Simpler Grants.gov #CMS-2Q2-26-001

CMS Innovation in Behavioral Health (IBH) Model Cooperative Agreement for State Medicaid Agencies

This opportunity from the Centers for Medicare & Medicaid Services (CMS) seeks state Medicaid agencies to implement the Innovation in Behavioral Health (IBH) Model, Cohort II. - Government Buyer: - U.S. Department of Health and Human Services - Centers for Medicare & Medicaid Services (CMS) - Center for Medicare and Medicaid Innovation - Scope and Funding: - Up to five state Medicaid agencies (SMAs) will be selected - Each agency may receive up to $7.5 million in cooperative agreement funding over seven years - No cost sharing or matching required - Services Requested: - Implementation of a value-based payment (VBP) model for integrated behavioral health care - Focus on adult Medicaid, Medicare, and dually eligible beneficiaries with moderate to severe mental health conditions and/or substance use disorders - Recruitment of specialty behavioral health practice participants - Development of Medicaid payment approaches aligned with Medicare - Investments in certified health IT products and infrastructure improvements - Data reporting on quality measures (e.g., diabetes, hypertension, tobacco use screening) - Unique Requirements: - Multi-payer alignment and integrated care delivery - Emphasis on care management, preventive care, and health promotion - Participation in convening structures and evaluation activities - Eligible Applicants: - All state Medicaid agencies, Washington DC, and U.S. territories - No specific OEMs or commercial vendors are named; focus is on service delivery and health IT infrastructure investments.

Description

The Innovation in Behavioral Health (IBH) Model for Cohort II Recipients is a seven-year, voluntary service delivery and payment model promoting integrated care in behavioral health settings. The model will test a value-based payment approach aligned across Medicaid and Medicare, supporting integrated care delivery in specialty behavioral health organizations for adult Medicaid, Medicare, and dually eligible beneficiaries with moderate to severe mental health conditions and/or substance use disorders. Up to five state Medicaid agencies will be selected to participate, each eligible for up to $7.5 million in cooperative agreement funding over the seven-year period. The performance period includes a two-year Pre-Implementation phase (2027-2028) and a five-year Implementation phase (2029-2033). Eligible applicants are state Medicaid agencies from all 50 states, Washington DC, and U.S. territories.

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