In a recent government meeting, officials discussed an exciting opportunity for the District to enhance maternal health services through a federal initiative known as Transforming Maternal Health or KEMA. This program, offered by the Center for Medicare and Medicaid Innovation (CMMI), allows up to 15 state Medicaid agencies to apply for funding of up to $17 million over a decade. The goal is to adopt a comprehensive care approach to maternal health, focusing on both care delivery and payment reforms.

Key quality improvement goals outlined by CMMI include enhancing the experience of care for pregnant individuals, reducing unnecessary cesarean sections, improving screening for maternal depression, and decreasing severe obstetric complications. Additionally, the initiative aims to ensure timely prenatal and postpartum care.

The application for this funding is due on September 20, with potential awards announced in December. If successful, the program would commence in January, although the initial three years will primarily focus on planning and establishing key care delivery milestones. Implementation of a value-based payment model is expected to begin in 2028.

Officials emphasized the importance of aligning existing maternal health efforts within the District, which include initiatives from the Department of Health Care Finance (DHCF), DC Health, local clinics, hospitals, and philanthropic organizations. They expressed optimism that this funding opportunity could build upon current efforts and create a sustainable payment model for maternal health services.

The planning phase will involve meeting specific milestones, including a detailed analysis of doula service payments and workforce issues within the community. This comprehensive approach aims to deepen the District's existing maternal health initiatives and ensure they are effectively supported and funded.