Opinion: We’re launching a new CMS pilot program to help children with complex conditions

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Source: STAT News

Original: https://www.statnews.com/2026/03/24/cms-aspire-innovation-model-announcement/?ut...

Published: Tue, 24 Mar 2026 20:00:00 +0000

CMS launches new optional Medicaid "health home" benefit for children with medically complex conditions. This benefit helps states provide Medicaid-eligible children with coordinated patient-centered care, care coordination, and support for patients and families.[1] It includes access to a wide range of pediatric specialty and subspecialty medical services, including services from out-of-state providers when medically necessary.[1] Children with complex conditions such as polio, cystic fibrosis, blood disorders or mental disorders often require extensive care coordination and specialized treatment.[1] States may implement this benefit beginning October 1, 2022, as outlined in the letter to state Medicaid program directors.[1] CMS Administrator Chiquita Brooks-LaSure said the goal is to ensure coordinated, quality care for children with complex conditions through Medicaid and CHIP.[1] The program is designed to help families coordinate care, including services outside the home state.[1]