Maternal Opioid Misuse Model
MOM Model Update
Note: The Maternal Opioid Misuse Model ended on December 31, 2024. The information below is provided for reference only. For any questions about the Maternal Opioid Misuse Model, please contact hcpf_maternalchildhealth@state.co.us.
MOM Model Overview
In the last decade, a disturbing trend has emerged in Colorado. In place of postpartum hemorrhage and eclampsia related deaths, behavioral health conditions are now the leading cause of maternal mortality. While Colorado's maternal population has been greatly impacted by the increase in maternal morbidity and mortality associated with behavioral health disorders, recent changes in the Colorado delivery system can make improving these outcomes more feasible. The latest iteration of the Department's Accountable Care Collaborative aligns the administration of physical and behavioral health services under one entity -- the Regional Accountable Entity (RAE) -- to improve member health and reduce costs.
In December 2019, the Colorado Department of Health Care Policy & Financing was awarded the Maternal Opioid Misuse (MOM) grant from the Centers for Medicare and Medicaid Services to bring this model to Health First Colorado (Colorado's Medicaid program). This model was created to better support pregnant and postpartum Medicaid members with opioid use disorders (OUDs).
Given the unique needs and existing efforts in communities across Colorado, the Department's approach for the MOM model supports local providers while building statewide capacity to serve pregnant and parenting people with OUD and their infants. This $4.6 million model provides two components of support for integrating care:
- regionally specific sub-grants for integrating SUD treatment into primary and obstetric care sites that are appropriate to their community, and
- technical assistance to sub-grantees through a learning collaborative model.
Medicaid's Perinatal Substance Use Disorder (SUD) Community Conversation
Health First Colorado providers, advocates, and stakeholders who provide integrated care for pregnant and postpartum people with substance use disorder (SUD) across Colorado are invited to attend Medicaid's Perinatal Substance Use Disorder (SUD) Community Conversation.
At this event, staff from the Department of Health Care Policy & Financing (the Department), along with other guest speakers, will present an overview of the work completed by the Maternal Opioid Misuse (MOM) Model, followed by breakout sessions focused on peer support specialists, plans of safe care, and more. Attendees are invited to learn, ask questions and provide feedback, in addition to building connections with HCPF staff members, Regional Accountable Entities (RAEs), and other community members. An agenda will be sent out to all registrants one week prior to the conference.
Meeting date and time: November 22, 2024
MOM Model Subgrantees
The Department is excited to announce our two MOM Model subgrantees: Denver Health (Denver, CO) and River Valley Family Health Centers (Montrose, CO).
MOM Health Equity Atlas
In the past two years, the implementation of the MOM model has highlighted important barriers and challenges for providing integrated care for pregnant and parenting people with substance use disorder (SUD) across Colorado. An overarching disparity across the model is access to care, especially when considering geography. Rural Coloradans must travel further, spend more money, and be more flexible when it comes to seeking care leading to transportation challenges, inaccessible resources, delays in care, and a lack of community support. In addition, the layered complexities of an SUD (e.g. physical and mental health realities, fear of stigma and judgment, and child welfare involvement) further complicate pregnant and parenting people's ability to seek and receive care. The impacts of these barriers are evident as Neonatal Abstinence Syndrome (NAS) increased by 83% from 2010-2015 in Colorado (with higher rates in Southern Colorado), and from 2011-2016, it increased by 120% . 1 While there are many efforts to address these problems, the work of different departments, organizations, and programs can be overlapping and disparate, providing some communities with duplicate resources and leaving others without any.
The MOM Health Equity Atlas aims to comprehensively assess the resources available to pregnant and parenting people with an SUD in rural Colorado to understand the scope, breadth, and depth of resources and providers. The project will outline both the need and burden of SUD, with particular attention to opioid use disorders (OUD). The goal is to create an accessible and dynamic atlas that comprehensively documents pregnant and parenting people’s experiences across Colorado. Ultimately, it will help inform long-term plans and guide future interventions and policy decisions.
To develop this atlas we are interested in working with stakeholders like community members, providers, organizations, workgroups, committees, members, and other relevant departments. If you are interested in providing more information on resources available in your community, please fill out this form or contact Molly Kadota.
Additional Information
For any general questions or comments about the MOM grant, please contact the MOM Model Program Coordinator, Anoushka Millear. If you are interested in learning more about MOM services available in Denver or Montrose, please contact Anoushka Millear.
To receive updates on the MOM Grant, please sign-up for the MOM Grant Newsletter. The newsletter will contain information on the application process, MOM Model updates, and more.
Additional information regarding this grant: