The CMS ASPIRE Model (Accelerating State Pediatric Innovation Readiness and Effectiveness) is a landmark 10-year initiative launched in 2026 to transform pediatric care for Medicaid and CHIP beneficiaries. By moving from Fee-For-Service to a Value-Based Care (VBC) framework, ASPIRE incentivizes "whole-person" health for youth up to age 21. For digital health innovators, the model creates a critical demand for interoperable care management, AI-driven risk stratification, and unified care plans that bridge clinical, school, and home environments.