Operationalizing the Vision: Enabling Medicaid Maternal Health Transformation Success

In April 2025, the National Partnership for Women & Families released a transformative resource: the Transforming Maternal Health in Medicaid Playbook. This blueprint offers Medicaid agencies and their partners a clear, actionable framework to advance maternal health equity, quality, and access—aligned with the CMS Transforming Maternal Health (TMaH) Model. But while the vision is clear, execution demands infrastructure: seamless systems, connected data, integrated workflows, and community-rooted engagement strategies.

This is where Mother Goose Health comes in.

Mother Goose Health is not just a partner in reform, it is the operational backbone that empowers state Medicaid agencies and providers to implement the playbook’s framework at scale, with fidelity, and measurable impact. From policy readiness to care coordination, we turn the playbook’s vision into reality.

Making the Playbook Real: Infrastructure for Implementation

The playbook outlines three strategic pillars Access and Workforce, Quality and Safety, and Whole-Person Care, supported by robust data, accountability, and value-based payment models. Mother Goose Health delivers the integrated infrastructure needed to drive results across each area.

Scaling Access and Strengthening Workforce Integration

The playbook calls on states to expand access to community-based care models, including midwifery, doula services, and perinatal community health workers (CHWs). Mother Goose Health provides:

• Digital Pathways to Midwives and Doulas: Our platform supports Medicaid reimbursement, credentialing, and patient-matching for doulas, CNMs, and CHWs.
  
  
• Workforce Enablement: We integrate non-clinical providers directly into care teams via technology, ensuring they are visible, billable, and effective.
  
  
• Community Care Navigation: Our infrastructure supports referral management, communication, and task coordination between Medicaid MCOs and perinatal health workers.

Enabling Quality, Safety, and Accountability

Achieving measurable improvements in maternal health outcomes requires a strong data infrastructure and continuous quality improvement (CQI) tools. Mother Goose Health delivers:

• Stratified Performance Monitoring: We track quality measures by race, ethnicity, geography, and social needs, supporting outcome gap reduction as mandated in the playbook.
  
  
• Integration with AIM Bundles and PQCs: Our platform enables monitoring and reporting aligned with Alliance for Innovation on Maternal Health (AIM) bundle implementation and Birthing-Friendly hospital designation metrics.
  
  
• Real-Time Dashboards: Stakeholders gain actionable insights into safety bundle adherence, SDOH trends, and performance benchmarks.

Advancing Whole-Person, Equity-Centered Care

The playbook emphasizes a shift toward whole-person maternity care—care that integrates mental health, behavioral health, and unmet social needs. Mother Goose Health powers this evolution by:

• Embedding SDOH Screening and Response: Our tools automate and document screenings for housing, food, and transportation insecurity using validated, IT-encoded tools.
  
  
• Integrating Perinatal Mental Health: We implement evidence-based screenings for depression and anxiety, and automate referrals to behavioral health resources.
  
  
• Coordinating Wraparound Services: The platform supports closed-loop referrals to WIC, home visiting, Medicaid dental benefits, lactation support, and maternal mental health resources.

Readiness for Reform: Pre-Implementation Milestones Made Simple

For states participating in the TMaH Model’s three-year pre-implementation period, or for those aligning independently with the playbook, Mother Goose Health accelerates milestone achievement. We support:

• Cross-Program Data Integration: Linking Medicaid, WIC, SNAP, and vital records to measure equity outcomes, per the playbook’s data infrastructure recommendations.
  
  
• Care Model Implementation: Guidance and technology to deploy group prenatal care, remote monitoring for hypertension/diabetes, telehealth, and maternity care homes.

Driving Value with Alternative Payment Model Readiness

The playbook stresses that payment reform is key to systemic change. Mother Goose Health provides states and MCOs with the architecture to support and scale Alternative Payment Models (APMs) that work, including:

• Maternity Episode Bundles: Technology-enabled tracking and reconciliation of outcomes and costs across prenatal, labor, and postpartum episodes.
  
  
• Value-Based Contract Support: Tools to define, implement, and manage incentive structures tied to quality and equity metrics.
  
  
• Rapid-Cycle Evaluation: Integrated analytics to measure ROI, quality improvement, and impact in near-real time.

Built for States. Designed for Families.

Mother Goose Health is more than a vendor, we are an implementation partner embedded in the mission of Medicaid maternal health reform. Our infrastructure closes the gap between policy and practice, between vision and results. Whether you are a TMaH awardee or a state independently advancing maternal health equity, we provide the scaffolding, strategy, and systems to make lasting change.

The playbook offers the map. Mother Goose Health builds the road.

Let’s implement the future of maternal health—together.
Visit mothergoosehealth.com or reach out at info@mothergoosehealth.com to learn how we can support your state’s journey.

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