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
Program Number
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.
Social Security Act, Title V, Section 501(a) (1), as amended.
Who is eligible to apply/benefit from this assistance?
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.
Application guidance for this program is approved by the Office of Management and Budget every three years. Applicants review the current Guidance for requirements in applying annually to receive Title V Maternal and Child Health Block Grant funding.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is required. An environmental impact statement is required for this listing. An environmental impact assessment is required for this listing. 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. Preapplication coordination between a State Maternal and Child Health Agency and other State and local entities within the State is at the discretion of the State. States are required to have mechanisms in place for obtaining public input and feedback on the development of their Title V Maternal and Child Health Block Grant applications and Title V –supported programs.
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
Notification is made in writing by a Notice of Award.
July 15, 2018 Applications are due to HRSA by COB on July 15 of each year. (If the application due date falls on a Saturday or Sunday, the deadline will be extended to the following Monday.)
Approval/Disapproval Decision Time
From 30 to 60 days.
Not applicable.
Funds will be made available annually to any State submitting an acceptable application.
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?
Performance Reports: Please refer to program reports above.
Not applicable.
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 voluntary. 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
Funds are awarded each fiscal year in quarterly installments and remain available for expenditure for the current and subsequent fiscal year. 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
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 18N110, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-2204.
Headquarters Office
Michele Lawler, Division of State and Community Health,
5600 Fishers Lane, Room 18N110
Rockville, MD 20857 US
Phone: (301) 443-2204.
Website Address
Financial Information
Account Identification
(Formula Grants) FY 18$545,234,528.00; FY 19 est $544,688,311.00; FY 20 est $544,688,311.00; FY 17$537,371,166.00; FY 16$538,256,696.00; -
Range and Average of Financial Assistance
(FY 2018) $147,214-$39,725,961; Average = $ 9,241,263 (FY 2019) $147,039- $39,657,661; $9,232,005 (FY 2020) Est. $147,039-$39,657,661; $ 9,232,005
Regulations, Guidelines and Literature
This program is subject to the provisions of 45 CFR Part 96 as applicable and individual State Regulations. 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
Examples of Funded Projects
Not applicable.


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