Available to Those Who Provide Primary Care to Children
in Monmouth and Ocean Counties
The New Jersey Chapter, American Academy of Pediatrics (NJAAP) is partnering with HMH on the CMS InCK model to provide education and support in the early identification and treatment of children with health-related needs and to integrate existing services within the health delivery system to make resources more accessible for children and families.
Benefits of Participating In This Program
- • Expanded payment for annual screening of all children enrolled in NJ Family Care
- • NJ Medicaid will develop an APM to support case management teams for families and children with high health complexity
- • NJ Medicaid will work collaboratively to ensure active engagement
- • For children and families with the greatest health complexity, a team of community health workers, social workers, and others will partner closely with practices to develop shared plans of care for patients with the greatest health complexity
- • Information on all core community child services and referral processes will be provided to your practice to assist with integration of care and improve community support for all families, regardless of health complexity level
- • Education on the program and related topics will be provided for all practice teams
- • Practice teams will be engaged on all aspects of care management
- • Maintenance of Certification Credits will be offered for Part 2 and 4 credit
- • Support for clinicians to increase skills and move their practice to NCQA status
- • Telehealth for some services
Hackensack Meridian Health (HMH), in partnership with NJ Medicaid, NJ Health Care Quality Institute and the has entered into a collaborative agreement with Centers for Medicare and Medicaid Services (CMS) to establish the NJ Integrated Care for Kids (InCK) model. Working with those who provide primary care to children in Monmouth and Ocean Counties, NJ InCK will test an Alternative Payment Model (APM), for NJ Family Care programs, by providing payment for screening and provision of integrated community based core child health services. Beginning January 1, 2022 all practices accepting NJ Family Care in Monmouth and Ocean Counties will receive expanded payment for completing screening of those children.
The goals of the InCK model are:
- Ensure that all children receive expanded EPSDT care at least annually;
- Identify children and adolescents who have more complex health, behavioral or social needs; and
- Provide community based care management that integrates with the pediatric health system.