HRSA Rural Maternal Health Program Reaches 8,600 Women Across Three States
The Health Resources and Services Administration's Rural Maternity and Obstetrics Management Strategies Program (RMOMS) improved prenatal and postpartum care access for more than 8,600 women through networks in Minnesota, Missouri, and West Virginia, according to a 2026 program report covering the second cohort. The program addresses maternal care gaps in rural areas where provider shortages and hospital closures limit access to obstetric services. RMOMS networks coordinate care across providers, implement telehealth, and expand midwifery services to maintain maternal health infrastructure in underserved communities. For Medicaid agencies and managed care organizations covering rural populations, the program demonstrates models for sustaining maternal care capacity where traditional hospital-based delivery is no longer viable.
Medicaid covers approximately 42% of all births nationally and a higher share in rural areas where RMOMS operates, making federal maternal health infrastructure investments directly relevant to state Medicaid program design, MCO network adequacy obligations, and value-based maternity care contracting in underserved regions.
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