Transforming Maternal Health Model
Transforming Maternal Health Model (TMaH)
CSFA Number: 478-00-3675
STATE AGENCY INFORMATION
Agency Name
Department Of Healthcare And Family Services (478)
Agency Identification
Illinois Dept of Healthcare and Family Services
Agency Contact
PROGRAM INFORMATION
Short Description
The Transforming Maternal Heatlh (TMaH) Model is a voluntary, 10-year service delivery and payment model designed to improve maternal health 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.
Federal Authorization
Section 1115A of the Social Security Act (the Act) establishes Centers for Medicare and Medicaid Innovation to test innovative health care payment and service delivery models that have the potential to lower Medicare, Medicaid, and CHIP spending while maintaining or improving the quality of beneficiaries’ care., Title Social Security Act, Section 1115A
Illinois Statue Authorization
N/A
Illinois Administrative Rules Authorization
N/A
Objective
HFS will partner with selected partners to implement the TMaH to improve Maternal Health outcomes.
UGA Program Terms
All relevant project requirements and definitions outlined
in the NOFO (CMS-2N2-25-001) apply to this award and have been incorporated into the Terms and Conditions of Award by reference.
Eligible Applicants
Other;
Applicant Eligibility
Federal funds were received by HFS as a State Medicaid Agency. HFS will partner with selected health system partners that provide obstetrical services within a Federal Qualified Health Centers and Hospital Systems setting and serving Medicaid Customers.
Beneficiary Eligibility
The entity must be an eligible enrolled Medicaid provider.
The TMaH Model beneficiaries are Medicaid-eligible Customers who require Medicaid-approved services from Obstetrical partners providing prenatal, perinatal, and postpartum care for Medicaid and CHIP beneficiaries in HFS proposed TMaH test regions.
Types of Assistance
Cooperative Agreements
Subject / Service Area
Healthcare
Credentials / Documentation
Registration and pre-qualification through the Grant Accountability and Transparency Act (GATA) Grantee Portal, www.grants.illinois.gov/portal.
Entity must be an eligible enrolled Medicaid provider
Preapplication Coordination
Selected applicants will be contacted directly by the Department and provided additional information regarding the application requirements and necessary documentation needed to submit a complete application packet. The grantee will be required to demonstrate how it will spend the funds received. All applicants must be qualified to do business with the State of Illinois. To be qualified for a grant award, an entity must:
Have a valid DUNS number;
Have a current SAM.gov account;
Not be on the Federal Excluded Parties List;
Be in Good Standing with the Illinois Secretary of State, as applicable;
Not be on the Illinois Stop Payment list.
Not be on the Dept. of Healthcare and Family Services Provider Sanctions list
Application Procedures
Selected applicants will be contacted directly by the Department and provided additional information regarding the application requirements and necessary documentation needed to submit a complete application packet. The grantee will be required to demonstrate how it will spend the funds received.
Criteria Selecting Proposals
Health System Provider Partners were preselected and based meeting at least 1,000 combined annual Medicaid births.
Award Procedures
Selected applicants will be contacted directly by the Department and provided additional information regarding the application requirements and necessary documentation needed to submit a complete application packet. The grantee will be required to demonstrate how it will spend the funds received. Health System Provider Partners were preselected and based meeting at least 1,000 combined annual Medicaid births, therefore there will not be a merit-based review process.
Deadlines
Initial application will be available by July 1, 2025, and due no later than July 15, 2025.
Range of Approval or Disapproval Time
Department approval or disapproval time could take up to 30 business days.
Renewals
Cooperative Agreement subject to appropriations.
Grants are renewed annually.
Uses and Restrictions
Funds are used to for support staff, consulting contracts, and provider infrastructure payments to support the implementation of the TMaH model.
Reports
Funded applicants will be required to abide by the grant agreement, submit Periodic Performance Report and Periodic Financial Report, progress reports on a quarterly basis, expenditure reports on a monthly basis, and communicate performance data to the State of Illinois on a regular basis.
Audits
Grantees must comply with the audit requirements listed in 2 CFR 200 and Administrative Rule, 44 Illinois Administrative Code 7000.90.
Records
Records must be retained for three (3) years Financial records, supporting documents, statistical records, and all other non-Federal entity records pertinent to a Federal award must be retained for a period of three years from the date of submission of the final expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission of the quarterly or annual financial report, respectively, as reported to the HHS awarding agency or pass-through entity in the case of a subrecipient. HHS awarding agencies and pass-through entities must not impose any other record retention requirements upon non-Federal entities per 45 CFR §75.361 and see JCAR Title 44 Illinois Administrative Code 7000.430 Record Retention
Account Identification
0793-47865-4900-00-98
Obligations
Up to $1,000,000 for FY25.
Range and Average of Financial Assistance
HFS has received $17 million from the Centers of Disease and Control over a 10-year period.
Provider agreements will vary for each year of the program.
Program Accomplishments
The TMaH model aims to improve access, treatment, outcomes, and experiences for mothers and their newborns, while also reducing overall program expenditures.
Regulations, Guidelines, and Literature
45 CFR 75 and portions of 2 CFR part 200.
https://www.cms.gov/priorities/innovation/innovation-models/transforming-maternal-health-tmah-model
Regional or Local Assistance Location
Test Region 1: Rockford Region (Boone, Winnebago, and Northeast Ogle Counties)
Test Region 2: Northern Kane and Lake County, City of Elgin, and City of South Elgin
Comparison Region 1: Peoria and Tazewell County Region
Comparision Region 2: Aurora Region
Headquarters Office
Illinois Dept of Healthcare and Family Services
201 South Grand Ave E
Division of Medical Program Services
Springfield, IL 62763-1000
Program Website
Program specific page will be added to https://hfs.illinois.gov/
FUNDING INFORMATION
Funding By Fiscal Year
FY 2025 : $1,000,000
FY 2026 : $2,000,000
FY 2027 : $5,000,000
FY 2028 : $3,500,000
FY 2029 : $2,500,000
FY 2030 : $1,250,000
Federal Funding
Notice of Funding Opportunities
| Agency ID | Award Range | Application Range |
ACTIVE AWARDS