Maternal, Infant and Early Childhood Home Visiting Grant Program

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.
Related Programs93.110 Maternal and Child Health Federal Consolidated Programs; 93.505 Affordable Care Act (ACA) Maternal, Infant, and Early Childhood Home Visiting Program; 93.615 Affordable Care Act (ACA) Maternal, Infant, and Early Childhood Home Visiting Research Programs; 93.994 Maternal and Child Health Services Block Grant to the States

Agency - Department of Health and Human Services

The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.

Office - See Regional Agency Offices.

Program Contact: Meseret Bezuneh, M.S.Ed Implementation Branch Chief Division of Home Visiting and Early Childhood Systems Maternal and Child Health Bureau Health Resources and Services Administration 5600 Fishers Lane, Room 18N-150 Rockville, Maryland 20852 Telephone: (301) 594-4149 E-mail: mbezuneh@hrsa.gov.



Program Accomplishments

Not Applicable.

Uses and Use Restrictions

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, awardees (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.

Awardees must not submit an application with a budget request exceeding the awardee'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 awardees under this guidance must be used by recipients 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 2016, 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 the Federal Home Visiting Program recipients.

Additionally, cooperative agreements are funded for innovation through the MIECHV Program.

The purpose of this limited competition is to fund the development, implementation, and evaluation of innovations by awardees that strengthen and improve the delivery of MIECHV-funded coordinated and comprehensive high-quality voluntary early childhood home visiting services to eligible families.

Eligibility Requirements

Applicant Eligibility

Eligible awardees include the following entities 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.

Beneficiary Eligibility

As directed in statute, awardees must give priority in providing services under the MIECHV program to the following: ? 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 with 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; and ? 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.

Credentials/Documentation

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. 2 CFR 200, Subpart E - Cost Principles applies to this program.

Aplication and Award Process

Preapplication Coordination

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 Procedures

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 Procedures

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.

Deadlines

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

Authorization

Social Security Act, Title V, Section 511 (42 U.S.C. §711).

Range of Approval/Disapproval 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.

Appeals

Not Applicable.

Renewals

Formula funds are awarded on an annual basis.

Assistance Considerations

Formula and Matching Requirements

Statutory Formula: In FY 2017, approximately $343 million was available to support the 56 eligible recipients that currently receive MIECHV funding. Eligible entities may apply for up to their FY 2016 formula grant award ceiling amount minus 0.8 percent. This program has no matching requirements. This program has MOE requirements, see funding agency for further details. This program has maintenance of effort (MOE) requirements. Per Social Security Act, Title V, §511(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 2017 funds must be obligated prior to September 30, 2019, and liquidated by December 31, 2019. 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/).

Post Assistance Requirements

Reports

HRSA MCHB Discretionary Grant Information System (DGIS) Forms 1, 2, 4, 6, 7, and Products and Publications reports are due within 120 days of the Notice of Award issue date.

The MIECHV Program recipients must also provide demographic, service utilization, and select clinical indicators, and performance indicators and systems outcomes measures into the Home Visiting Information System (HVIS) accessed through the Electronic Handbooks (EHBs).

Quarterly reports are due no later than 60 days after the end of each reporting period.

The demographic, service utilization,utilization and select clinical indicators performance report will include: an unduplicated count of enrollees; participant race and ethnicity; socioeconomic data; other demographics; number of households from priority populations; service utilization across all models; among other measures.

The performance indicators and systems outcomes performance report will include data collected for the 19 constructs defined by HRSA within each of the six benchmarksix-benchmark areas.

These constructs include: preterm birth, breastfeeding, depression screening, well child visits, postpartum care, tobacco cessation referrals, safe sleep, child injury, child maltreatment, parent-child interaction, early language and literacy activities, developmental screening, behavioral concerns, intimate partner violence screening, primary caregiver education, continuity of insurance coverage, completed depression referrals, completed developmental referrals, and intimate partner violence referrals. 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. 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.

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.

Refer to the progress reports section above.

Refer to the progress reports section above.

Refer to the progress reports section above.

Audits

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

Awardees 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.

Financial Information

Account Identification

75-0321-0-1-550.

Obigations

(Formula Grants) FY 16 $344,717,896; FY 17 est $344,717,896; and FY 18 est $365,500,000 - (Cooperative Agreements ? HV CoIIN) FY 17 est $1,200,00 (Cooperative Agreements ? R&D Platform) FY 17 est $1,300,000.

Range and Average of Financial Assistance

Formula (2016): $1,000,000 ? $22,201,618 Formula (2017): Ceiling amount ranges: $992,000 -- $22,024,005 Competitive (2017): $949,664 --- $3,957,620.

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.

Information Contacts

Regional or Local Office

See Regional Agency Offices. Program Contact: Meseret Bezuneh, M.S.Ed Implementation Branch Chief Division of Home Visiting and Early Childhood Systems Maternal and Child Health Bureau Health Resources and Services Administration 5600 Fishers Lane, Room 18N-150 Rockville, Maryland 20852 Telephone: (301) 594-4149 E-mail: mbezuneh@hrsa.gov.

Headquarters Office

Meseret Bezuneh, M.S.Ed 5600 Fishers Lane, Room 18N-150, Rockville, Maryland 20857 Email: mbezuneh@hrsa.gov Phone: (301) 594-4149

Criteria for Selecting Proposals

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).



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