access- Year-one award
- $223,476,949
- Lead agency
- State Dept. of Health
- Maternal care in the plan
- Puts a dollar figure on maternal care
- Status
- Contracted; year two in January
What Oklahoma's plan funds for maternal care
The Oklahoma State Department of Health leads the program, which received $223.5 million for year one. Its funding summary describes the Maternal-Fetal Medicine Telehealth Expansion as an initiative that "will expand the reach of MFM specialists through a tele-MFM network connecting rural hospitals, clinics, and county health departments," with "purchase and deployment of telehealth and ultrasound equipment at rural sites." The budget narrative lays it out as two hubs and twelve spokes.
The dollar figure has moved during the year, and each version is dated. The January 2026 budget narrative gave the program $10.72 million over five years. The March funding summary listed $6.6 million for the first budget period. In July, the state's second-quarter report to the legislature showed a year-one allocation of $5,193,379, with $2,252,567 obligated. The program summary updated August 20, 2026 lists $5.4 million for year one through an agreement with OU and OSU. We treat the August figure as current.
The August summary lists three other maternal items for year one: a doula program at $4.3 million, awarded through a competitive notice; remote patient monitoring for maternal health at $0.8 million, which gives high-risk obstetric patients connected blood pressure cuffs with the readings going into the records of maternal-fetal medicine providers and rural OB/GYNs; and maternal health value-based payment support at $0.6 million through the Oklahoma Health Care Authority.
The plan states the problem the way a rural hospital would: "High-risk pregnant women in rural Oklahoma face long travel times and limited access to Maternal-Fetal Medicine (MFM) specialists, nearly all of whom are located in Oklahoma City."
What is open, and what comes next
The tele-MFM program isn't a grant round. In July, the OSU contract was in place and the OU Health Sciences Center contract was in progress. The doula opportunity, at least $2.5 million across one or more awards, has closed, and the state hasn't posted its recipients.
The state's FAQ, updated September 29, says subrecipients must spend and invoice year-one money by July 31, 2027, and that year-two details will follow Oklahoma's next notice of award from CMS in October. Year-two funding opportunities begin opening in January 2027 on the state's RHTP site. Between October 26 and November 13, the state is holding fifteen county collaborative meetings covering every county except Oklahoma and Tulsa counties.
Who can apply, and where a partner fits
Oklahoma's competitive rounds so far have been open to community organizations, providers, tribal entities, universities and municipalities. A telehealth practice doesn't apply. Its way in is as a partner to one of the two universities, or to a spoke site that needs consult coverage or ultrasound interpretation the hubs can't staff, and, in the January rounds, as the named clinical partner in a rural hospital's application. The county meetings this fall are where those partnerships start.
Where Ouma fits
How tele-MFM fits Oklahoma's model
Oklahoma chose the model Ouma already runs: specialists in one place, rural sites connected to them, ultrasound read remotely. The gap in a two-hub design is coverage. Twelve spokes generate consults around the clock, and academic MFM divisions keep clinic schedules. Ouma provides contracted maternal-fetal medicine coverage and ultrasound interpretation to rural and critical access hospitals, and can cover the hours and the reads a hub can't. Ouma is licensed to practice in all 50 states and is Medicaid-enrolled in 20 states as of August 2026.
See every state's plan side by side or what a partner letter for an application looks like.
Frequently asked questions
Is Oklahoma's tele-MFM money still available to apply for?
No. It runs through agreements with Oklahoma State University and OU Health Sciences Center rather than a competitive round. The doula round has also closed. The state says new opportunities begin opening in January 2027.
Which figure is right: $5.4 million, $6.6 million or $10.72 million?
They come from different state documents at different dates. The January 2026 budget narrative gave $10.72 million over five years. The March 2026 funding summary listed $6.6 million for the first budget period. The August 20, 2026 program summary lists $5.4 million for year one, and we treat that as current.
When does Oklahoma decide its year-two budget?
After CMS issues the state's next notice of award in October 2026. The state's FAQ says CMS has asked states to plan for a similar funding level.