Transforming Maternal Health (TMaH) Model | CMS 2N2 25 001

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.

• 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.

Apply for CMS 2N2 25 001

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