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2019 Maternal Opioid Misuse Indiana Initiative (MOMII)

Award Number: 2A2CMS331764
ORGANIZATION: HEALTH CARE FINANCING ADMINISTRATION, OFFICE OF ACQUISITION AND GRANTS
OPDIV: CMS
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: DEMONSTRATION
PERIOD OF PERFORMANCE START DATE: 01/01/2020
PERIOD OF PERFORMANCE END DATE: 12/31/2025

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2019 Maternal Opioid Misuse Indiana Initiative (MOMII) - The State of Indiana is poised to test innovative strategies to improve the quality of care and health outcomes for pregnant and postpartum women with opioid use disorder (OUD) and their infants while reducing Medicaid and CHIP expenditures. The Indiana Family and Social Services Administration (FSSA), which oversees the State’s Office of Medicaid Policy and Planning (OMPP) has designed the proposed Maternal Opioid Misuse Indiana Initiative (MOMII) program to address the growing opioid epidemic in Indiana and specific gaps in care. The number of overdose deaths specific to opioids has steadily increased in Indiana over the past two decades. Of the 61,425 pregnant women enrolled in Indiana Medicaid in 2018, 4.6% had a Medicaid claim for an OUD. OUD prevalence among pregnant women has compounded Indiana’s high infant mortality rate, which is one of the 10 worst in the country. Among mothers on Medicaid in Indiana, 992 infants were born with NAS in 2018; of those, 45% were related to opioids. In partnership with Indiana’s four Medicaid managed care entities (MCEs), FSSA will improve the quality of care and health outcomes while reducing expenditures through the following strategies. Collectively, these strategies are expected to result in a cost savings between $680,000 and $1,360,000 per year related to maternal and infant expenditures. • Value-based purchasing to incentivize patient outcomes – By incentivizing outcomes, FSSA’s model will lower per member/month costs and reduce infant mortality. Specifically, an enhanced rate for complex care coordination will improve outreach, care coordination and integration of services that will result in increased prenatal care (physical, behavioral, and SUD) and improved postpartum care (infant mortality and ongoing OUD treatment). • Social determinants of health (SDOH) screening and referrals – By standardizing the screening process and facilitating a shared platform for care coordination, FSSA will ensure that SDOH are identified and addressed in a timely and appropriate fashion. • Provider education and training – In collaboration with the Indiana University School of Medicine, FSSA will provide remote-based provider education and a learning collaborative for OUD treatment in pregnancy and NAS management. • Extend Medicaid coverage postpartum – By losing their coverage, women with OUD are at great risk of relapse with its accompanying complications. FSSA will extend coverage for this population to one year postpartum to address this gap. • Peer recovery coaches and family education – The value of peer recovery coaches in the treatment of persons with SUD is widely recognized. In addition, individual and family education around both OUD treatment as well as the pre and postpartum care and care of an infant is essential in assuring the best outcomes of mother and child. The MOMII strategy will include peer recovery coaching and connection to community-based home visiting services for individual and family education.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $500,000 )
2025	2025	INDIANA FAMILY AND SOCIAL SERV	402 W WASHINGTON ST RM E436	INDIANAPOLIS	IN	46204	MARION	USA	Maternal Opioid Misuse Model	02	5	12/17/2024	EXTENSION WITH OR WITHOUT FUNDS	$500,000
														Subtotal = $500,000

Issue Date FY: 2024 ( Subtotal = $1,000,000 )
2024	2024	INDIANA FAMILY AND SOCIAL SERVICES ADMINISTRATION	402 W WASHINGTON ST RM E-414	INDIANAPOLIS	IN	46204	MARION	USA	Maternal Opioid Misuse Model	00	5	12/15/2023	NON-COMPETING CONTINUATION	$500,000
2024	2024	INDIANA FAMILY AND SOCIAL SERV	402 W WASHINGTON ST RM E436	INDIANAPOLIS	IN	46204	MARION	USA	Maternal Opioid Misuse Model	01	5	3/26/2024	SUPPLEMENT FOR EXPANSION	$500,000
														Subtotal = $1,000,000

Issue Date FY: 2023 ( Subtotal = $997,166 )
2023	2023	INDIANA FAMILY AND SOCIAL SERVICES ADMINISTRATION	402 W WASHINGTON ST RM E-414	INDIANAPOLIS	IN	46204	MARION	USA	Maternal Opioid Misuse Model	00	4	12/28/2022	NON-COMPETING CONTINUATION	$997,166
														Subtotal = $997,166

Issue Date FY: 2022 ( Subtotal = $577,910 )
2022	2022	INDIANA FAMILY AND SOCIAL SERVICES ADMINISTRATION	402 W WASHINGTON ST RM E-414	INDIANAPOLIS	IN	46204	MARION	USA	Maternal Opioid Misuse Model	00	3	12/17/2021	NON-COMPETING CONTINUATION	$577,910
2022	2021	INDIANA FAMILY AND SOCIAL SERVICES ADMINISTRATION	402 W WASHINGTON ST RM E-414	INDIANAPOLIS	IN	46204	MARION	USA	Maternal Opioid Misuse Model	02	2	11/30/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $577,910

Issue Date FY: 2021 ( Subtotal = $1,455,065 )
2021	2021	INDIANA FAMILY AND SOCIAL SERVICES ADMINISTRATION	402 W Washington St Rm E-414	Indianapolis	IN	46204	MARION	USA	Maternal Opioid Misuse Model	00	2	12/17/2020	NON-COMPETING CONTINUATION	$1,455,065
2021	2021	INDIANA FAMILY AND SOCIAL SERVICES ADMINISTRATION	402 W WASHINGTON ST RM E-414	INDIANAPOLIS	IN	46204	MARION	USA	Maternal Opioid Misuse Model	01	2	6/10/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $1,455,065

Issue Date FY: 2020 ( Subtotal = $737,610 )
2020	2020	INDIANA FAMILY AND SOCIAL SERVICES ADMINISTRATION	402 W Washington St Rm E-414	Indianapolis	IN	46204	MARION	USA	Maternal Opioid Misuse Model	00	1	12/16/2019	NEW	$737,610
2020	2020	INDIANA FAMILY AND SOCIAL SERVICES ADMINISTRATION	402 W Washington St Rm E-414	Indianapolis	IN	46204	MARION	USA	Maternal Opioid Misuse Model	02	1	9/22/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2020	INDIANA FAMILY AND SOCIAL SERVICES ADMINISTRATION	402 W Washington St Rm E-414	Indianapolis	IN	46204	MARION	USA	Maternal Opioid Misuse Model	01	1	6/25/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $737,610

Grand Total All Awards = $5,267,752

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2019 Maternal Opioid Misuse Indiana Initiative (MOMII)

Award Number: 2A2CMS331764

ORGANIZATION: HEALTH CARE FINANCING ADMINISTRATION, OFFICE OF ACQUISITION AND GRANTS

OPDIV: CMS

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: DEMONSTRATION

PERIOD OF PERFORMANCE START DATE: 01/01/2020

PERIOD OF PERFORMANCE END DATE: 12/31/2025

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