Maternal, Infant and Early Childhood Home Visiting Grant Program

 

The goals of the 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.

General information about this opportunity
Last Known Status
Active
Program Number
93.870
Federal Agency/Office
Agency: Department of Health and Human Services
Office: Health Resources and Services Administration
Type(s) of Assistance Offered
Formula Grants
Program Accomplishments
Not Applicable.
Authorization
Social Security Act, Title V, Section 511 (42 U.S.C. §711), as added by § 2951 of the Patient Protection and Affordable Care Act (P.L. 111-148).
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Eligible applicants include the following entities currently funded in FY 2015 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, as noted in Appendix C to the funding opportunity announcement.
Beneficiary Eligibility
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).

Low-income eligible families.
Eligible families who are pregnant women who have not attained age 21.
Eligible families that have a history of child abuse or neglect or have had interactions with child welfare services.
Eligible families that have a history of substance abuse or need substance abuse treatment.
Eligible families that have users of tobacco products in the home.
Eligible families that are or have children with low student achievement.
Eligible families with children with developmental delays or disabilities.
Eligible families who, or 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.

In addition, grantees will give priority to providing home visiting services to eligible families that are homeless or at-risk for homelessness and eligible families that include individuals who represent tribal and/or urban American Indian/Alaska Native populations.
Credentials/Documentation
Applicants should review the individual HRSA funding opportunity announcement 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?
Pre-Application Procedure
Preapplication coordination is required. Environmental impact information is not required for this program. 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 Grants.gov
Award Procedure
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 FOA.
Deadlines
Contact the headquarters or regional office, as appropriate, for application deadlines.
Approval/Disapproval Decision Time
It is anticipated that the Notice of Award will be sent prior to the start date of April 1, 2016.
Appeals
Not Applicable.
Renewals
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 FOA.
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, grantees 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; therefore, the majority of grant funds awarded for a fiscal year must be used to conduct activities that apply evidence-based home visiting models. Applicants must not submit an application with a budget request exceeding the state/territory’s specified total grant award ceiling in Appendix C. 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).” The administration of the MCH Block Grant is governed by 45 CFR Part 96, which states that “a State shall obligate and expend block grant funds in accordance with the laws and procedures applicable to the obligation and expenditure of its own funds” (45 CFR 96.30(a)). No more than 25% of the MIECHV grant award may be expended for purposes of conducting and evaluating a program using a service delivery model that qualifies as a promising approach. No more than 25% of the FY 2016 MIECHV grant award may be expended to support infrastructure development and maintenance. MIECHV programs authorized by Section 511 of the Social Security Act do not support the delivery or costs of direct legal, medical, dental, or mental health services, particularly those medical, dental, or mental health services provided by primary care providers in a clinical setting. Some limited services may be provided in fidelity to an evidence-based model that meets the HHS criteria for evidence of effectiveness.
What are the requirements after being awarded this opportunity?
Reporting
Final performance reports are due within 90 days of the end of the project period. The reports include financial, performance measure, program, and abstract data, as well as products and publications. Grantees will receive notification via email from the HRSA Electronic Handbooks (EHBs). Successful applicants receiving grant funding will be required to electronically complete the program specific data forms for this program. The Federal Financial Report (SF-425) will be required on an annual basis and timely FFATA reporting is required by the recipient of federal grant funds to the FFATA Sub-award Reporting System. By June 30, 2017, grantees must submit a noncompeting continuation application for FY 2017 funds. The funds will be awarded by the end of FY 2017. The application will be a report to HRSA on the progress under the FY 2016 grant and must address the areas outlined in the Project Narrative of Section IV of the FOA. Expenditure reports are required. Grantees will provide demographic, service utilization and benchmark area-related data into DGIS. The demographic and service utilization data report will include: an unduplicated count of enrollees; selected characteristics by race and ethnicity; socioeconomic data; other demographics; numbers of enrolled from priority populations; and, service utilization across all models. Note that all data regarding enrollees should include only those enrollees served by a home visitor for whom at least 25% of his/her personnel costs (salary/wages including benefits) are paid for with MIECHV funding. The benchmark data report will include an update of data collected for all constructs within each of the six benchmark areas. The benchmark data report will also provide the following information: the name of the benchmark and construct; the performance measure; the operational definition; the measurement tool utilized; rationale for the measure; the reporting period value; and, the definition of improvement. Data for FY16 DGIS-HV Forms 1 and 2 must be submitted by October 30th of each fiscal year.
Auditing
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.
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: The following formula is applied to the majority of FY 2016 funding available to states and territories (approximately $345 million)

Base Need Funding (37%) –Approximately 37% of the grant allocation available under this funding opportunity is distributed based on the proportion of children under five living in poverty as calculated by the Census Bureau’s Small Area Income and Poverty Estimates (SAIPE). 2013 SAIPE data were used. The calculated amount is subtracted by the proportion of the FY 2012 de-obligation amount to the total FY 2012 award, if applicable. There is a $1 million minimum for grantees. Approximate amount for this component = $126 million

Structured Stability Funding (63%) –Approximately 63% of the grant allocation available under this funding opportunity is based on the average of the grantee’s competitive awards in Federal fiscal years 2013, 2014, and 2015. Approximate amount for this component = $216 million.
This program has no matching requirements.
This program has MOE requirements, see funding agency for further details. Funds provided to an eligible entity receiving a grant shall supplement, and not supplant, funds from other sources for early childhood home visitation programs or initiatives (per the Social Security Act, Title V, §511(f)). The grantee must agree to maintain non-Federal funding (State General Funds) for evidence-based home visiting and home visiting initiatives, including in-kind, expended for activities proposed in this application, at a level which is not less than expenditures for such activities as of the most recently completed state fiscal year. Recipients are required to report Maintenance of Effort correctly in their applications (insert detail as requested in Attachment 3). The baseline for maintenance of effort is the state fiscal year prior to the application. Applicants should NOT consider any Title V funding used for evidence-based home visiting as part of the maintenance of effort. For purposes of maintenance of effort/non-supplantation in this funding opportunity announcement, 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 (excluding programs with infrequent or supplemental home visiting), and is offered on a voluntary basis to pregnant women or children birth to kindergarten entry targeting the participant outcomes in the legislation which include improved maternal and child health; prevention of child injuries, child abuse, or maltreatment, and reduction of emergency department visits; improvement in school readiness and achievement; reduction in crime or domestic violence; improvements in family economic self-sufficiency; and improvements in the coordination and referrals for other community resources and supports. Penalties for reducing effort would be a proportionate reduction in MIECHV funds. MIECHV funds would be reduced by no less than the same percentage reduction applied to non-Federal/state expenditures to ensure that the Federal government’s share of program costs does not increase.
Length and Time Phasing of Assistance
Funds awarded to a grantee for a Federal fiscal year under this funding opportunity announcement shall remain available for expenditure by the grantee through the end of the second succeeding Federal fiscal year after award. Successful applicants will provide a budget for the expenditure of grant funds through the full period of availability of funds to support consistent maintenance of home visiting services across the full period of availability. Reminder: FY 2016 grant funds that have not been obligated for expenditure by the grantee during the period of availability for use by the grantee will be de-obligated.

Note: Prior to completing the Budget and Budget Justification Narrative, see Section IV – Funding Restrictions for limitations on expenditures of the grant award, including:

Administrative Cap Applicable to State Government Entity Applicants/Grantees
Limit of Funds for Conducting and Evaluating a Promising Approach
Limit of Funds to Support Infrastructure Development and Maintenance
Limit of Funds to Support Legal Services and Medical, Dental, or Mental Health Services Provided in a Clinical Setting. 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/).
Who do I contact about this opportunity?
Regional or Local Office
See Regional Agency Offices. Marilyn Stephenson, RN, MSN
Team Lead, Eastern Branch
Division of Home Visiting and Early Childhood Systems
Maternal and Child Health Bureau
Health Resources and Services Administration
61 Forsyth Street SW, Suite 3M60
Atlanta, GA 30303
Telephone: (404) 562-1489
Fax: (301) 443-8921
E-mail: mstephenson@hrsa.gov.
Headquarters Office
Lisa R. King, MA, Team Lead, Western Branch, Division of Home Visiting and Early Childhood Systems, Maternal and Child Health Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Room 10-89, Rockville , Maryland 20857 Email: lking@hrsa.gov Phone: 301-443-9739 Fax: 301-443-8918
Website Address
http://mchb.hrsa.gov/programs/homevisiting
Financial Information
Account Identification
75-0321-0-1-550.
Obligations
(Formula Grants) FY 14 Not Available; FY 15 Estimate Not Available; and FY 16 Estimate Not Available
Range and Average of Financial Assistance
Formula (2013): $1,000,000 – $11,234,549
Formula (2014): $1,000,000 - $11,923,154
Formula (2015): $1,000,000 - $13,201,834

Competitive (2013):
A. Expansion/Development – $845,188 - $8,949,070
B. Nonprofit - $478,903 - $4,964,886

Competitive (2014):
A. Expansion/Development 35,764 - $798,097
B. Nonprofit - $1,000,000 - $5,801,252

Competitive (2015):
A. Expansion/Development - $361,115-$9,400,00
B. Nonprofit - $1,000,000 - $6,402,965.
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
Not Applicable.