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 proposed approach for the MOM model will support local providers while building statewide capacity to serve pregnant and parenting women with OUD and their infants. The Department will utilize a total budget of $4.6 million to provide two components of support for integrating care:
- regionally specific sub-grants totaling up to $506,778 per site over four years 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.
Practice site sub-grants comprise $3.55 million of the total budget with the remaining $1.05 million going towards administrative costs to support and monitor efforts statewide. Due to integrated care driving appropriate utilization of health care and decreasing deleterious outcomes that drive costs, the Department anticipates saving $1,295,888 over the five-year grant cycle for the model population, which includes eligible enrollees statewide.
Applying for a sub-grant
The Colorado Department of Health Care Policy and Financing invites RAEs, OB/GYN and/or SUD providers, clinics, and any other interested parties to apply to be a MOM model subgrantee. We are looking for regionally-specific, community-oriented, and innovative projects that will harness existing Medicaid services to integrate substance use disorder services and obstetric care in order to improve outcomes for pregnant and parenting people with Opioid Use Disorders.
The application consists of two parts: a narrative document and a budget worksheet. Please submit a completed application (both the narrative document and the budget worksheet) to Anoushka Millear, the MOM Project Coordinator, by September 14, 2021, 11:59 PM MDT.
The application was released on August 9, 2021 (posted to this webpage), and will close September 14, 2021.
Grant Writing Assistance
The Grant Writing Assistance Program of the Colorado Consortium for Prescription Drug Abuse Prevention is intended to help local government and non-profit organizations utilize one of several grant writers contracted with the Consortium to apply for funds directly related to the prevention, harm reduction, intervention, or treatment of opioid and other substance use disorders or related recovery support services.
The Consortium prioritizes organizations located in or serving rural and frontier counties in Colorado or serving traditionally underserved communities with limited budgets and limited in-house grant writing capacity. Eligible applicants should complete the Grant Writing Assistance application at least 3 weeks prior to the submission deadline of the grant. Additional information can be found in Colorado Consortium's program guide and on their website.
For any general questions or comments about the MOM grant, please contact the MOM Grant Program Coordinator, Anoushka Millear. For any question or comments regarding the application, please contact the Department's Grants Specialist, Amanda Jacquecin.
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: