Delta Region Maternal Care Coordination Program

value-based care model(s) in the planning and delivery of perinatal services; 3. Identify barriers to providing maternal health care in the region and strategies for addressing such barriers; and 4. Develop and implement deliberate and sustainable strategies of care coordination into policies, procedures, staffing, services, and communication systems (including but not limited to billing for appropriate services and partnering private and public payers). Applicants are encouraged to consider innovative strategies to meet the needs of and support pregnant women and new mothers. Some examples of activities that can be provided include: • Provide outreach and education to pregnant women and new mothers on healthy nutrition to reduce risk of hypertension • Provide screening and referral of mental health issues such as depression and anxiety including HRSAs Maternal Mental Health Hotline (1-833-TLC-MAMA) • Refer pregnant women and new mothers to online or local support groups • Recruitment of doula and midwifery services, community health workers, and/or maternal fetal specialist services • Support patient care through telehealth • Support travel costs, as necessary, of maternal health specialist to travel to pregnant woman • Provide education and social support for pregnant women through the development of centering pregnancy (group prenatal care) visits; • Provide resources and education to support in-home hypertension management and blood pressure self-monitoring and reporting; • Support mobile prenatal and postpartum care visits for pregnant women and new mothers; • Utilize development dyad models (mother and infant) to support combined postpartum and infant checkup visits; • Support childcare for pregnant women and new mothers during prenatal and postpartum care visits; Applicants are encouraged to consider innovative strategies. Applicants are encouraged to propose ways to achieve these goals through the establishment or continuation of collaborative networks/consortiums of providers and services who support pregnant women and new mothers through pregnancy and post-partum. The networks will focus on reducing risk factors for pregnant women during and after pregnancy through screening and referral to needed services and interventions. HRSA recommends your members consist of a broad array of organizations from both traditional and non-traditional health care entities. Network members may include cross-sector entities such as health care providers, key services for supporting infant and child health, quality program providers, and insurers. See Appendix B for examples of the types of network members. This program funding should be used to complement the work of other organizations and should not duplicate or supplant activities that are funded through other federal mechanisms. The Delta MCC is a four-year program with year one (September 30, 2024 – September 29, 2025) a planning year and years two, three, and four (September 30, 2025 – September 29, 2028) focused on program implementation. For more details, see Program Requirements and Expectations.