CHIPRA Quality Demonstration Grant - Wyoming

Program Location: 
Cheyenne, WY
Payer Type: 

Wyoming was awarded a Center for Medicare and Medicaid Services (CMS) CHIPRA Demonstration Grant. Maryland, Georgia and Wyoming submitted a joint application to implement and/or expand a Care Management Entity (CME) provider model using High Fidelity Wraparound and Intensive Care Coordination. Wyoming seeks to improve clinical, functional, and cost outcomes, access to home and community-based services, and youth and family resiliency of Medicaid children and youth with serious behavioral health challenges and historically high costs or at risk of high cost through implementation of a CME pilot in the Southeastern Region of Wyoming. The primary population for the CME is Medicaid financially eligible children and youth, including:

  • Children and youth with serious emotional disorders, including a medical or educational diagnosis of serious emotional disturbance/emotional disturbance; or
  • Children and youth at risk of out-of-home placement and/or children who currently meet Psychiatric Residential Treatment Facility (PRTF) level of care; and/or
  • Children identified by WDH whose use of prescription drugs do not meet prescribing guidelines established by WDH.

During the 5 year grant period, FY2010 – FY2015, Wyoming’s Grant Amount is about $450,000 per year. While Maryland manages the Grant, a local multi-agency Governor’s Planning Team for At Risk Youth and Families Committee (PTAC) through the CHIPRA Steering Committee manages and coordinates the local effort.

Payment Model: 

In addition to funding for additional outreach, CHIPRA provides bonus payments to encourage states to enroll children who are already eligible for Medicaid and CHIP. 

Last updated June 2014
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