Transforming Maternal Health (TMaH) Model

TMaH
CFDA 93.869 Active Cooperative Agreement
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Program Funding

Annual program obligations reported to SAM.gov.

Latest annual funding (estimated)
$30M FY2026
$15M
FY25
$30M
FY26*
* estimated

Program Objective

The Transforming Maternal Heath (TMaH) Model is a voluntary, 10-year service delivery and
payment model designed to improve maternal health care outcomes for people enrolled in Medicaid and the Children's Health Insurance Program (CHIP). The TMaH Model will test whether targeted technical assistance, coupled with payment and delivery system reforms, can drive a whole-person care-delivery approach to pregnancy, childbirth, and postpartum care while reducing Medicaid and CHIP program expenditures.

Eligibility

Eligible Applicants

  • State

State Requirements - An applicant to this NOFO must propose to implement the Model statewide or in a substate region specified by ZIP codes, in which the average number of annual births between 2015-2020 was no fewer than 1000.

How to Apply

Award Procedure

All qualified applications will be forwarded to a merit review committee. The results of the merit review of the applications by qualified experts will be used to advise the CMS approving official. In making these decisions, the CMS approving official will take into consideration: recommendations of the review panel; the readiness of the applicant to conduct the work required; the scope of overall projected impact on the aims; reviews for programmatic and grants management compliance; the reasonableness of the estimated cost to the government and anticipated results; and the likelihood that the proposed project will result in the benefits expected. Notification is made in writing by a Notice of Award (NoA).

Application review period will take approximately 60 business days

Program details & compliance

Description

The TMaH Model will test whether targeted technical assistance, coupled with
payment and delivery system reforms, can drive a whole-person care-delivery approach to pregnancy,
childbirth, and postpartum care while reducing Medicaid and CHIP program expenditures.

Mission Categories

Primary: General Health and Medical

Use of Funds

Allowed Uses

Cooperative Agreement funding will support the following activities:
• Grow midwifery workforce and expand birth center access
• Provide doula service benefits
• Improve Data Infrastructure and Interoperability
• Design a Payment Model
• Support Hospitals to attain Birthing Friendly Hospital Designation
• Implement AIM patient safety bundles
• Risk assess and screen, refer and follow-up for perinatal depression, anxiety, tobacco use, substance use disorder, and HRSN
• Home monitoring for hypertension and diabetes
• Health Equity Planning
• Increase Access to remote patient monitoring.
• Expand group perinatal care
• Promote Shared Decision-Making
• Extend Medicaid Coverage to 12 months postpartum

Reporting & Compliance

Records Retention
3 years

Applicable 2 CFR 200 Subparts

  • Subpart B — General Provisions
  • Subpart C — Pre-Federal Award Requirements
  • Subpart D — Post-Federal Award Requirements
  • Subpart E — Cost Principles
  • Subpart F — Audit Requirements

Contacts

Adam Conway
443 621 0783
7500 Security Blvd., Windsor Mill, MD 21244
Linda Streitfeld
410 786 8970
7500 Security Blvd., Windsor Mill, MD 21244
Data from SAM.gov Federal Assistance Listings. Source published: 2026-01-16. Spec v2.0. Last synced: 2026-05-29 05:43:44.