What Is the InCK Model?
The Integrated Care for Kids (InCK) Model is a child-centered local service delivery and state payment model that aims to reduce expenditures and improve the quality of care for children under 21 years of age and pregnant individuals of all ages who are covered by Medicaid. The model will empower states and local providers to deliver better physical and behavioral healthcare through prevention, early identification and treatment. This project was awarded to the New York State Department of Health (NYS DOH) in 2020, and Montefiore Einstein was selected as the lead organization.
In collaboration with the NYS DOH, the name Bronx Equity-InCK NY (BE-InCK NY) was chosen to highlight our commitment to addressing equity issues to successfully improve the overall wellness and health outcomes in the Bronx community. Our model strives to improve access to care, support and services as well as the integration of primary and specialty care, while reducing avoidable inpatient stays and out-of-home placements. We will achieve this using a two-generation approach to care while applying a health equity lens to all the work we do.
This project is supported by the Centers for Medicare and Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS), as part of an award totaling $12,000,000 as of 2024, with 0% financed from nongovernmental sources. The contents of the website is that of the author(s) and does not necessarily represent the official views of, nor an endorsement by, CMS, HHS or the U.S. Government.
For more information, visit Centers for Medicare and Medicaid Innovation (CMMI).
About Us
Who Do We Serve?
Individuals eligible for this model must be:
- Medicaid beneficiaries
- Under the age of 21 or pregnant, AND
- Reside in service zip codes 10461, 10467 or 10469
How Do We Help?
A BE-InCK NY representative will contact you to explain the program and identify the services that may meet your child’s needs, including physical health, mental health, education, food, housing, other social service needs and care coordination.
For example:
- If your child has multiple needs, they may be eligible for care coordination through BE-InCK NY or another program.
- We can help identify someone who can help you coordinate the care your child is receiving from many providers to improve their health and wellness.
- We can help you identify someone who can help you create a care plan to address the issues that affect your child’s health and quality of life.
- We can help you identify someone who can connect your child and family with Mobile Crisis services and a crisis hotline for behavioral health emergencies.
- We can help you identify someone who can help you access prenatal and postpartum care support services.
How Much Does It Cost?
There is no cost to participate.
Other
BE-InCK NY receives a list of eligible individuals from the NYS Department of Health.
Involvement with BE-InCK NY does not change or affect your Medicaid status, immigration status or the services you can receive from your providers.
Note: BE-InCK NY is open to all Medicaid participants in these three zip codes: 10461, 10467 and 10469. It is NOT limited to Montefiore Einstein patients.
How Can I Learn More?
To learn more:
email: BEinCKNewYork@montefiore.org
or visit: Centers for Medicare and Medicaid Innovation (CMMI)
Who Is Eligible for
BE-InCK NY?
- Medicaid beneficiaries
- Under the age of 21 or pregnant, AND
- Residents of service zip codes 10461, 10467 or 10469
Partners
The BE-InCK NY Partnership Council consists of various partners, including hospital systems, community-based organizations, managed care organizations, Health Information Exchanges, federally qualified health centers, city and state agencies, family representatives, and NYS Health Home and Health Home Serving Children programs. Council partners participate in activities related to strategy and efforts to achieve InCK Model goals.
State Agencies
Department of Health
Office of Mental Health
Office of Children & Family Services
Office for People with Developmental Disabilities
Montefiore Einstein Community Hospitals
Montefiore Einstein
Blythedale Children’s Hospital
NYC Health + Hospitals: Jacobi & North Central Bronx
City Agencies
Department of Health & Mental Hygiene
Department of Education
Administration for Children’s Services
Network Support
Bronx Regional Health Information Organization
Healthix
Community Partners
Visiting Nurse Services of New York
Collaborative for Children and Families
Community Care Management Partners
Citizen’s Committee for Children of New York
Vocational Instruction Project Services
BronxWorks
Acacia Network
Union Community Health Center
Health People
Astor Services
Catholic Guardian Services
Good Shepherd Services
Cardinal McCloskey Community Services
New Alternatives for Children
Bronx Accountable Healthcare Network
Medicaid Payers
EmblemHealth
Healthfirst
Fidelis Care
MetroPlusHealth
Molina Healthcare
News
Journal of Health Care for the Poor and Underserved (JHCPU)
The Integrated Care for Kids Model: Addressing Fragmented Care for Pediatric Medicaid Enrollees in Seven Communities
American Journal of Obstetrics & Gynecology (AJOG)
Piloting a prenatal care smartphone application and care navigation intervention at a federally qualified health center
Resources
Findhelp
a free search platform that connects people to social care resources, social services and programs within the community.
NYC311
provides access to non-emergency city services and information about NYC government programs.
NY State of Health
information on annual health insurance renewals and applying for coverage through NYS.
NYC 988
offers connection to free, confidential crisis counseling, mental health and substance use support, information and referrals. The toll-free helpline is available 24 hours a day, 7 days a week by phone, text and online chat.
Mobile Crisis Services
can be accessed through NYC 988. Mobile Crisis Teams provide care and short-term management for individuals who are experiencing severe behavioral crises.
Forms for Download
BE-InCK NY Privacy Notice
English
Shqip (Albanian)
العربية (Arabic)
বাংলা (Bengali)
Français (French)
Español (Spanish)
Tiếng Việt (Vietnamese)
BE-InCK NY Needs Screening Tool
English
Shqip (Albanian)
العربية (Arabic)
বাংলা (Bengali)
Français (French)
Español (Spanish)
Tiếng Việt (Vietnamese)
Meet the Montefiore Einstein BE-InCK NY Project Team
Antonette Mentor
Executive Program Director; Associate Vice President, CMO
Nicole Furnari
Program Director; Director of Pediatric Care Coordination, CMO
Christine Lebron-Reyes
Project Manager
Lena Brigante
Service Integration Supervisor
Marta P., Niya H., Almi C. and Nancy D.
Our team of dedicated Service Integration Coordinators
Contact Us
Email us at:
BEInCKNewYork@montefiore.org
Write to us at:
Bronx Equity Integrated Care for Kids New York
200 Corporate Drive, Suite 200
Yonkers, NY 10701