Opportunity Information: Apply for CMS 2N2 25 001
The Transforming Maternal Health (TMaH) Model is a 10-year, voluntary initiative from the Centers for Medicare and Medicaid Services (CMS), run through the Center for Medicare and Medicaid Innovation. It is designed to improve pregnancy, childbirth, and postpartum outcomes for people covered by Medicaid and the Children's Health Insurance Program (CHIP), while also testing whether better care and smarter payment approaches can reduce overall Medicaid and CHIP spending tied to maternal care. The core idea is to pair targeted technical assistance with payment and delivery system reforms so states can move toward a more coordinated, whole-person model of maternity care that continues through the postpartum period rather than treating pregnancy as a short, disconnected episode.
CMS plans to select up to 15 State Medicaid Agencies to participate. Each selected state Medicaid agency can receive up to $17 million in Cooperative Agreement funding across the full 10-year period of performance, for a total potential investment of up to $255 million across all awards. The funding instrument is a Cooperative Agreement, which typically signals an active partnership between the federal agency and recipients, including ongoing support, guidance, and accountability tied to model implementation and learning activities.
The model is explicitly focused on both outcomes and costs. CMS will evaluate impacts on several key measures: the rate of low-risk cesarean sections, severe maternal morbidity, the incidence of low birthweight infants, changes in the experience of care reported by pregnant and birthing people, and changes in Medicaid and CHIP program expenditures. A major cost-related emphasis is reducing avoidable spending on high-cost interventions, especially cesarean deliveries among beneficiaries who are considered low risk, with the broader expectation that improved care coordination and quality will also reduce complications and downstream costs.
Eligibility is limited to state governments, specifically State Medicaid Agencies serving the 50 states as well as the District of Columbia and U.S. territories including Puerto Rico, the U.S. Virgin Islands, Guam, American Samoa, and the Commonwealth of the Northern Mariana Islands. Applicants must propose implementing the model either statewide or in a defined sub-state region, with the service area identified using ZIP codes. The opportunity is listed as discretionary funding under the Affordable Care Act activity category, with CFDA number 93.869. The funding opportunity number is CMS-2N2-25-001, and the application closing date is September 20, 2024, with an award ceiling of $17,000,000 per recipient and an expected 15 awards.
In practical terms, this opportunity invites state Medicaid programs to redesign how maternity care is organized and paid for, using federal support to build capacity, align incentives, and improve the day-to-day experience and outcomes for pregnant and postpartum people covered by Medicaid and CHIP. The long time horizon is meant to allow states to implement reforms, measure results, and sustain changes that improve maternal and infant health while bending the cost curve by preventing complications and avoiding unnecessary procedures.Apply for CMS 2N2 25 001
- The Centers for Medicare Medicaid Services in the affordable care act sector is offering a public funding opportunity titled "Transforming Maternal Health (TMaH) Model" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.869.
- This funding opportunity was created on 2024-06-26.
- Applicants must submit their applications by 2024-09-20. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $17,000,000.00 in funding.
- The number of recipients for this funding is limited to 15 candidate(s).
- Eligible applicants include: State governments.
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Transforming Maternal Health (TMaH) Model (CMS) - FAQs
1) What is the Transforming Maternal Health (TMaH) Model?
The Transforming Maternal Health (TMaH) Model is a 10-year, voluntary initiative from the Centers for Medicare and Medicaid Services (CMS), operated through the Center for Medicare and Medicaid Innovation. It is designed to improve pregnancy, childbirth, and postpartum outcomes for people covered by Medicaid and the Children's Health Insurance Program (CHIP), while also testing whether better care delivery and payment approaches can reduce overall Medicaid and CHIP spending related to maternal care.
2) What is the main goal of the model?
The model aims to help states move toward a more coordinated, whole-person approach to maternity care that continues through the postpartum period, rather than treating pregnancy as a short, disconnected episode. CMS pairs targeted technical assistance with payment and delivery system reforms to support these changes.
3) Is participation required?
No. The TMaH Model is described as a voluntary initiative.
4) Who is eligible to apply?
Eligibility is limited to state governments, specifically State Medicaid Agencies serving the 50 states, the District of Columbia, and U.S. territories including Puerto Rico, the U.S. Virgin Islands, Guam, American Samoa, and the Commonwealth of the Northern Mariana Islands.
5) How many applicants does CMS expect to select?
CMS plans to select up to 15 State Medicaid Agencies to participate.
6) What is the funding instrument for this opportunity?
The funding instrument is a Cooperative Agreement, which typically indicates an active partnership between the federal agency and recipients, including ongoing support, guidance, and accountability connected to implementation and learning activities.
7) How much funding can a selected state receive?
Each selected state Medicaid agency can receive up to $17 million in Cooperative Agreement funding across the full 10-year period of performance. The award ceiling is $17,000,000 per recipient.
8) What is the total potential investment across all awards?
The total potential investment is up to $255 million across all awards (based on up to 15 awards).
9) How long is the period of performance?
The model runs for 10 years, and the cooperative agreement funding is described as being available across the full 10-year period of performance.
10) What populations does the model focus on?
The model focuses on people covered by Medicaid and the Children's Health Insurance Program (CHIP) who are receiving pregnancy, childbirth, and postpartum care.
11) Does the model include postpartum care?
Yes. A central theme of the model is continuity of care through the postpartum period, supporting maternity care as an ongoing continuum rather than a short-term episode.
12) What kinds of changes does the model support?
The opportunity invites state Medicaid programs to redesign how maternity care is organized and paid for. It emphasizes capacity building, aligning incentives, and implementing payment and delivery system reforms, supported by targeted technical assistance.
13) What service area options can applicants propose?
Applicants must propose implementing the model either statewide or in a defined sub-state region.
14) How should a sub-state service area be identified?
If a state proposes a sub-state region, the service area must be identified using ZIP codes.
15) What outcomes and measures will CMS evaluate?
CMS plans to evaluate impacts on several key measures, including the rate of low-risk cesarean sections, severe maternal morbidity, the incidence of low birthweight infants, changes in the experience of care reported by pregnant and birthing people, and changes in Medicaid and CHIP program expenditures.
16) What is the model's cost-related focus?
A major cost-related emphasis is reducing avoidable spending on high-cost interventions, especially cesarean deliveries among beneficiaries considered low risk. CMS also expects improved care coordination and quality to reduce complications and downstream costs.
17) What is the funding opportunity number?
The funding opportunity number is CMS-2N2-25-001.
18) What is the CFDA number associated with this opportunity?
The CFDA number listed for this opportunity is 93.869.
19) What is the application closing date?
The application closing date is September 20, 2024.
20) What is the activity category for this opportunity?
The opportunity is listed as discretionary funding under the Affordable Care Act activity category.
21) Why is the model designed as a long-term initiative?
The long time horizon is intended to give states time to implement reforms, measure results, and sustain changes that improve maternal and infant health while also reducing costs by preventing complications and avoiding unnecessary procedures.
22) What does "experience of care" mean in the evaluation context?
CMS indicates that evaluation will include changes in the experience of care as reported by pregnant and birthing people, meaning participant-reported experiences are part of how the model's impact will be assessed.
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