In 2018, Medicaid covered approximately 43 percent of all births in the United States. As the largest single payer of maternity care, Medicaid plays a critical role in the health and wellbeing of pregnant individuals across the nation. As such, it is important to identify ways in which innovative models of maternity care and support services are being implemented in the Medicaid population. This report explores how community- based maternal support services provided by community-based doulas and maternity community health workers improve maternal health outcomes. It also highlights the results of a national environmental scan of organizations that are actively working toward eliminating maternal health disparities and building community connections through the community-based maternal support model. Finally, the report identifies common barriers to implementing this model and opportunities for Medicaid stakeholders to provide support and increased access to these services.
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