Strong Start for Mothers and Newborns aimed to improve birth outcomes for women and infants covered by Medicaid and CHIP by testing three enhanced prenatal care approaches: birth centers, group prenatal care, and maternity care homes. Nearly 46,000 women were served by 27 Strong Start awardees in 211 sites across 32 states, DC, and Puerto Rico. The Strong Start evaluation found that women in birth centers were significantly less likely to have a preterm or low birthweight baby, as well as lower rates of C-section than women in more traditional maternity care homes. This workshop will summarize evaluation findings. Facilitated discussion will then engage Title V professionals, explore how existing state and local prenatal care systems compare to those tested by Strong Start, and identify opportunities to adapt systems to reflect characteristics of Strong Start that contributed to improved outcomes and reduced costs.