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Presenter announces CMS Innovation Center's ASPIRE model to coordinate care for children with complex needs

CMS Innovation Center announcement · March 24, 2026
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Summary

A presenter said the Centers for Medicare & Medicaid Services' (CMS) Innovation Center is launching the ASPIRE Model to help states use Medicaid and CHIP to deliver coordinated physical, behavioral, educational and community supports for children with complex medical and behavioral health needs; up to five states will pilot the model.

A presenter said the Centers for Medicare & Medicaid Services' (CMS) Innovation Center is launching the ASPIRE Model to help states coordinate care for children with complex medical and behavioral health needs.

"That's why the CMS Innovation Center is launching the ASPIRE Model," the presenter said, describing the initiative as aimed at "accelerating state pediatric innovation, readiness and effectiveness." The presenter said ASPIRE will give states "new tools to transform how they use Medicaid and CHIP to deliver care for high and rising risk children."

The announcement framed the program as a response to families' ongoing burdens. The presenter described parents and caregivers who spend hours coordinating doctor visits, school meetings and therapy sessions and who "have to repeat the same information again and again," calling the administrative load overwhelming and isolating for many households.

Under the ASPIRE Model, the presenter said, "up to five states will test a whole child, whole family approach that connects physical health, behavioral health, education, and community support." The pilot design emphasizes cross-sector coordination intended to address multiple needs in a single model of care rather than through separate programs.

Supporters of early intervention argue such models can influence long-term outcomes. The presenter said "early comprehensive support can help shape a child's entire future" and "help them grow into healthy, independent adults." The announcement positioned ASPIRE as an effort to reduce family strain and improve care coordination through state-led pilots.

The presenter closed by saying the program is intended to "ease the strain on families" and invoked the closing line: "Making America Healthy Again, one child at a time." No additional details about selection criteria for participating states, timelines, funding amounts or reporting requirements were provided in the remarks.

Next steps were not specified in the transcript; the presenter did not state when states will be selected, how long pilots will run, or how outcomes will be measured. The announcement indicates CMS Innovation Center intends to roll out the ASPIRE Model as a state-tested approach using Medicaid and CHIP authorities, but the transcript does not include operational or budget details.