Specifications include, but are not limited to: Request for Proposals for a Grantee to provide integrated, culturally supportive perinatal care to American Indian people at high risk for low birth weight and preterm births. The goal of this project is to draw upon the knowledge and creativity of organizations in their ability to partner and better serve the needs of people who experience adverse birth outcomes related to prematurity and low birth weight. The STATE is interested in proposals that include specific strategies to achieve any or all the goals outlined below: • Improved early identification of pregnant people at risk for low birth weight or premature births, and connection with appropriate services. • Improved effectiveness of interventions to reduce psychosocial and behavioral risks related to low-birth-weight births. • Improved use of paraprofessionals (Community Health Workers, Doulas, Care Navigators, Peer Support Specialists, Traditional Healers, etc.) in connecting clients to supports and services. • Improved retention of maternal custody.