Assistance Listings

Maternal, Infant and Early Childhood Home Visiting Grant

Objectives

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 people 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 people, parents and caregivers, and children from birth to kindergarten entry and ultimately, to improve health and development outcomes.

Examples of Funded Projects

Range and Average of Financial Assistance

FY 23 act. $1,123,516-$27,244,590 ; Average $7,762,871 ; FY 24 act . $1,458,860-$26,402,603; Average $7,928,224; FY 25 est. $2,081,517-$30,217,771; Average $8,767,309 (Cooperative Agreements) FY 23 act . $1,300,000-$4,500,000; Average $2,458,000. FY 24 act . $1,300,000-$4,500,000; Average $2,458,000; FY 25 est. $1,300,000-$4,500,000; Average $2,458,000.

Accomplishments

Account Identification

75-0321-0-1-550

Types of Assistance

A - Formula Grants, B - Cooperative Agreements

Credentials and Documentation

Applicants should review the individual HRSA funding opportunity guidance issued under this Assistance Listing 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. 2 CFR 200, Subpart E - Cost Principles applies to this program.

Applicant Eligibility

Eligible entities include those currently funded under the MIECHV Program: 48 states, 2 nonprofit organizations serving Florida, and North Dakota, 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.

Length and Time Phasing of Assistance

Refer to the notice of funding opportunity (NOFO). Awards are made annually, in accordance with the project period method of awarding grants. Method of awarding/releasing assistance: Payments are made through a Letter-of-Credit or Cash Demand System. Grantee drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.

Use of Assistance

Program supports pregnant people and parents with young children who live in communities that face greater risks and barriers to achieving positive maternal and child health outcomes. Families choose to participate in home visiting programs, and partner with health, social service, and child development professionals to set and achieve goals that improve their health and well-being.

Deadlines

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. Preapplication coordination is required. This program is eligible for coverage under E.O. 12372.

Application Procedures

2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program.

Notice of Funding Opportunities (NOFO) for this listing will be posted on Grants.gov (opens in new window) (opens in new window).

HRSA requires all applicants to apply electronically through Grants.gov. All qualified competitive applications will be forwarded to an objective review committee.

Criteria for Selecting Proposals

Evaluation criteria vary based on the grant/cooperative agreement program. Refer to criteria included in the notice of funding opportunity for each specific program. Based on the recommendations of the objective review committee for competitive applications, the HRSA program official with delegated authority is responsible for final selection and funding decisions.

Award Procedure

Notification is made in writing by a Notice of Award.

Date Range for Approval/Disapproval

From 120 to 180 days. Final decisions are made 4 to 6 months after receipt of applications.

Renewals

Formula grants were awarded on an annual basis through FY 2022. Base grant funds using a formula in statute are awarded on an annual basis beginning in FY 2023. Matching grant funds based on a formula and contingent on state’s non-federal matching funds will be awarded on an annual basis beginning in FY 2024. Cooperative agreements are competitively awarded every three to five years. After initial awards, annual noncompetitive awards may be made contingent upon the submission of noncompetitive applications/progress reports and availability of funds and a determination that continued funding would be in the best interest of the federal government.

Appeals

Not Applicable.

Policy Requirements

Reports

Audits

Records

Grantees are required to maintain grant accounting records 3 years after the date they submit the Federal Financial Review (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.

Regulations, Guidelines, and Literature

All HRSA awards are subject to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements at 45 CFR part 75. 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 https://www.hhs.gov/sites/default/files/hhs-grants-policy-statement-october-2024.pdf.

Formula and Matching Requirements

Regional or Local Locations:

Headquarters Office: