Federal Maternal, Infant, and Early Childhood Home Visiting Program

Sign up to receive Federal Maternal, Infant, and Early Childhood Home Visiting Program email updates Sign up to receive Federal Maternal, Infant, and Early Childhood Home Visiting Program email updates

Questions? Contact us at health.fhv@state.mn.us

On March 23, 2010, the Patient Protection and Affordable Care Act was signed into law. This law adds a new Section 511 to the Title V of the Social Security Act for Maternal, Infant, and Early Childhood Home Visiting programs.

MIECHV Q&A

View this list of questions and answers about the Federal Maternal, Infant, and Early Childhood Home Visiting Program.

MDH Updates

MIECHV Formula Grant Funding Opportunity
(posted August 9, 2013)

HRSA released the FOA for Fiscal Year 2013 of the Maternal, Infant and Early Childhood Home Visiting Formula Grant Program on July 10, 2013 and the application due date is August 9, 2013. The purpose of the MIECHV formula grant program is to 1) strengthen and improve the programs and activities carried out under Title V; 2) improve coordination of services for at-risk communities; and 3) identify and provide comprehensive services to improve outcomes for families who reside in at-risk communities. The MDH application continues the plan as described in the MIECHV Executive Summary: Updated State Plan for a State Home Visiting Program, link below, per an estimated formula-based MIECHV award to MDH of $1,384,868. This award reflects the mandated Federal sequestration cuts in accordance with the Budget Control Act of 2011. View the complete Funding Opportunity Announcement (PDF: 396KB/50 pages).

MIECHV Expansion Program Executive Summary
(posted April 17, 2013)

Minnesota was one of ten states awarded a competitive MIECHV expansion grant in April 2012. Please see link to the April 5, 2012 news release below. Expenditure of these funds was approved in the fall of 2012 by the Minnesota Legislative Advisory Committee. View the MIECHV Expansion Program Executive Summary (PDF: 41KB/2 pages).

Updated Minnesota’s MIECHV Benchmark Plan
(posted February 14, 2013)

Minnesota’s participation in HRSA’s MIECHV formula grants program and competitive expansion grants program requires MDH to collect and report legislatively-mandated benchmark data from implementing agencies to HRSA per the guidance in HRSA’s Supplemental Information Request (http://www.hrsa.gov/grants/manage/homevisiting/sir02082011.pdf).

The following link to Minnesota's MIECHV Benchmark Plan (updated January 2013) replaces all previous versions - MN MIECHV Benchmark Plan (PDF: 372 KB/26 pages).

2012 MIECHV County Risk Rankings by Composite Score
(posted November 6, 2012)

In response to the MDH's competitive MIECHV expansion grant award (details below), a list of all Minnesota counties with risk variables was compiled.  A table of composite risk scores was calculated to aid in identifying the resulting rankings of counties by risk variables. The scores were determined by calculating the sum of the two blue columns from the chart entitled, “Summary Table of Risk Variables for all Minnesota Counties.” The link to this table is below.  All scores were then adjusted by adding 12 to each score so that no county would have a negative score.  The composite scores may be viewed at 2012 MIECHV County Risk Rankings by Composite Score (PDF: 276KB/2 pages).

MIECHV Program: Risk Variables for All Minnesota Counties
(posted May 7, 2012)

In response to the MDH's competitive MIECHV expansion grant award (see below), a complete alphabetical list of all Minnesota counties with risk variables may be viewed at MIECHV Program: Risk Variables for All Minnesota Counties (PDF: 472KB/2 pages).

MDH Requests MIECHV Expansion Letters of Interest from Minnesota Community Health Boards
(posted May 7, 2012)

All interested Community Health Boards (CHBs), regardless of their at-risk ranking, are potentially eligible for MIECHV expansion funding (see details below regarding MDH's expansion grant). All CHBs are encouraged to consider their readiness to participate in this expansion of Minnesota's MIECHV Program by responding to MDH via a Letter of Interest. This program is not competitive and proposals will not be solicited. The complete Request for Letters of Interest and the online submission link may be viewed at Request for Letters of Interest (PDF: 46KB/3 pages).

MDH is Awarded $8 million MIECHV Expansion Grant
(posted April 5, 2012)

An additional $74 million in MIECHV expansion grants was awarded by the Health Resources and Services Administration (HRSA), part of the U.S. Department of Health and Human Services. Ten states, including Minnesota, were awarded grants from the rank order listing of competitive expansion grant proposals submitted in July 2011. Please see the following link for the complete news release: http://www.hhs.gov/news/press/2012pres/04/20120403b.html

MIECHV Executive Summary: Updated State Plan for a State Home Visiting Program
(posted December 15, 2011)

The Affordable Care Act of 2010 created the Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV) to respond to the diverse needs of children and families in communities at risk and through collaboration and partnership at the Federal, State, and community levels to improve the health and development outcomes for at-risk children through evidence-based home visiting programs (EBHV). The Minnesota Department of Health (MDH) submitted an application for funding, a statewide needs assessment, and an Updated State Plan. All submissions have been approved. View the MIECHV Executive Summary: Updated State Plan for a State Home Visiting Program (PDF: 75KB/4 pages).

MIECHV Formula Grant Program Announcement
(posted June 24, 2011)

MIECHV Formula Grant Application Due July 21, 2011

HRSA released the FOA for Fiscal Year 2011, Year 2 – Maternal, Infant and Early Childhood Home Visiting Formula Grant Program. The purpose of the MIECHV formula grant program is to 1) strengthen and improve the programs and activities carried out under Title V; 2) improve coordination of services for at-risk communities; and 3) identify and provide comprehensive services to improve outcomes for families who reside in at-risk communities.  As required, the MDH application will build on the recently submitted state plan for home visiting (see below). The formula award for Minnesota will be $2,049,101. We intend to submit our application by June 30, 2011. To view the complete Funding Opportunity Announcement go to MIECHV Formula Funding Announcement.

If you have questions or comments, please send an email to health.fhv@state.mn.us .

MIECHV Competitive Program Announcement
(posted June 7, 2011)

On June 1, 2011, the Health Resources and Services Administration (HRSA), in collaboration with the Administration for Children and Families (ACF), announced the availability of $99 million in FY 2011 to be awarded as competitive grants under the Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV) program. The Minnesota Department of Health (MDH) is the Governor-designated entity applying for and administering MIECHV funds on behalf of the state of Minnesota.

The goal of the competitive grant program is to fund states that have sufficiently demonstrated interest and capacity to expand and/or enhance their home visiting efforts. These competitive grants will promote two goals: (1) to encourage innovation and advancement of evidence-based home visiting programs among states and jurisdictions that already have made successful investments in such programs and supporting infrastructure; and (2) to support states and jurisdictions taking initial steps toward building high-quality, evidence-based home visiting programs that are part of comprehensive early childhood systems.

The Funding Opportunity Announcement (FOA) can be found at http://www07.grants.gov/search/search.do?&mode=VIEW&oppId=97455.

Applications will be due by July 1, 2011 and grants will be awarded to states prior to September 30, 2011. 

In addition to the $99 million for competitive grants, $125 million will be awarded to states and eligible jurisdictions as formula-based grants.  These FY 2011 grants represent an increase over FY 2010 funding levels of at least 20%, with no state or jurisdiction receiving less than $1 million. The FOA for the formula-based grants will be released in the near future.  Minnesota’s estimated allocation is $2,049,101.

The MDH Family Home Visiting Program will be working to meet the requirements of the competitive FOA by the July 1st deadline. Questions or comments may be sent to health.fhv@state.mn.us.

MDH Updated State Plan: At-risk Communities
(Posted April 14, 2011)

In preparing to complete the Updated State Plan per the Supplemental Information Request (SIR) for the Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV), MDH has identified 1) evidence-based home visiting models, 2) prioritized federal benchmarks, and 3) other criteria for the selection of at-risk communities to be engaged for further consideration of family home visiting program support funded by FY 2010 funding under the MIECHV Program. 

In Minnesota, approximately $650,000 will be available to targeted at-risk communities for Healthy Families America (HFA) and Nurse-Family Partnership (NFP) home visiting models.  MDH is not supporting research of a promising approach at this time. 

Counties meeting the highest at-risk criteria will be contacted by MDH the week of April 11, 2011 regarding their interest and readiness to implement an evidence-based home visiting model targeting their at-risk community(ies).  They will also be invited to subsequent webinars and technical assistance meetings.  Additional communities based on their apparent at-risk status may also be invited to submit proposals at a later date as funding allows. 

Grants may range from $100,000-200,000 per year, with an option for extensions up to three to five years.  Proposals, including a budget for the first year, are due to MDH no later than May 16, 2011.  MDH Family Home Visiting Consultants will be available to provide program and planning assistance to local agencies.  A completed Updated State Plan, including the identification of the State’s targeted at-risk communities and their community plans, is due to HRSA May-June 2011. 

As required by the federal MIECHV SIR, applicants must complete 1) a detailed assessment of needs and resources, 2) a plan to enhance community referral systems and service linkages, and 3) an explanation of how the program will address service gaps.  

Supplemental Information Request for the Maternal, Infant, and Early Childhood Home Visiting Program
(posted February 9, 2011)

On February 8, 2011, HRSA published a Supplemental Information Request (SIR) for states previously awarded the formula grants for the Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV). The SIR provides guidance for preparing the Updated State Plan for the State Home Visiting Program, including identification of the at-risk communities where home visiting services will be provided, a detailed assessment of the particular needs of those communities in terms of risk factors, community strengths, and existing services; identification of home visiting services proposed to be implemented to meet the needs in those communities; a description of the State and local infrastructure available to support the program; specification of any additional infrastructure support necessary to achieve program success; and a plan for collecting benchmark data, conducting continuous quality improvement and performing any required research or evaluation. States have 90 to 120 days to submit their updated plans. To view the complete SIR go to: www.hrsa.gov/grants/manage/homevisiting.

The Minnesota Department of Health, Family Home Visiting Program, will be working with state and local partners to update the Minnesota State Plan for submission.  Questions or comments can be sent to health.fhv@state.mn.us

Statewide Needs Assessment: Summary
(posted October 18, 2010)

Summary: Affordable Care Act Maternal, Infant and Early Childhood Home Visiting Program Supplemental Information Request for the Submission of the Statewide Needs Assessment (September 2010)

The Minnesota Maternal, Infant and Early Childhood Home Visiting Program statewide needs assessment, as required for receiving FY2011 Title V Block Grant allotments and as detailed in the Supplemental Information Request for the Submission of the Statewide Needs Assessment (SIR), provided for an initial level of assessment of needs and resources in Minnesota communities identified as being at risk. 

This document includes an Executive Summary and a summary of the initial data findings. At risk communities will be further defined upon additional assessment as required for the forthcoming Updated State Plan. Guidance for the completion of this final requirement is expected late fall 2010. See Needs Assessment Summary (PDF: 479KB/43 pages) for more details.

Statewide Needs Assessment: Guidance
(posted August 20, 2010)

The guidance for the statewide needs assessment for the Maternal, Infant and Early Childhood Home Visiting Program was sent to the Minnesota Department of Health as the state lead on August 19, 2010. This is the second step of the application process. The statewide needs assessment is required by law of all States.

The home visiting needs assessment must coordinate with the needs assessments required under the Title V Block Grant Program, CAPTA, and the Head Start Program. The Minnesota Department of Health is the lead state agency in completing the home visiting needs assessment. 

To view the complete guidance on the needs assessment go to… http://www.hrsa.gov/grants/apply/assistance/homevisiting/homevisitingsupplemental.pdf

(posted July 16, 2010)
On July 15, 2010, the Minnesota Department of Health (MDH) received notice of the grant award for the Affordable Care Act (ACA) Maternal, Infant and Early Childhood Home Visiting Program by the Health Resources and Services Administration (HRSA).  This grant brings $1,701,396 to the state to develop a comprehensive assessment of at-risk communities and home visiting services in Minnesota. The assessment will identify areas of greatest need and guide the expansion of home visiting programs within the state. See Project Abstract (PDF: 14KB/1 page) for additional information.  MDH is awaiting details on the needs assessment and program plan development from HRSA.

(posted June 16, 2010)
Communication from Laurel Briske, MDH Maternal and Child Health Section Manager, Federal Funding Opportunity Announcement Overview (PDF: 32KB/2pages)

HRSA Funding Announcement for Home Visiting Needs Assessment
(posted June 10, 2010)

The Health Resources and Services Administration (HRSA) and the Administration on Children and Families (ACF) are pleased to send you the first Funding Opportunity Announcement (FOA) for the new Maternal, Infant, and Early Childhood Home Visiting Program, created as part of the Patient Protection and Affordable Care Act of 2010 (Affordable Care Act or ACA). The FOA can be downloaded by pointing your browser to Grants.gov, “FIND or APPLY” and enter either CFDA # 93.505 or the full announcement number (HRSA-10-275).  The FOA will also be posted on HRSA’s web site at http://www.hrsa.gov.

This FOA is the first of three that will be issued to complete the FY 2010 application process.  This process will includes submitting a State needs assessment and an Updated State Plan with application for a State Home Visiting Program grant.  An FOA for funding available to Indian Tribes, consortia of Indian Tribes, Tribal Organizations and Urban Indian Organizations will be announced separately.

HRSA and ACF look forward to partnering with the States and all other interested parties as we move forward with this important new initiative.

Audrey M. Yowell, PhD, MSSS, HRSA    Moushumi Beltangady, MSW, MPP, ACF, Email: homevisiting@hhs.gov

(posted March 25, 2010)
Communication from Laurel Briske, MDH Maternal and Child Health Section Manager (PDF: 21KB/1 page)

 

Other Resources

Legislative Summary

Summary of the new Federal Maternal, Infant, and Early Childhood Home Visiting Program law (PDF: 70KB/2 pages) provided by the Senate Finance Committee.

Association of Maternal and Child Health Programs (AMCHP)

The most up-to-date materials can be found on the Association of Maternal and Child Health Programs (AMCHP) advocacy Web site.

The Pew Center on the States

On Tuesday, April 13, the Pew Home Visiting Campaign hosted a webinar for 230 state public health, child welfare and early learning agency representatives to discuss the provisions for home visiting in the newly enacted Patient Protection and Affordable Care Act, which provides $1.5 billion over five years for a state-based early childhood home visitation grant program. View the presentation (PDF: 905KB/28 pages).

The Pew Center on the States Home Visiting Campaign has released a brief Federal Health Reform Legislation Home Visiting summary. View the summary (PDF: 118KB/4 pages).