• Designing and implementing a new perinatal health hub (category 1), expanding and improving an existing perinatal health hub (category 2), or establishing or improving upon a collaborative perinatal health hub model (category 3). The hub must meet the definition of a perinatal health hub provided above, including the following: o The hub should provide vital support to the community, perinatal health providers, and hospital systems through their access to a diverse workforce collaborating to improve outcomes via coordinated wraparound care. o The hub must be community-based, meaning it is physically located (has a physical presence) in the community it serves in Virginia and is tailored to the unique needs of the community it serves. The hub may offer both in-person and virtual services. The expectation is that the hub is primarily based in-person in the community that it serves, and may also offer virtual options for some or all services. o The hub must be a multidisciplinary care model. It must offer comprehensive culturally responsive perinatal support services from trusted community providers. This means the hub should employ or partner with multiple kinds of care providers to offer wrap around care services. Hubs should offer at least two services under Group 1 below, OR at least one service from Group 1 and two services from Group 2, including, but not limited to: Group 1 ▪ Clinical services (physical and/or mental health) ▪ Support from community health workers (CHWs), doulas, peer recovery specialists, or other home visitors ▪ Care coordination ▪ Screening and connections to community and/or clinical resources (e.g. mental health support, support related to intimate partner violence, substance use disorder treatment, etc.) Group 2 ▪ Parenting education ▪ Lactation classes or support ▪ Material resources (e.g., diapers, formula) ▪ Assistance with applications for health insurance, childcare, WIC, etc. o The hub must value and prioritize perinatal health outcomes related to a reduction in maternal and infant mortality and morbidity o The hub must provide care for the mother-baby dyad during the period before, during, and at least up to one year following pregnancy. • Maintaining and establishing partnerships to support the work. The applicant must have a plan for: o Collaborating with local and regional stakeholders. o Maintaining or establishing a contractual collaboration with at least one birthing hospital and/or obstetrical clinic for pregnant and postpartum families in the region where the hub is located. This does not have to be fiscal in nature but could include any written agreement between the hub and these organizations. o Maintaining or establishing partnerships and/or contracts with Medicaid managed care organizations for the purpose of sharing data and collaboration. • Collecting and reporting on data and metrics to VDH on a cadence requested by VDH and assessing the impact of programs on the population(s) served. o Reporting on data and metrics must be aligned to the requirements set forth in the “Program Evaluation and Reporting Requirements” section below.
