Maternal and Child Health Services Block Grant to the States (93.994)

Program

93.994 Maternal and Child Health Services Block Grant to the States

Federal Agency

Agency: Department of Health and Human Services
Office: Health Resources and Services Administration

Authorization

Social Security Act, Title V, Section 501(a) (1), as amended.

Program Number

93.994

Last Known Status

Active

Objectives

To enable States to maintain and strengthen their leadership in planning, promoting, coordinating and evaluating health care for pregnant women, mothers, infants, and children,children with special health care needs and families in providing health services for maternal and child health populations who do not have access to adequate health care.

Types of Assistance

FORMULA GRANTS

Uses and Use Restrictions

States may use funds to develop systems of care for the provision of health services and related activities, including planning, administration, education and evaluation consistent with the State's annual application. Funds may not be used for (1) Inpatient services other than those provided to children with special health care needs or to high-risk pregnant women and infants and such other inpatient services as the Secretary may approve; (2) cash payments to intended recipients for health services; (3) purchase and improvement of land, construction or permanent improvement of buildings or purchase of major medical equipment; (4) matching other Federal grants; or (5) providing funds for research or training to any entity other than a public or private nonprofit entity. Beginning in FY 1991, States must use at least 30 percent of their Federal allotment for preventive and primary care services for children, and at least 30 percent for services for children with special health care needs. In addition, each State must establish and maintain a toll-free information number for parents on maternal and child health (MCH) and Medicaid providers. No more than 10 percent of each State's allotment may be used for administration.

Eligibility Requirements

Applicant Eligibility

Title V MCH Block Grants are limited to States and insular areas.

Beneficiary Eligibility

Mothers, infants, children, including CSHCN, and their families, particularly those of low-income.

Credentials/Documentation

Applicants should review the individual HRSA Guidance documents issued under this CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package. This program is excluded from coverage under OMB Circular No. A-87.

Application and Award Process

Preapplication Coordination

Preapplication coordination is required. Environmental impact information is not required for this program. This program is excluded from coverage under E.O. 12372.

Application Procedure

This program is excluded from coverage under OMB Circular No. A-102. This program is excluded from coverage under OMB Circular No. A-110. HRSA requires all applicants to apply electronically through Grants.gov.

All qualified applications will be forwarded to an objective review committee. Based on the advice of the objective review committee, the HRSA program official with delegated authority is responsible for final selection and funding decisions.

Award Procedure

Notification is made in writing by a Notice of Grant Award.

Deadlines

Contact the headquarters or regional office, as appropriate, for application deadlines.

Range of Approval/Disapproval Time

From one to two months.

Appeals

Not Applicable.

Renewals

Funds will be made available annually to any State submitting an acceptable application.

Assistance Considerations

Formula and Matching Requirements

Statutory Formula: Title Title V Section 502(c), Public Law Social Security Act. Subject to 45 CFR Part 96.

Matching Requirements: Percent: 45.%.

This program has MOE requirements, see funding agency for further details.

Length and Time Phasing of Assistance

Funds are awarded each fiscal year in quarterly installments and remain available for expenditure for the current and subsequent fiscal year. See the following for information on how assistance is awarded/released: Grantees drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.

Post Assistance Requirements

Reports

Annual Reports. No cash reports are required. FSR. No expenditure reports are required. No performance monitoring is required.

Audits

In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Non-Profit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133.

Records

Grantees are required to maintain grant accounting records for 3 years after the date they submit the FSR. 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.

Program Accomplishments

Fiscal Year 2008: All 59 States and jurisdictions were awarded grants in FY 08. The Maternal and Child Health Bureau has developed a web-based system of reporting that captures data contained in the States' Block Grant Application/Annual Reports. Designed initially to capture the qualitative programmatic information of the States, it has been modified according to the Bureau's performance measurement model to collect uniform quantitative data. Fiscal Year 2009: All 59 States and jurisdictions were awarded grants in FY 09. The Maternal and Child Health Bureau has developed a web-based system of reporting that captures data contained in the States' Block Grant Application/Annual Reports. Designed initially to capture the qualitative programmatic information of the States, it has been modified according to the Bureau's performance measurement model to collect uniform quantitative data. Fiscal Year 2010: No Current Data Available

Financial Information

Account Identification

75-0350-0-1-550.

Obligations

(Formula Grants) FY 08 $556,580,363; FY 09 est $559,170,000; FY 10 est $559,170,000

Range and Average of Financial Assistance

(FY 2009 Awards) $149,560 to $43,328,678; $9,388,539.

Regulations, Guidelines and Literature

This program is subject to the provisions of 45 CFR Part 96 as applicable and individual State Regulations.

Related Programs

93.110 Maternal and Child Health Federal Consolidated Programs

Information Contacts

Regional or Local Office

See Regional Agency Offices. Program Contact: Division of State and Community Health, Maternal and Child Health Bureau, Health Resources and Services Administration, Department of Health and Human Services, Room 18-31, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-2204.

Headquarters Office

Division of State and Community Health 5600 Fishers Lane, Room 18-31, Rockville, Maryland 20857 Phone: (301) 443-2204

Web Site Address

www.hrsa.gov.

Examples of Funded Projects

Fiscal Year 2008: Each of the 59 States and jurisdictions determines its individual program priorities under its Block grant. Fiscal Year 2009: No Current Data Available Fiscal Year 2010: No Current Data Available

Criteria for Selecting Proposals

Not Applicable.