Care management entities (CMEs) serve as accountable hubs to coordinate all care for children and youth with complex behavioral health issues who are involved in multiple systems, and their families. Financing strategies for CMEs vary considerably from one locality to the next and necessarily reflect the fiscal realities of the state, county or community the CME serves.
Case rates are one pricing method for CMEs, in which a flat amount, often a per diem or per-child-per-month rate, covers a defined group of services.Several types of case rates used in funding CMEs exist across the country. This technical assistance resource summarizes how CMEs in eight states have structured their financing approaches. It is meant to guide those who may be exploring the CME model and seeking to learn more about ways to structure case rates within this model.