Report offers insights on state implementation of care coordination model to support children and youth with complex behavioral health needs and their families.

Background

Children who use Medicaid behavioral health services represent a large share of overall program expenditures. Intensive care coordination (ICC) — an evidence-based care model that uses the Wraparound approach — is implemented in several states to improve costs and quality of care for children with significant behavioral health needs. This report details how ICC operates across several states and highlights strategies needed for successful development, implementation, and monitoring.

About this Resource

The report shares a collection of profiles on states and counties using ICC, organized by the following phases of service delivery:

  • Pre-implementation: States in the early stages of developing the components and infrastructure needed to successfully deliver ICC services and supports;
  • Implementation: States and localities with emerging ICC programs that are in the process of expanding sustainably and engaging families that could benefit from services; and
  • Sustainability: Established state and local ICC programs with sufficient staff and funding, as well as ongoing activity to monitor and report outcomes.

Each profile includes information on the eligibility, screening, workforce requirements, funding mechanisms, and evaluation components of the ICC program.

Program/Policy Takeaways

State Medicaid and behavioral health agencies can use this report to understand lessons and identify opportunities to develop, implement, or enhance ICC services for children, youth, and their families.

Posted: December 2025