Mom Model
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Maternal Opioid Misuse (MOM) Model
The Maternal Opioid Misuse (MOM) model is the next step in the Center for Medicare and Medicaid Innovation’s (Innovation Center) multi-pronged strategy to combat the nation’s opioid crisis. The model addresses fragmentation in the care of pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD) through state-driven transformation of the delivery system surrounding this vulnerable population. By supporting the coordination of clinical care and the integration of other services critical for health, wellbeing, and recovery, the MOM model has the potential to improve quality of care and reduce costs for mothers and infants.
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Source: Centers for Medicare & Medicaid Services
The surge in substance use-related illness and death in recent years particularly affects pregnant women. In fact, substance use is now a leading cause of maternal death. Pregnant and postpartum women who misuse substances are at high risk for poor maternal outcomes, including preterm labor and complications related to delivery; problems frequently exacerbated by malnourishment, interpersonal violence, and other health-related social needs. Infants exposed to opioids before birth also face negative outcomes, with a higher risk of being born preterm, having a low birth weight, and experiencing the effects of neonatal abstinence syndrome (NAS). In addition, Medicaid pays the largest portion of hospital charges for maternal substance use, as well as a majority of the $1.5 billion annual cost of NAS. Despite the significant and costly burden of maternal opioid misuse, numerous barriers impede the delivery of well-coordinated, high-quality care to pregnant and postpartum women with OUD, including:
The primary goals of the MOM Model are to:
These goals will be achieved through a variety of approaches, including:
The CMS Center for Medicare and Medicaid Innovation (Innovation Center) will execute up to 12 cooperative agreements with states, whose Medicaid agencies will implement the model with one or more “care-delivery partners” in their communities.
The Notice of Funding Opportunity is no longer available. Applications must have been submitted by 3:00 p.m. EDT, May 6, 2019.
The state Medicaid agency and care-delivery partner(s) will be expected to complete the application together. A maximum of $64.5 million will be available for state awardees over the course of the five-year model. The NOFO will contain all program requirements and eligibility criteria for potential applicants.
In August, CMS announced the Integrated Care for Kids (InCK) Model, a child-centered local service delivery and state payment model aimed at reducing expenditures and improving the quality of care for children covered by Medicaid and the Children’s Health Insurance Program (CHIP) through prevention, early identification, and treatment of priority health concerns like behavioral health challenges, including substance misuse. CMS will release a NOFO for the InCK Model at the same time as it does for the MOM Model.
The MOM Model will have a five-year period of performance with different types of funding. The implementation funding, transition funding, and opportunity for milestone funding will be provided in three distinct model periods: Pre-implementation (Year 1), Transition (Year 2), and Full Implementation (Years 3-5).
Care delivery will begin in Year 2 of the model, the Transition Period. During this year, funding for care-delivery services that are not otherwise covered by Medicaid will be provided by Innovation Center funds. By Year 3, the start of the Full Implementation Period, states must implement their coverage and payment strategies. This overall structure seeks to balance rapid model initiation and state flexibility, while minimizing administrative burden. In particular, the MOM model design supports each awardee’s ability to quickly begin delivering coordinated and integrated care to pregnant and postpartum women with OUD during the Transition Period, while supporting states in developing a long-term coverage and payment strategy that aligns with their state Medicaid program.
As of April 16, 2020, CMS instituted a six-month postponement of the requirement that MOM Model Recipients begin to screen and enroll beneficiaries by January 2021. The new date when awardees will be required to begin to enroll MOM Model Beneficiaries is July 1, 2021. To provide all awardees with additional time to implement the MOM Model in light of the current public health emergency, this delay will be implemented for all MOM Model Recipients. In addition to the enrollment delay, CMS is reviewing all requirements currently in place for Years 1 and 2 of the MOM Model.
If you are interested in additional information about the Maternal Opioid Misuse (MOM) Model, please contact MOMmodel@cms.hhs.gov.
If you are interested in receiving updates and announcements about the MOM Model, please subscribe to the MOM Model listserv.
Stage: Ongoing
Number of Participants: 8
Category: Initiatives Focused on the Medicaid and CHIP Population
Authority: Section 1115A of the Social Security Act
Dec 19, 2019
Announced: Ten states awarded funding
Apr 30, 2019
Announced: Notice of Funding Opportunity frequently asked questions document posted
Mar 29, 2019
Announced: April 4 Notice of Funding Opportunity Application Repeat webinar
Mar 14, 2019
Updated: Materials from February 21 notice of funding opportunity and application review webinar posted
CMS postpones the Transition Period by six months
Anticipated performance period end date
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Initiatives Focused on the Medicaid and CHIP Population
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Initiatives Focused on the Medicaid and CHIP Population
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The primary goals of the MOM Model are to:
innovation.cms.gov/innovation-models/maternal-o…
How does the mom model help pregnant women?
How does the mom model help pregnant women?
By supporting the coordination of clinical care and the integration of other services critical for health, wellbeing, and recovery, the MOM model has the potential to improve quality of care and reduce costs for mothers and infants. The surge in substance use-related illness and death in recent years particularly affects pregnant women.
innovation.cms.gov/innovation-models/mate…
Why is the mom model design so important?
Why is the mom model design so important?
In particular, the MOM model design supports each awardee’s ability to quickly begin delivering coordinated and integrated care to pregnant and postpartum women with OUD during the Transition Period, while supporting states in developing a long-term coverage and payment strategy that aligns with their state Medicaid program.
innovation.cms.gov/innovation-models/mate…
The Modular Ocean Model (MOM) The Modular Ocean Model (MOM) is a numerical representation of the ocean fluid with applications from the process scale to the planetary circulation scale. Its lineage dates back to the 1960s with efforts from Kirk Bryan and Michael Cox.
What are the perspective and principles of the mom?
What are the perspective and principles of the mom?
The perspective and principles proposed in the MOM are essentially Darwin - ian in nature (for example, see Nesse & Williams 1994, Williams 1996) in that it views the human body (or any living organism’s ‘body’) as a very sophisticated vehicle that carries and looks after our genes.
giffordsachesandpains.files.wordpress.com/…
Перевести · MOM5 is a numerical ocean model based on the hydrostatic primitive equations, making use of the B-grid in the horizontal and generalized level coordinates for the vertical. Development is led by …
https://innovation.cms.gov/innovation-models/maternal-opioid-misuse-model
Background
Model Details
Additional Information
The primary goals of the MOM Model are to: 1. improve quality of care and reduce costs for pregnant and postpartum women with OUD as well as their infants; 2. expand access, service-delivery capacity, and infrastructure based on state-specific needs; and 3. create sustainable coverage and payment strategies that support ongoing coordination and integration of care. These goals will be achieved through a variety o…
https://www.mom-agency.com/w/models/models
Перевести · models; about; contact; Models/Talents list: models. Amar Lo; ANDRIY BOYKA; Dorothy Zata; Edoardo Pedrazoli; EMANUELE PELLEGRINO; Ginevra Miglioranza; LORENZO GIRONI
https://www.gfdl.noaa.gov/mom-ocean-model
Mom6
Mom6 Community
Documentation and Publications
MOM6 is a major algorithmic departure from the previous versions of MOM (up to and including MOM5). Here are some of the highlights of MOM6. 1. MOM6 is based on the horizontal C-grid stencil, which is preferred for simulations that include an active mesoscale eddy field (MOM5 and earlier used the B-grid). 2. MOM6 uses vertical Lagrangian remapping (a variant of the Arbitrary Lagrangian Eulerian (ALE) algor…
Ashley Graham and Mom Model In Matching Bikinis For Photo Shoot
Dance Moms: The Girls' Guide to Life: Fashion (E6, P2) | Lifetime
Mom Screams ‘My Son Is in Here!' During Home Invasion
Paige goes to a photoshoot // dance moms
https://giffordsachesandpains.files.wordpress.com/2013/04/mature-org-ch2-tip1.pdf
08.07.1992 · model Louis Gifford Introduction The Mature Organism Model (MOM) (see also Gifford 1998) has been devel-oped as a teaching tool to help clinicians and patients reach a broader under-standing of pain, appreciate it in a biological context, and ultimately manage it better. A fundamental feature of the model …
Svetlana ️Tkachenko (@mom_model) в TikTok (тикток) | Лайки: 14. Фанаты: 30. Мама модели,спортсмена и блогера 😘
https://www.gfdl.noaa.gov/ocean-model
Ocean Model Development at GFDL
Mom6
Earlier Mom Configurations
Gold Configurations
The Modular Ocean Model (MOM) is the canonical large-scale ocean climate model used at GFDL and around the world. MOM4 formed the basis of the CM2.1, CM2M, ESM2M, and CM2.5 climate models used for high-end modeling that contributed to the IPCC AR4 and AR5 assessments. MOM5 is the most recent version of the Eulerian-algorithm code released in October 2012 (https://mom-ocean.github.io/).
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MOM5 - Modular Ocean Model (MOM)
Maternal Opioid Misuse (MOM) Model | CMS Innovation Center
MOM - models
Modular Ocean Model (MOM) – Geophysical Fluid Dynamics ...
The mature organism model - louisgiffordachesandpains
Svetlana ️Tkachenko (@mom_model) TikTok | Смотреть свежие ...
Ocean Models – Geophysical Fluid Dynamics Laboratory
Mom Model
