NC Integrated Care for Kids (InCK)

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North Carolina Integrated Care for Kids (NC InCK) is a new model that aims to improve the way children under age 21 and their families receive care and support services. NC InCK focuses on prevention, early identification and treatment of behavioral and physical health needs, and integrated care coordination and care management. NC InCK also uses Alternative Payment Models (APMs) that link payments to meaningful measures of child well-being.

About NC InCK!
NC InCK Core Child Services

NC InCK Model

The NC InCK model covers children enrolled in Medicaid or NC Health Choice who live in Alamance, Durham, Granville, Orange and Vance counties. Enrollment is automatic and began in January 2022. The model will operate through Dec. 31, 2026. Results will be used to evaluate care quality, utilization and costs.

Participating Practices

Participating practices integrate care and care management across physical health, behavioral health and 10 core child service areas to deliver child and family-centered care. NC InCK's APMs will link payments to novel measures of child well-being.

Care Management

The NC InCK model will initially launch with 3 clinically integrated networks (CINs) in the 5 NC InCK pilot counties. The CINs are Duke Connected Care, UNC Health Alliance and Community Care Physician Network (CCPN). NC InCK will roll out with additional CINs in the future. In the NC InCK model, NC Medicaid Managed Care health plans delegate certain care management functions to Advanced Medical Home (AMH) Tier 3s at the local level.

About NC InCK

NCDHHS, Duke University and the University of North Carolina at Chapel Hill are partners in the NC InCK model. NC InCK is supported by the federal Centers for Medicare and Medicaid Services as part of a 7-year, $16 million award.

Vision: Healthy, thriviing children and families living in a model collaborate community

Mission: Partnering with communities to support and bridge services where children live, learn and play

Strategy: NC InCK has 3 key strategies to integrate care for children:

  1. Understand Needs. More holistically understand the needs of children and youth
  2. Support and Bridge Services. Integrate services across sectors for children and youth who could benefit from additional support
  3. Focus Health Care Investments. Find ways to invest resources into what matters most for children, youth and families


The NC InCK strategy
NC InCK Story & Values
Duke Funding Award
NC Integrated Care for Kids public website