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Transforming Maternal Health (TMaH) Model

Award Number: 2N2CMS331970
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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Transforming Maternal Health (TMaH) Model - The Maine Department of Health and Human Services (DHHS)- Office of Medicaid Services (OMS), will utilize the Transforming Maternal Health (TMaH) Model to strengthen the Perinatal System of Care (PSOC) with the overarching goal of improving the health of pregnant people and infants in Maine and reducing health disparities based on race, ethnicity, and geography. OMS is applying for $16,976,503.90 to implement the TMaH Model which will bolster the work the Maine DHHS has been doing with statewide partners to improve the PSOC since 2019. Currently, several state and health care organizations have time-limited federal funding to improve maternal health and TMaH represents an opportunity for OMS to play a critical role in bringing infrastructure and implementation resources to Maine, expand Medicaid coverage and reimbursement models that support access to a broad range of maternity services, and build on the previous extension of Medicaid Eligibility to 12 months postpartum in Maine in 2022. OMS’ work on TMaH will focus on three main areas: access to care, infrastructure, and workforce capacity; quality improvement and safety; and whole-person care delivery. OMS will engage partners from across the health care, social services, and government sectors to develop the TMaH Model with technical assistance from CMS during the three-year planning period and work towards model implementation over the last seven years of the project. OMS will implement the ten required elements and three optional elements of the TMaH Model. The first three required elements include increasing access to certified nurse midwifery workforce; exploring licensure of birth centers; and covering doula services under OMS. OMS will also work on improving data infrastructure to inform quality improvement efforts and support improved maternity health. A significant focus of OMS work will be developing a value-based maternity services payment model for OMS providers to support the transformation work required in the TMaH Model, including the optional element of developing reimbursement for group perinatal care. OMS will also support the Perinatal Quality Collaborative for Maine’s work with maternity hospitals and birth hospitals to implement patient safety bundles and achieve the “Birthing Friendly” designation from CMS. In addition, as part of the TMaH Model, OMS will work with maternity providers on increasing risk assessments, screening, referrals and follow ups for perinatal depression, anxiety, tobacco use, substance use disorder, and health related social needs. OMS will link this work to the “optional” element of increasing Perinatal Community Health Worker (CHW) capacity in participating communities. OMS will also work closely with maternity and community providers to increase home monitoring of diabetes and hypertension; this will connect to the optional TMaH pillar of increasing Home Visits, Mobile Clinics and Telehealth. OMS will also fund consultants to study how to create Partnerships in Rural Areas to ensure access to the appropriate level of maternity care for pregnant people. Finally, OMS is committed to ensuring that health equity and patient engagement is an important part of TMaH. OMS will develop a Health Equity Plan that builds on several recent needs assessments in Maine around improving access to maternity care in rural and diverse communities and aligns with work at DHHS. The TMaH Model will allow OMS to work with partners to transform the health care landscape in Maine to support perinatal health and ensure a healthy start in life for pregnant people, moms, babies and families.


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 = $1,946,241 )
2026	2026	Health And Human Services, Maine Department Of	11 STATE HOUSE STA	AUGUSTA	ME	04333	KENNEBEC	USA	Transforming Maternal Health (TMaH) Model	02	2	5/14/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2026	Health And Human Services, Maine Department Of	11 STATE HOUSE STA	AUGUSTA	ME	04333	KENNEBEC	USA	Transforming Maternal Health (TMaH) Model	00	2	1/29/2026	NON-COMPETING CONTINUATION	$1,946,241
2026	2026	Health And Human Services, Maine Department Of	11 STATE HOUSE STA	AUGUSTA	ME	04333	KENNEBEC	USA	Transforming Maternal Health (TMaH) Model	05	2	6/26/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2026	Health And Human Services, Maine Department Of	11 STATE HOUSE STA	AUGUSTA	ME	04333	KENNEBEC	USA	Transforming Maternal Health (TMaH) Model	01	2	4/9/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2026	Health And Human Services, Maine Department Of	11 STATE HOUSE STA	AUGUSTA	ME	04333	KENNEBEC	USA	Transforming Maternal Health (TMaH) Model	04	2	6/17/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2026	Health And Human Services, Maine Department Of	11 STATE HOUSE STA	AUGUSTA	ME	04333	KENNEBEC	USA	Transforming Maternal Health (TMaH) Model	03	2	6/16/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2025	Health And Human Services, Maine Department Of	11 STATE HOUSE STA	AUGUSTA	ME	04333	KENNEBEC	USA	Transforming Maternal Health (TMaH) Model	04	1	11/10/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $1,946,241

Issue Date FY: 2025 ( Subtotal = $999,171 )
2025	2025	Health And Human Services, Maine Department Of	11 STATE HOUSE STA	AUGUSTA	ME	04333	KENNEBEC	USA	Transforming Maternal Health (TMaH) Model	01	1	5/14/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2025	Health And Human Services, Maine Department Of	11 STATE HOUSE STA	AUGUSTA	ME	04333	KENNEBEC	USA	Transforming Maternal Health (TMaH) Model	03	1	8/14/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2025	Health And Human Services, Maine Department Of	11 STATE HOUSE STA	AUGUSTA	ME	04333	KENNEBEC	USA	Transforming Maternal Health (TMaH) Model	02	1	6/2/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2025	Health And Human Services, Maine Department Of	11 STATE HOUSE STA	AUGUSTA	ME	04333	KENNEBEC	USA	Transforming Maternal Health (TMaH) Model	00	1	12/19/2024	NEW	$999,171
														Subtotal = $999,171

Grand Total All Awards = $2,945,412

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Transforming Maternal Health (TMaH) Model

Award Number: 2N2CMS331970

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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