and Community Care Physician Network (CCPN) CINs in the participating counties of Alamance, Durham, Granville, Orange and Vance. However, non-InCK participating AMH Tier 3s have the option of utilizing these SIL designations when identifying priority members for care management. For more information, please see Patient Risk List Updates for Advanced Medical Homes Tier 3 Not Participating in Integrated Care for Kids (InCK). Additional information is available on the Medicaid NC InCK webpage.

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