Maternal, Infant and Early Childhood Home Visiting Grant

 

The goals of the Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV Program) are to: (1) strengthen and improve the programs and activities carried out under Title V of the Social Security Act; (2) improve coordination of services for at-risk communities; and (3) identify and provide comprehensive services to improve outcomes for eligible families who reside in at-risk communities. The MIECHV Program was created to support voluntary, evidence-based home visiting services for at-risk pregnant people and parents with young children up to kindergarten entry. The MIECHV Program builds upon decades of scientific research that shows home visits conducted by a nurse, social worker, early childhood educator, or other trained professional during pregnancy and in the first years of a childs life improves the lives of children and families. Home visiting helps prevent child abuse and neglect, supports positive parenting, improves maternal and child health, and promotes child development and school readiness. The investment provides coordinated and comprehensive high-quality voluntary, evidence-based home visiting services with a national reach. The MIECHV Program plays a crucial role in building high-quality, comprehensive statewide early childhood systems to support pregnant people, parents and caregivers, and children from birth to kindergarten entry and ultimately, to improve health and development outcomes.

Active 93.870 Health Resources and Services Administration, Department of Health and Human Services A - Formula Grants; B - Project Grants Fiscal Year 2018 The MIECHV Program served approximately 150,000 parents and children in 76,000 families, and provided over 930,000 home visits.
Fiscal Year 2019 It is estimated that up to $351,000,000 will be awarded in FY 2019. In
Fiscal Year 2020 the MIECHV Program served over 140,000 parents and children and provided more than 925,000 home visits in over 1,000 communities across 50 states, the District of Columbia, and 5 territories.
Fiscal Year 2021 In FY 2021, the MIECHV Program served over 140,000 parents and children and provided more than 920,000 home visits in over 1,000 communities across 50 states, the District of Columbia, and 5 territories.
Fiscal Year 2022 In FY 2022, the MIECHV Program served approximately 138,000 parents and children and provided more than 840,000 home visits in over 1,000 counties across 50 states, the District of Columbia, and 5 territories. Social Security Act, Title V, § 511(c) (42 U.S.C. § 711(c)), as amended Section 6101 of the Consolidated Appropriations Act, 2023 (P.L. 117-328)., Public Law -, U.S.C. Eligible entities include those currently funded under the MIECHV Program: 48 states, 2 nonprofit organizations serving Florida, and North Dakota, and 6 territories and jurisdictions serving District of Columbia, Puerto Rico, Guam, the U.S. Virgin Islands, the Commonwealth of the Northern Mariana Islands, and American Samoa. For those states that have elected not to participate in MIECHV, nonprofit organizations with an established record of providing early childhood home visiting programs or initiatives in a state or several states are eligible to apply to carry out programs in those states. As directed in statute, awardees must give priority in providing services under the MIECHV program to the following: o Eligible families who reside in communities in need of such services, as identified in the statewide needs assessment required under subsection 511(b)(1)(A); o Low-income eligible families; o Eligible families with pregnant women who have not attained age 21; o Eligible families that have a history of child abuse or neglect or have had interactions with child welfare services; o Eligible families that have a history of substance abuse or need substance abuse treatment; o Eligible families that have users of tobacco products in the home; o Eligible families that are or have children with low student achievement; o Eligible families with children with developmental delays or disabilities; and o Eligible families that include individuals who are serving or formerly served in the Armed Forces, including such families that have members of the Armed Forces who have had multiple deployments outside of the United States. Applicants should review the individual HRSA funding opportunity guidance issued under this Assistance Listing for any required proof or certifications of education and/or training which must be submitted prior to or simultaneous with submission of an application package. Preapplication coordination is not applicable. 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. HRSA requires all applicants to apply electronically through Grants.gov. All qualified competitive applications will be forwarded to an objective review committee. Notification is made in writing by a Notice of Award. Contact the headquarters or regional location, as appropriate for application deadlines From 120 to 180 days. Final decisions are made 4 to 6 months after receipt of applications. Not applicable. Formula grants were awarded on an annual basis through FY 2022. Base grant funds using a formula in statute are awarded on an annual basis beginning in FY 2023. Matching grant funds based on a formula and contingent on state's non-federal matching funds will be awarded on an annual basis beginning in FY 2024. Cooperative agreements are competitively awarded every three to five years. After initial awards, annual noncompetitive awards may be made contingent upon the submission of noncompetitive applications/progress reports and availability of funds and a determination that continued funding would be in the best interest of the federal government. Evaluation criteria vary based on the grant/cooperative agreement program. Refer to criteria included in the notice of funding opportunity for each specific program. Based on the recommendations of the objective review committee for competitive applications, the HRSA program official with delegated authority is responsible for final selection and funding decisions. Program supports pregnant people and parents with young children who live in communities that face greater risks and barriers to achieving positive maternal and child health outcomes. Families choose to participate in home visiting programs, and partner with health, social service, and child development professionals to set and achieve goals that improve their health and well-being. Not applicable. In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503 Grantees are required to maintain grant accounting records 3 years after the date they submit the Federal Financial Review (FFR). If any litigation, claim, negotiation, audit or other action involving the award has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later. Statutory Formula: Social Security Act, Title V, §511(c)(4), as amended by Section 6101 of the Consolidated Appropriations Act, 2023 (P.L. 117-328).

Matching is voluntary. Additional Information on Base Grant and Matching Grants: This program makes awards according to requirements outlined in Social Security Act, Title V, §511(c)(4), as amended by Section 6101 of the Consolidated Appropriations Act, 2023 (P.L. 117-328). Grant awards will consist of up to three parts. (1) Base Grants are awarded FY 2023 through FY 2027. Funding amounts are based on a statutory formula that considers each awardee’s share of U.S. children under age 5, while ensuring that any available recipient funding does not fluctuate by more than 10% from the prior year award, as well as a minimum $1 million award. (2) Matching Grants are awarded FY 2024 through FY 2027. Funding amounts are based on a statutory formula that sets a minimum award amount, which increases each fiscal year, and distribution of remaining award funding according to each awardee’s share of children under age 5 living in families in poverty. In order to obtain federal matching grant funding, eligible entities must contribute $1 in non-federal funds to receive $3 in federal grant award funding (25% state/jurisdiction contribution and 75% federal contribution). (3) Unobligated matching funds will be awarded FY 2025 through FY 2027, as funding is available. Each year, beginning in FY 2025, awards will be made with matching grant funding that was not awarded in prior fiscal year(s), or was returned to the Federal Government from awardees. For interested eligible entities that can meet the additional match ($1 in non-federal funds to receive $3 in federal grant award funding), funding will be distributed according to each awardee’s share of children under age 5 living in families in poverty.

This program has MOE requirements, see funding agency for further details. Additional Information: This program has maintenance of effort (MOE) requirements. Per Social Security Act, Title V, ?511(f), as amended by Section 6101 of the Consolidated Appropriations Act, 2023 (P.L. 117-328), grants may not be made to an eligible entity in a fiscal year if the total amount of non-Federal funds obligated by the entity in the fiscal year for a state/jurisdiction MIECHV program is less than the total amount of non-Federal funds reported to have been expended by any eligible entity for such a program in the state/jurisdiction in fiscal year 2019 or 2021, whichever is the lesser. In exceptional circumstances, a grace period may be granted for eligible entities to come into compliance with these requirements. For purposes of maintenance of effort in the MIECHV Program, non-federal funding is defined as state general funds, including in-kind, obligated only by the recipient entity administering the MIECHV award and not by other state agencies. In addition, home visiting is defined as a targeted and intensive, evidence-based program implemented in response to findings from the most current statewide needs assessment that includes home visiting as a primary service delivery strategy, and is offered on a voluntary basis to pregnant people or caregivers of children from birth up to kindergarten entry. Awardees may NOT consider any Title V funding used for evidence-based home visiting as part of the maintenance of effort demonstration. Refer to the notice of funding opportunity (NOFO). Awards are made annually, in accordance with the project period method of awarding grants. Payments are made through a Letter-of-Credit or Cash Demand System. Grantee drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards. None/Not specified. Meseret Bezuneh, M.S.Ed, Chief, Implementation Branch
Division of Home Visiting and Early Childhood Systems
Maternal and Child Health Bureau
Health Resources and Services Administration
Rockville, MD 20857 US
mbezuneh@hrsa.gov
Phone: (301) 594-4149 http://mchb.hrsa.gov/programs/homevisiting 75-0321-0-1-550 (Formula Grants) FY 22$419,700,045.00; FY 23 est $435,000,000.00; FY 24 est $478,500,000.00; FY 21$328,113,926.00; FY 20$340,660,219.00; FY 19$350,589,622.00; FY 18$361,594,315.00; FY 17$344,717,896.00; FY 16$344,717,896.00; - (Cooperative Agreements) FY 22$10,767,092.00; FY 23 est $7,374,008.00; FY 24 est $7,380,000.00; FY 21$3,224,638.00; FY 20$3,233,620.00; FY 19$2,500,000.00; - Cooperative Agreements Formula Project Grants FY 22 act. $1,186,442-$25,034,761; $7,262,850 FY 23 est. $1,123,516-$27,244,590; $7,767,857 FY 24 est. $1,212,474-$29,401,760; $8,544,642 Cooperative Agreements FY 22 act. $1,300,000-$2,000,000; $1,794,515 FY 23 est. $1,300,000-$4,500,000; $2,458,000 FY 24 est. $1,300,000-$4,500,000; $2,458,000 All HRSA awards are subject to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements at 45 CFR part 75. HRSA awards are subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available at http://www.hrsa.gov/grants. Not applicable.