Project Abstract: New Hampshire’s application for Cooperative Agreement to implement CMMI’s MOM Model (Funding Opportunity Number CMS-2A2-20-001).
Model service area: Greater Manchester Region, including the combined cities and towns within the Greater Manchester Public Health Region and Catholic Medical Center and Elliot Hospital’s Hospital Service Areas. The population within this region is over 211,000.
Proposed budget and description of how funds are used: $5,380,000 to develop approaches and create necessary infrastructure to increase engagement in prenatal care; improve their access to MAT and counseling, and provide social support and basic needs for families.
Women who use substances during pregnancy are at greater risk of complications, both short term and long term, as are their infants. Utilizing MOM model funding, the New Hampshire Department of Health and Human Services (NH DHHS) and care delivery partner Elliot Health System will lead efforts to create and pilot an improved and highly coordinated system of care for pregnant women with OUD to provide a range of prevention and treatment services specific to the needs of women and the health of their babies. These efforts will leverage New Hampshire’s Integrated Delivery Network (IDN), which brings together providers across the care delivery system to improve integration of physical and behavioral health care, and will better coordinate other initiatives (e.g., Plan of Safe Care models) to accomplish its goals.
New Hampshire’s MOM model implementation will create coordinated interventions across key hospital, primary care systems, and supportive services to fill gaps in care and to effect achievable outcomes and cost savings to the Medicaid program by reducing health impacts to the mother and child resulting from substance exposure. Our model service area is the Greater Manchester Region. This region is uniquely suited to implement the MOM model due to its experience at the opioid epidemic epi-center and its long and successful history of provider and community collaboration. The State is considering several models, as described in our application, and will use the planning period to finalize our approach. All models are designed to improve access and care coordination for pregnant and postpartum women with OUD in the Greater Manchester Region, and will be considered for replication across the state.
Funding received through MOM will complement existing efforts to prevent and address OUD among this vulnerable population. Our goals for the MOM model are three fold:
1. Support pregnant and postpartum Medicaid beneficiaries seeking OUD treatment by leveraging existing integrated networks of care to:
a. Implement data sharing across organizations to increase care coordination; and
b. Improve engagement of pregnant women with OUD in prenatal care, postpartum care, and treatment for OUD through multiple support mechanisms.
2. Coordinate interventions across NH DHHS, Elliot Health System, and other partners to improve health outcomes for the mom and baby dyad and decrease costs to Medicaid.
3. Test interventions and best practices to determine which, if replicated across New Hampshire, would best address the needs of this vulnerable population.