Transforming Maternal Health (TMaH) Model

Background
The Centers for Medicare & Medicaid Services (CMS), through its Center for Medicare and Medicaid Innovation, is soliciting applications for the Transforming Maternal Health (TMaH) Model. This is a voluntary, 10-year service delivery and payment model designed to improve maternal health care outcomes for people enrolled in Medicaid and the Children's Health Insurance Program (CHIP). The TMaH Model will test whether targeted technical assistance, coupled with payment and delivery system reforms, can drive a whole-person care-delivery approach to pregnancy, childbirth, and postpartum care while reducing Medicaid and CHIP program expenditures.

Grant Details
The TMaH Model consists of two distinct phases: a three-year Pre-Implementation Period and a seven-year Implementation Period.

Pre-Implementation Period funding and technical assistance will help the Recipient build critical skills and capacity to successfully launch a value-based payment model that supports delivery of whole-person care during the seven-year Implementation Period. CMS will select up to 15 state Medicaid agencies (SMAs or Recipients) to participate in the TMaH Model.

Up to $17 million dollars in Cooperative Agreement Awards will be available to each selected Recipient over the course of the 10-year period of performance for a total of up to $225M investment. The TMaH Model aims to reduce rates of low-risk c-sections, severe maternal morbidity, incidence of low birthweight infants, improve experience of perinatal care, and reduce Medicaid and CHIP program expenditures for maternity and infant care.

Eligibility Requirements
Eligible applicants include state Medicaid agencies (SMAs or Recipients).

Recipients are expected to define one or more geographic areas in which to implement the TMaH Model. Recipients in states that have implemented managed care in their Medicaid and/or CHIP programs are required to collaborate with at least one risk-based managed care plan (MCP) to implement the model.

Period of Performance
The anticipated period of performance is from January 20, 2025 through January 19, 2035.

Grant Value
Up to $17 million dollars in Cooperative Agreement funding will be available to each selected Recipient over the course of the 10-year period of performance for a total of up to $225M investment.