This report reflects the Institute for Medicaid Innovation’s national project to answer critical questions that are needed to advance maternal health, specific to the midwifery-led model of care, for the Medicaid population. This resource is intended for Medicaid stakeholders, including state Medicaid agencies and Medicaid managed care organizations that are dedicated to improving maternal health outcomes for Medicaid recipients, their families, and communities. The report highlights the decades-long evidence base demonstrating that the midwifery-led model of care has comparable or improved outcomes when compared to care by physicians.