Opportunity Information: Apply for CMS 1D1 12 001
Apply for CMS 1D1 12 001
- The Centers for Medicare Medicaid Services in the health sector is offering a public funding opportunity titled "Strong Start for Mothers and Newborns" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.611 Strong Start for Mothers and Newborns.
- This funding opportunity was created on Jul 3, 2012 and posted on Feb 8, 2012.
- Applicants must submit their applications by Aug 9, 2012 Amended FOA Date of Issue July 03, 2012 Optional Letter of Intent Submission Date August 08, 2012, by 500 p.m. ET Application Due Date August 09, 2012 by 500 p.m. ET Anticipated Notice of Award October 5, 2012. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- The intent of this FOA is to engage with a wide variety of interested parties who have developed innovations that will drive significant improvement in three part aim outcomes. The target applicants for this solicitation are providers (e.g., specific service providers, clinician groups and/or hospitals) States applying in partnership with providers managed care organizations (MCOs) applying in partnership with providers and conveners applying in partnership with providers. All applicants not directly providing prenatal care services (i.e. States, MCOs, and conveners) are expected to partner with providers of obstetrical care services and proposed enhanced prenatal care services. Included within the definition of State, for the purposes of this FOA are the District of Columbia and the 5 U.S. Territories American Samoa, Guam, Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands. Faith based organizations, Community based organizations, and Tribal organizations are also eligible to apply.
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Opportunity Summary:
The Strong Start for Mothers and Newborns opportunity (Funding Opportunity Number CMS-1D1-12-001; CFDA 93.611) was a CMS Innovation Center initiative designed to test whether enhanced prenatal care and related payment approaches could measurably improve outcomes for pregnant people on Medicaid who are at elevated risk of adverse events, especially preterm birth. It was jointly led by the Center for Medicare and Medicaid Innovation (Innovation Center) and the Center for Medicaid and CHIP Services (CMCS) as part of a broader HHS push to reduce poor maternal and infant outcomes. The grant was structured as a discretionary cooperative agreement, reflecting that CMS expected to be actively involved with awardees during implementation rather than simply issuing funds with minimal federal engagement.
The core purpose of the program was to run real-world demonstrations over a four-year period to see what happens when traditional prenatal care is strengthened with more comprehensive, targeted supports. The emphasis was on women with Medicaid coverage who were considered high risk for preterm birth, and on interventions that go beyond standard obstetric visits to address the clinical, behavioral, and psychosocial issues that often contribute to early delivery and related complications. In practice, the initiative was set up to test three distinct models (three different approaches to enhanced prenatal care delivery). While the source summary does not list the specific model names, it clearly indicates that each approach consisted of a defined package of services meant to improve the content, coordination, and reach of prenatal care, including services that respond to social and behavioral risk factors that can destabilize a pregnancy.
Eligibility was intentionally broad, aimed at pulling in organizations already positioned to deliver or organize prenatal care at scale. Target applicants included providers such as clinician groups and hospitals, states applying in partnership with providers, Medicaid managed care organizations (MCOs) applying in partnership with providers, and conveners applying in partnership with providers. A key condition was that any applicant not directly providing prenatal services (for example, a state agency, MCO, or convening organization) was expected to partner with obstetrical care providers and the entities that would deliver the proposed enhanced prenatal interventions. The definition of “state†for this program included the District of Columbia and the five U.S. territories (American Samoa, Guam, Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands). Faith-based organizations, community-based organizations, and tribal organizations were also eligible to apply, which signals that CMS was open to community-rooted and culturally specific approaches as long as they were tied to clinical prenatal care delivery through formal partnerships.
Administratively, the opportunity was posted February 8, 2012, with an amended issue date of July 3, 2012. The optional letter of intent deadline was August 8, 2012 (by 5:00 p.m. ET), and the application deadline was August 9, 2012 (by 5:00 p.m. ET). CMS anticipated issuing notices of award on October 5, 2012, and the opportunity was later archived on September 8, 2012. The posting indicates no cost sharing or matching requirement. The listing also shows “ExpectedAwards: 0†and award floor/ceiling as 0, which typically reflects that the public synopsis did not specify award counts or funding ranges in that particular data extract, rather than implying that no awards would be made.
Overall, Strong Start for Mothers and Newborns was essentially a federal test-and-learn effort: CMS sought applicants with workable, on-the-ground innovations that could be evaluated for their ability to improve perinatal outcomes for a high-risk Medicaid population, using enhanced prenatal care packages that address medical needs alongside behavioral health and psychosocial drivers of preterm birth. For access issues with the full announcement, the contact point listed was the Grants.gov Contact Center (1-800-518-4726; support@grants.gov).
Strong Start for Mothers and Newborns (CMS-1D1-12-001; CFDA 93.611) - FAQs
What is the Strong Start for Mothers and Newborns opportunity?
Strong Start for Mothers and Newborns was a CMS Innovation Center initiative (Funding Opportunity Number CMS-1D1-12-001; CFDA 93.611) designed to test whether enhanced prenatal care and related payment approaches could measurably improve outcomes for pregnant people on Medicaid who are at elevated risk of adverse events, especially preterm birth.
Which federal entities led this program?
The initiative was jointly led by the Center for Medicare and Medicaid Innovation (the Innovation Center) and the Center for Medicaid and CHIP Services (CMCS), as part of a broader HHS push to reduce poor maternal and infant outcomes.
What type of grant mechanism was used?
The grant was structured as a discretionary cooperative agreement. This reflects that CMS expected to be actively involved with awardees during implementation, rather than simply issuing funds with minimal federal engagement.
What was the main goal of the demonstrations?
The core goal was to run real-world demonstrations over a four-year period to evaluate what happens when traditional prenatal care is strengthened with more comprehensive, targeted supports, and whether those enhancements improve outcomes for a high-risk Medicaid population.
Who was the primary target population?
The emphasis was on pregnant people with Medicaid coverage who were considered high risk for preterm birth and related adverse events.
What kinds of interventions did Strong Start focus on?
The initiative focused on interventions that go beyond standard obstetric visits by adding more comprehensive, targeted supports to address clinical, behavioral, and psychosocial issues that can contribute to preterm birth and related complications.
How many care models were being tested?
The program was set up to test three distinct models (three different approaches to enhanced prenatal care delivery). While the provided summary does not list the specific model names, it indicates each model consisted of a defined package of services intended to improve the content, coordination, and reach of prenatal care.
Did the enhanced prenatal care packages address social and behavioral risk factors?
Yes. The summary indicates that the packages included services that respond to social and behavioral risk factors that can destabilize a pregnancy, alongside clinical prenatal care enhancements.
Who was eligible to apply?
Eligibility was intentionally broad and aimed at organizations positioned to deliver or organize prenatal care at scale. Target applicants included clinician groups and hospitals, states applying in partnership with providers, Medicaid managed care organizations (MCOs) applying in partnership with providers, and conveners applying in partnership with providers.
Were partnerships required?
Partnerships were a key condition for applicants not directly providing prenatal services. For example, a state agency, MCO, or convening organization was expected to partner with obstetrical care providers and the entities that would deliver the proposed enhanced prenatal interventions.
Could faith-based or community-based organizations apply?
Yes. Faith-based organizations and community-based organizations were listed as eligible to apply, signaling that CMS was open to community-rooted approaches as long as they were tied to clinical prenatal care delivery through formal partnerships.
Could tribal organizations apply?
Yes. Tribal organizations were listed as eligible applicants.
How did this opportunity define a "state"?
For this program, "state" included the District of Columbia and the five U.S. territories: American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands.
When was the opportunity posted, and were there amendments?
The opportunity was posted on February 8, 2012, with an amended issue date of July 3, 2012.
Was a letter of intent required?
No. The letter of intent was optional. The optional letter of intent deadline was August 8, 2012 (by 5:00 p.m. ET).
What was the application deadline?
The application deadline was August 9, 2012 (by 5:00 p.m. ET).
When did CMS anticipate issuing notices of award?
CMS anticipated issuing notices of award on October 5, 2012.
Was there a cost sharing or matching requirement?
No. The posting indicates there was no cost sharing or matching requirement.
Why might the listing show "ExpectedAwards: 0" and award floor/ceiling as 0?
The listing shows "ExpectedAwards: 0" and an award floor/ceiling of 0. This typically reflects that the public synopsis did not specify award counts or funding ranges in that particular data extract, rather than implying that no awards would be made.
Was the opportunity later archived?
Yes. The opportunity was later archived on September 8, 2012.
What was the overall approach or philosophy behind Strong Start?
Strong Start was a federal test-and-learn effort. CMS sought applicants with workable, on-the-ground innovations that could be evaluated for their ability to improve perinatal outcomes for a high-risk Medicaid population using enhanced prenatal care packages that address medical needs alongside behavioral health and psychosocial drivers of preterm birth.
Who should applicants contact if they have trouble accessing the full announcement?
For access issues with the full announcement, the contact point listed was the Grants.gov Contact Center at 1-800-518-4726 or support@grants.gov.
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