Maternal and Child Health Services Block Grant to the States

 

To enable States to improve the health and well-being of the Nation's mothers, children and families by supporting and promoting the development and coordination of systems of care for the maternal and child health population, particularly vulnerable populations who do not have access to adequate health care.

General information about this opportunity
Last Known Status
Active
Program Number
93.994
Federal Agency/Office
Health Resources and Services Administration, Department of Health and Human Services
Type(s) of Assistance Offered
A - Formula Grants
Program Accomplishments
Fiscal Year 2016 59 awards. 59 Awards
Fiscal Year 2017 59 Awards.
Fiscal Year 2018 59 Awards.
Fiscal Year 2019 59 Awards.
Fiscal Year 2020 Most recent Block Grant Program data (from FY 19 Annual Reports) indicates that through direct, enabling, and public health services, states reached 92% of pregnant women, 98% of infants, and 60% of children ages 1-21, which includes children with special health care needs. For FY 20, FY 21, and FY 22, it is estimated that states will continue to reach 92% of pregnant women, 98% of infants, and 60% of children ages 1-21
Fiscal Year 2021 Most recent Block Grant Program data (from FY 20 Annual Reports) indicate that through direct, enabling, and public health services, states reached 93% of pregnant women, 98% of infants, and 60% of children ages 1-21, which includes children with special health care needs. For FY 21, FY 22, and FY 23, it is estimated that states will continue to reach 93% of pregnant women, 98% of infants, and 60% of children ages 1-21.
Fiscal Year 2022 Most recent Block Grant Program data (from FY 21 Annual Reports) indicate that through direct, enabling, and public health services, states reached 92% of pregnant women, 98% of infants, and 58% of children ages 1-21, which includes children with special health care needs. For FY 21, FY 22, and FY 23, it is estimated that states will continue to reach 92% of pregnant women, 98% of infants, and 58% of children ages 1-21.
Authorization
Social Security Act, Part Title V, Section Section 501(a) (1), as amended.
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Title V MCH Service 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 notice of funding opportunity issued under this Assistance Listing program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is required. This program is eligible for coverage under E.O. 12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.
Application Procedure
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 its Electronic Handbooks (EHB). As a Block Grant to States, allocations are determined by legislative formula.
Award Procedure
All qualified applications will be forwarded to an objective review committee. Based on the recommendations of the objective review committee, the HRSA program official with delegated authority is responsible for final selection and funding decisions. Notification is made in writing by a Notice of Award.
Deadlines
Contact the headquarters or regional location, as appropriate for application deadlines
Approval/Disapproval Decision Time
From 120 to 180 days. Final decisions are made 4 to 6 months after receipt of applications.
Appeals
Not applicable.
Renewals
Not applicable.
How are proposals selected?
Not applicable.
How may assistance be used?
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.
What are the requirements after being awarded this opportunity?
Reporting
Not applicable.
Auditing
Required every two years (42 USC 706(b)(1)).
Records
Grantees are required to maintain grant accounting records 3 years after the date they submit the Federal Financial Report (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.
Other Assistance Considerations
Formula and Matching Requirements
Statutory Formula: Title V Section 502(c) Public Law Social Security Act V Section 502(c)

Matching is mandatory. For each quarter, the Secretary shall make payments of an amount equal to 4/7 of the total of the sums expended by the State during that quarter.

This program has MOE requirements, see funding agency for further details. Additional Information:
Length and Time Phasing of Assistance
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. Grantees drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.
Who do I contact about this opportunity?
Regional or Local Office
None/Not specified.
Headquarters Office
Shirley Payne, Director; Division of State and Community Health;
5600 Fishers Lane
Rockville, MD 20857 US
SPayne@hrsa.gov
Phone: (301) 443-2204
Website Address
http://www.hrsa.gov
Financial Information
Account Identification
75-0354-0-1-550
Obligations
(Formula Grants) FY 22$549,502,932.00; FY 23 est $573,221,747.00; FY 24 est $574,167,880.00; FY 21$547,380,809.00; FY 20$545,924,488.00; FY 19$543,419,420.00; FY 18$545,234,528.00; FY 17$537,371,166.00; FY 16$538,256,696.00; -
Range and Average of Financial Assistance
FY 22: act. $138,860-$39,137,370; 9,390,884 FY 23: est.$154,561-$39,669,321; 9,702,231 FY 24 est. $155,030-$39,767,811; $9,731,659
Regulations, Guidelines and Literature
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.
Examples of Funded Projects
Not applicable.

 


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