Saturday, February 14, 2026 2/14/2026

District of Columbia Maternal Health Transformation

Award Number: 2N2CMS331968
ORGANIZATION: HEALTH CARE FINANCING ADMINISTRATION, OFFICE OF ACQUISITION AND GRANTS
OPDIV: CMS
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: OTHER
PERIOD OF PERFORMANCE START DATE: 01/01/2025
PERIOD OF PERFORMANCE END DATE: 12/31/2034

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District of Columbia Maternal Health Transformation - The District of Columbia’s state Medicaid agency, the Department of Health Care Finance (DHCF), seeks to participate in the Transforming Maternal Health (TMaH) Model to advance our goal of building a maternal health care system that provides whole-person care and improves outcomes. DHCF pays for almost half of all births in the District and offers a full range of Medicaid services intended to improve maternal outcomes. In recent years, DHCF further expanded efforts to address maternal health, including implementing 12 months of postpartum coverage, doula coverage, and a Maternal Health Advisory Group to provide advice and recommendations. Additionally, the District invested in several initiatives to improve data sharing and perinatal quality monitoring. Yet, we continue to be plagued with below average maternal health outcomes, especially related to preterm birth, maternal mortality, and maternal morbidity. These poor outcomes are felt disproportionately by women of color and women in concentrated geographical regions of the city. We believe TMaH can serve as a catalyst to help the District realize improvements in these maternal health outcomes and address these persistent disparities. By participating in TMaH, the District will be able to invest in essential care delivery infrastructure and incentivize providers to work together to address a person’s physical, behavioral, and social needs under a sustainable value-based payment. If awarded, DHCF would leverage our requested $17 million budget, over 10 years, to: (1) build staff capacity to implement care delivery and payment reforms; (2) leverage contractor support around practice transformation and actuarial analysis; (3) learn from the experience of our maternal health workforce and beneficiaries; and (4) build provider capacity through infrastructure investments and quality improvement activities. With TMaH, DHCF intends to center care delivery and payment around the needs of birthing families to ensure the delivery of high-quality care. The critical infrastructure funding and technical assistance from the TMaH Model, supported by a value-based payment model that is patient-centered and equitable, is critical to achieving and maintaining improvements in maternal health outcomes.


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: 2026 ( Subtotal = $1,999,999 )
2026	2026	DEPARTMENT OF HEALTH CARE FINANCE	441 4TH ST NW STE 900S	WASHINGTON	DC	20001	DISTRICT OF COLUMBIA	USA	Transforming Maternal Health (TMaH) Model	00	2	1/29/2026	NON-COMPETING CONTINUATION	$1,999,999
2026	2026	DEPARTMENT OF HEALTH CARE FINANCE	441 4TH ST NW STE 900S	WASHINGTON	DC	20001	DISTRICT OF COLUMBIA	USA	Transforming Maternal Health (TMaH) Model	01	2	2/3/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2025	DEPARTMENT OF HEALTH CARE FINANCE	441 4TH ST NW STE 900S	WASHINGTON	DC	20001	DISTRICT OF COLUMBIA	USA	Transforming Maternal Health (TMaH) Model	05	1	11/4/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $1,999,999

Issue Date FY: 2025 ( Subtotal = $1,000,000 )
2025	2025	DEPARTMENT OF HEALTH CARE FINANCE	441 4TH ST NW STE 900S	WASHINGTON	DC	20001	DISTRICT OF COLUMBIA	USA	Transforming Maternal Health (TMaH) Model	01	1	4/11/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2025	DEPARTMENT OF HEALTH CARE FINANCE	441 4TH ST NW STE 900S	WASHINGTON	DC	20001	DISTRICT OF COLUMBIA	USA	Transforming Maternal Health (TMaH) Model	00	1	12/19/2024	NEW	$1,000,000
2025	2025	DEPARTMENT OF HEALTH CARE FINANCE	441 4TH ST NW STE 900S	WASHINGTON	DC	20001	DISTRICT OF COLUMBIA	USA	Transforming Maternal Health (TMaH) Model	02	1	6/26/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2025	DEPARTMENT OF HEALTH CARE FINANCE	441 4TH ST NW STE 900S	WASHINGTON	DC	20001	DISTRICT OF COLUMBIA	USA	Transforming Maternal Health (TMaH) Model	04	1	8/14/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2025	DEPARTMENT OF HEALTH CARE FINANCE	441 4TH ST NW STE 900S	WASHINGTON	DC	20001	DISTRICT OF COLUMBIA	USA	Transforming Maternal Health (TMaH) Model	03	1	8/1/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $1,000,000

Grand Total All Awards = $2,999,999

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District of Columbia Maternal Health Transformation

Award Number: 2N2CMS331968

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

OPDIV: CMS

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: OTHER

PERIOD OF PERFORMANCE START DATE: 01/01/2025

PERIOD OF PERFORMANCE END DATE: 12/31/2034

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