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

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: 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.
Website Address

Selected Recipients for this Program

RecipientAmount Start DateEnd Date
Health Department, Oklahoma State $ 7,310,479   2020-10-012022-09-30
Wyoming, Department Of Health $ 1,079,852   2020-10-012022-09-30
Public Health, California Department Of $ 39,255,586   2020-10-012022-09-30
Health, Minnesota Department Of $ 9,146,460   2020-10-012022-09-30
Health, New York Department Of $ 38,366,219   2020-10-012022-09-30
Health, Rhode Island Department Of $ 1,642,594   2020-10-012022-09-30
State Health Services, Texas Department Of $ 35,734,420   2020-10-012022-09-30
Human Services, Vermont Agency Of $ 1,656,553   2020-10-012022-09-30
Health And Human Services, New Hampshire Dept Of $ 1,967,356   2020-10-012022-09-30
Health And Human Resources, West Virginia Department Of $ 6,205,535   2020-10-012022-09-30

Program Accomplishments

Fiscal Year 2016: 59 Awards. Fiscal Year 2017: 59 awards. Fiscal Year 2018: No Current Data Available

Uses and Use Restrictions

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.

Eligibility Requirements

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

Aplication and Award Process

Preapplication Coordination

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.

Environmental impact information is not required for this program.

This program is excluded from coverage under E.O.


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 its Electronic Handbooks (EHB). As a Block Grant to States, allocations are determined by legislative formula.

Award Procedures

Notification is made in writing by a Notice of Award.


Jul 15, 2017: 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.).


Social Security Act, Title V, Section 501(a) (1), as amended.

Range of Approval/Disapproval Time

From 30 to 60 days.


Not Applicable.


Funds will be made available annually to any State submitting an acceptable application.

Assistance Considerations

Formula and Matching Requirements

Statutory Formula: Title V Section 502(c), Public Law Social Security Act. Subject to 45 CFR Part 96. Matching Requirements: 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.

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. See the following for information on how assistance is awarded/released: Grantees drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.

Post Assistance Requirements


The awardee will be required to submit annually an Application/Annual Report as well as federal financial reports (see the program announcement and notice of award for details for each required report).

The awardee must submit a final electronic Federal Financial Report (FFR) Cash Transaction Report via the Payment Management System within 120 days of the end of the grant period.

New awards (?Type 1?) issued under this funding opportunity are subject to the reporting requirements of the Federal Funding Accountability and Transparency Act (FFATA) of 2006 (Pub.


109?282), as amended by section 6202 of Public Law 110?252, and implemented by 2 CFR Part 170.

Grant and cooperative agreement recipients must report information for each first-tier subaward of $25,000 or more in federal funds and executive total compensation for the recipient?s and subrecipient?s five most highly compensated executives as outlined in Appendix A to 2 CFR Part 170 (FFATA details are available online at

Cash reports are not applicable.

Cash reports are not applicable.

Please refer to program reports above.

Please refer to program reports above.

Please refer to program reports above.


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.


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.

Financial Information

Account Identification



(Formula Grants) FY 16 $538,256,696; FY 17 est $539,545,601; and FY 18 est $535,838,384

Range and Average of Financial Assistance

(FY 2016 Awards) Range = $145,678 - $39,040,391; Average = $9,144,841.

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

Information Contacts

Regional or Local Office

See Regional Agency Offices. 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

Division of State and Community Health, 5600 Fishers Lane, Room 18N110, Rockville, Maryland 20857 Phone: (301) 443-2204.

Criteria for Selecting Proposals

Not Applicable.

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