Opportunity Information: Apply for CMS 2A2 20 001

The Maternal Opioid Misuse (MOM) Model grant opportunity is a discretionary funding program from the U.S. Department of Health and Human Services (HHS), administered by the Centers for Medicare and Medicaid Services (CMS), focused on addressing opioid misuse and opioid use disorder among pregnant and postpartum Medicaid beneficiaries and improving outcomes for their infants. The opportunity is framed within the broader federal response to the opioid crisis, which was formally declared a nationwide public health emergency by the Acting HHS Secretary on October 26, 2017. CMS positions this work as urgent because Medicaid and other CMS-covered populations experience disproportionately high rates of opioid overdose deaths and opioid misuse-related health care utilization compared with privately insured groups, meaning the crisis has an outsized impact on public programs and the people they serve.

A central rationale for the MOM Model is the growing recognition that pregnancy and the postpartum period are high-risk windows for harm related to substance use, with substance use now described as a leading cause of maternal mortality. The grant description highlights Medicaid's major role in financing care in this area: Medicaid is identified as the primary payer for more than 75 percent of maternal hospital stays related to substance use disorders. On the infant side, Medicaid reportedly covers about 80 percent of the roughly $1.5 billion annual cost associated with caring for infants exposed in utero to substances such as opioids. Taken together, these figures underscore both the human toll and the budget impact, and they explain why CMS is investing in state-led approaches that can improve care delivery, strengthen supports for mothers, and reduce preventable complications and costly utilization.

Administratively, this funding opportunity is titled "Maternal Opioid Misuse (MOM) Model" and is listed under Funding Opportunity Number CMS-2A2-20-001. It is offered as a cooperative agreement, which typically means the federal agency anticipates substantial involvement during the project period rather than acting only as a pass-through funder. The program falls under the Health funding activity category and is associated with CFDA number 93.687. Eligibility is limited to state governments, reflecting the intent to drive Medicaid-focused systems change at the state level, where Medicaid programs are administered and where policy, payment, and provider network strategies can be aligned.

The notice indicates CMS expected to make about 12 awards, with an award ceiling of $5,380,000. The opportunity was created on February 8, 2019, with an original closing date of May 6, 2019, and applications due by 3:00 p.m. Eastern Time on that date. In practical terms, this structure signals a competitive selection process among states, with awards sized to support meaningful implementation efforts rather than small pilot activities, and with a limited cohort designed to test and demonstrate approaches that could be replicated or scaled.

In summary, the MOM Model opportunity is designed to help states strengthen and coordinate care for pregnant and postpartum people affected by opioid misuse, while also addressing the downstream impacts on infants exposed to opioids and related substances during pregnancy. It emphasizes the severity of the opioid crisis for Medicaid beneficiaries, the especially high stakes during pregnancy and postpartum, and Medicaid's dominant financial role in paying for both maternal substance use-related hospital care and infant care associated with prenatal substance exposure.

  • The Department of Health and Human Services, Centers for Medicare Medicaid Services in the health sector is offering a public funding opportunity titled "Maternal Opioid Misuse (MOM) Model" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.687.
  • This funding opportunity was created on Feb 08, 2019.
  • Applicants must submit their applications by May 06, 2019 The application is due 5/06/2019 at 300 p.m. EST.. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $5,380,000.00 in funding.
  • The number of recipients for this funding is limited to 12 candidate(s).
  • Eligible applicants include: State governments.
Apply for CMS 2A2 20 001

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