This week, Governor Newsom
announced that the California Department of Health Care
Services (DHCS) has been selected by the Centers for Medicare &
Medicaid Services (CMS) as one of just 15 states to implement the
Transforming Maternal Health (TMaH) Model. The TMaH Model is
a 10-year Medicaid and Children’s Health Insurance Program (CHIP)
delivery and payment model designed to improve maternal health
outcomes and reduce costs through a whole-person approach to
maternal care. The TMaH model will focus on areas with the
greatest need for intervention and resources. DHCS will implement
the TMaH Model in five counties in the Central Valley: Fresno,
Kern, Kings, Madera, and Tulare.
The TMaH Model will provide $17 million in funding over the
program’s course. CMS will award this funding to DHCS in two
phases: $8 million during the three-year pre-implementation
period (2025-2027) and $9 million during the seven-year
implementation period (2028-2035). DHCS will leverage this
funding for technical assistance and infrastructure support that
will be made available to providers and key implementation
partners in the five counties to meet required milestones,
including the rollout of a value-based payment (VBP) model aimed
at rewarding providers for delivering high-quality care.
