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 women 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 child?s 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 women, parents and caregivers, and children from birth to kindergarten entry and ultimately, to improve health and development outcomes.
General information about this opportunity
Last Known Status
Health Resources and Services Administration, Department of Health and Human Services
Type(s) of Assistance Offered
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
Social Security Act, Title V, § 511(c) (42 U.S.C. § 711(c)), as amended by the Bipartisan Budget Act of 2018 (P.L.115-123), Title VI, Subtitle A.
Who is eligible to apply/benefit from this assistance?
Eligible entities include those currently funded under the MIECHV Program: 47 states, 3 nonprofit organizations serving Florida, North Dakota, and Wyoming, 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 CFDA program 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. OMB Circular No. A-87 applies to this program. 2 CFR 200, Subpart E - Cost Principles applies to this program.
What is the process for applying and being award this assistance?
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. 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.
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 applications for this funding will be reviewed internally by grants management officials (business and financial review) and program staff (technical review) for eligibility, completeness, accuracy, and compliance with the requirements outlined in the funding opportunity guidance.
Contact the headquarters or regional location, as appropriate for application deadlines
Approval/Disapproval Decision Time
From 60 to 90 days. Contact the Headquarters or Regional Office as appropriate for application deadlines or view the specific notice of funding opportunity.
Formula funds are awarded on an annual basis
How are proposals selected?
All applications for this funding will be reviewed internally by grants management officials (business and financial review) and program staff (technical review) for eligibility, completeness, accuracy, and compliance with the requirements outlined in the notice of funding opportunity (NOFO).
How may assistance be used?
Authorizing legislation reserves the majority of funding for the delivery of services through implementation of one or more evidence-based home visiting service delivery models that meet the HHS criteria of evidence of effectiveness with fidelity to the model selected. Per legislation, recipients may expend no more than 25% of the grant awarded for a fiscal year for conducting and evaluating a program using a service delivery model that qualifies as a promising approach. Recipients must not submit an application with a budget request exceeding the recipient's specified total grant award ceiling. Awards to support projects will be contingent upon Congressional appropriation, satisfactory progress in meeting the project’s objectives, and a determination that continued funding would be in the best interest of the Federal Government. No more than 10% of the award amount may be spent on expenditures related to administering the grant. Section 511(i)(2)(C) of the Social Security Act requires that section 504(d) (relating to a limitation on administrative expenditures) “shall apply to a grant made under this section to the same extent and in the same manner as such provisions apply to allotments made under section 502(c).” No more than 25% of the MIECHV grant award may be expended to support recipient-level infrastructure expenditures. Funds made available to recipients under this guidance must be used to support the delivery of home visiting services under the MIECHV Program. Recipients may coordinate with and refer to direct medical, dental, mental health or legal services and providers covered by other sources of funding, for which non-MIECHV sources of funding may provide reimbursement. The MIECHV Program generally does not fund the delivery or costs of direct medical, dental, mental health, or legal services; however, some limited direct services may be provided (typically by the home visitor) to the extent required in fidelity to an evidence-based model approved for use under the MIECHV Program.
Section 511(j)(2)(B) also provides a 3 percent set-aside in funding for research and evaluation activities to be conducted under Section 511 (h)(3). In FY 2018, two cooperative agreement programs are funded under this authority, including the Home Visiting Research and Development Platform (HV R&D Platform) and the Home Visiting Collaborative Improvement and Innovation Network (HV CoIIN). The HV R&D Platform supports a transdisciplinary research network for scientific collaboration and infrastructure building for innovative home visiting research. The HV CoIIN facilitates the delivery and accelerates the improvement of home visiting and early childhood services provided by MIECHV Program recipients.
The Bipartisan Budget Act of 2018 provides authority for recipients to use a MIECHV grant for a pay for outcomes initiative. Pending future guidance from HRSA, recipients will be able to use up to 25 percent of the grant for outcomes or success payments related to a pay for outcomes initiative that will not result in a reduction of funding for home visiting services. Funds made available for this specific purpose will be available for expenditure for not more than 10 years after the funds are made available.
What are the requirements after being awarded this opportunity?
Refer to the progress reports section above.
Recipients 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 is not applicable to this assistance listing.
Matching requirements are not applicable to this assistance listing.
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, SS511(f), awardees must supplement, and not supplant, funds from other sources for early childhood home visitation programs or initiatives. Awardees may demonstrate compliance by maintaining non-federal funding (state general funds) for evidence-based home visiting and home visiting initiatives, expended for activities proposed in application submissions, at a level which is not less than expenditures for such activities as of the most recently completed state fiscal year. Nonprofit awardees must agree to take all steps reasonably available for this purpose and should provide appropriate documentation from the state supporting its accomplishment of the maintenance of effort/non-supplantation requirement. The baseline for maintenance of effort is the state fiscal year prior to the fiscal year during which an application is submitted. For purposes of maintenance of effort/non-supplantation in the MIECHV Program, home visiting is defined as an 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 women or caregivers of children birth 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.
Length and Time Phasing of Assistance
Funds awarded to a recipient for a federal fiscal year shall remain available for expenditure by the recipient through the end of the second succeeding federal fiscal year after award. Grant funds that have not been obligated for expenditure by the recipient during the period of availability for use by the recipient will be de-obligated. FY 2019 funds must be obligated prior to September 30, 2021, and liquidated by December 31, 2021. See the following for information on how assistance is awarded/released: Applicant organizations must obtain a valid DUNS number and provide that number in their application. Each applicant must also register with the System for Award Management (SAM) and continue to maintain active SAM registration with current information at all times during which it has an active federal award or an application or plan under consideration by an agency (unless the applicant is an individual or federal agency that is exempted from those requirements under 2 CFR 25.110(b) or (c), or has an exception approved by the agency under 2 CFR 25.110(d)). HRSA may not make an award to an applicant until the applicant has complied with all applicable DUNS and SAM requirements and, if an applicant has not fully complied with the requirements by the time HRSA is ready to make an award, HRSA may determine that the applicant is not qualified to receive an award and use that determination as the basis for making an award to another applicant. The Grants.gov registration process requires information in three separate systems: Dun and Bradstreet (http://fedgov.dnb.com/webform/pages/CCRSearch.jsp) System for Award Management (SAM) (https://www.sam.gov) Grants.gov (http://www.grants.gov/). Applicant organizations must obtain a valid DUNS number and provide that number in their application. Each applicant must also register with the System for Award Management (SAM) and continue to maintain active SAM registration with current information at all times during which it has an active federal award or an application or plan under consideration by an agency (unless the applicant is an individual or federal agency that is exempted from those requirements under 2 CFR 25.110(b) or (c), or has an exception approved by the agency under 2 CFR 25.110(d)). HRSA may not make an award to an applicant until the applicant has complied with all applicable DUNS and SAM requirements and, if an applicant has not fully complied with the requirements by the time HRSA is ready to make an award, HRSA may determine that the applicant is not qualified to receive an award and use that determination as the basis for making an award to another applicant. The Grants.gov registration process requires information in three separate systems: Dun and Bradstreet (http://fedgov.dnb.com/webform/pages/CCRSearch.jsp) System for Award Management (SAM) (https://www.sam.gov) Grants.gov (http://www.grants.gov/)
Who do I contact about this opportunity?
Regional or Local Office
Program Contact: Xuan Le Policy Analyst Division of Home Visiting and Early Childhood Systems Maternal and Child Health Bureau Health Resources and Services Administration 5600 Fishers Lane, Room 18N-188A Rockville, Maryland 20852 Telephone:(301) 443-2231 E-mail: firstname.lastname@example.org
5600 Fishers Lane, Room 18N-188A
Rockville, MD 20857 US
(301) 443 2231
(Formula Grants) FY 18$361,594,315.00; FY 19 est $351,000,000.00; FY 20 est $351,000,000.00; FY 17$344,717,896.00; FY 16$344,717,896.00; - (Project Grants) FY 18 Estimate Not Available FY 19 est $1,375,000.00; FY 20 est $1,300,000.00; FY 17 - Home Visiting Research Project Grants(Project Grants) FY 18$1,200,000.00; FY 19 est $1,200,000.00; FY 20 est $1,200,000.00; FY 17$1,200,000.00; - HV CoIIN Project Grants
Range and Average of Financial Assistance
FY18 average is $6,457,041 and range is $1,200,000-$21,384,282 FY 19 average is $6,267,857 and range is $1,000,000-$20,816,822 FY 20 average is $6,267,857 and range is $1,000,000-$20,816,822
Regulations, Guidelines and Literature
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