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Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT ABSTRACT SUMMARY ADDRESS: 450 W. STATE STREET - 4TH FLOOR, BOISE, ID 83702-6056 PROJECT DIRECTOR: TARYN YATES PHONE: (208) 334-0658 EMAIL ADDRESS: TARYN.YATES@DHW.IDAHO.GOV WEBSITE: HTTPS://HEALTHANDWELFARE.IDAHO.GOV/SERVICES-PROGRAMS/CHILDREN-FAMILIES/ABOUTHOME- VISITING FUNDS REQUESTED: $4,374,987 PURPOSE: HOME VISITING PROGRAMS SUPPORT FAMILIES, LEVERAGE INDIVIDUAL FAMILY STRENGTHS, AND ENSURE CHILDREN AND FAMILIES HAVE OPPORTUNITIES TO REACH THEIR FULLEST POTENTIAL. EXPECTANT PARENTS AND PARENTS OF YOUNG CHILDREN ARE PAIRED WITH A DESIGNATED HOME VISITOR, TYPICALLY A TRAINED NURSE, SOCIAL WORKER, OR OTHER EARLY CHILDHOOD PROFESSIONAL. HOME VISITING IS A LONG TERM, RELATIONSHIP-BASED PROGRAM WITH SUSTAINABLE POSITIVE OUTCOMES FOR FAMILIES. GOALS AND OBJECTIVES: THE IDAHO HOME VISITING PROGRAM (IHVP) AIMS TO IMPLEMENT VOLUNTARY, EVIDENCE-BASED SERVICES THAT IMPROVE OUTCOMES FOR FAMILIES, ENSURE HIGH QUALITY SERVICES, AND COLLABORATE WITH STATE AND LOCAL PARTNERS TO STRENGTHEN EARLY CHILDHOOD SYSTEMS AND COORDINATE SERVICES. IHVP WILL ACCOMPLISH THIS BY: 1) DEMONSTRATING OUTCOMES THROUGH PROGRAM EVALUATION AND BENCHMARK REPORTING 2) OFFERING REFLECTIVE CONSULTATION AND TRAINING OPPORTUNITIES TO HOME VISITORS THAT ARE ALIGNED AND COORDINATED WITH THE COMPETENCIES OF INFANT MENTAL HEALTH 3) DEVELOPING AND SUPPORTING CQI PROJECTS 4) MAINTAINING AN EFFECTIVE MEDICAID BILLING PROCESS APPROACH: THE IHVP HAS ESTABLISHED CONTRACTS WITH EIGHT LOCAL IMPLEMENTING AGENCIES (LIAS) TO DELIVER EVIDENCE-BASED HOME VISITING (EBHV) SERVICES IN AT-RISK COMMUNITIES USING THE NURSE-FAMILY PARTNERSHIP AND PARENTS AS TEACHERS MODELS. EFFORTS ARE ALSO UNDERWAY TO FUND A NINTH LIA IMPLEMENTING FAMILY SPIRIT. THE AT-RISK COMMUNITIES IN IDAHO FUNDED BY IHVP INCLUDE THE FOLLOWING: ADA, ADAMS, BANNOCK, BEAR LAKE, BENEWAH, BINGHAM, BOISE, BONNER, BONNEVILLE, BOUNDARY, CANYON, CARIBOU, CASSIA, CLARK, CLEARWATER, CUSTER, ELMORE, FRANKLIN, FREMONT, GEM, GOODING, IDAHO, JEFFERSON, JEROME, KOOTENAI, LATAH, LEMHI, LEWIS, LINCOLN, MADISON, MINIDOKA, NEZ PERCE, ONEIDA, OWYHEE, PAYETTE, POWER, SHOSHONE, TETON, TWIN FALLS, VALLEY, AND WASHINGTON COUNTIES, AS WELL AS THE COUNTIES THAT ENCOMPASS THE COEUR D’ ALENE, NEZ PERCE, AND SHOSHONE-BANNOCK TRIBAL RESERVATIONS. THE 2024 NEEDS ASSESSMENT AMENDMENT IDENTIFIED ALL 44 IDAHO COUNTIES AS COMMUNITIES IN NEED OF SERVICES. OF THOSE 44 COUNTIES, A TOTAL OF 41 WILL BE SERVED WITH MIECHV FUNDS. MUCH OF THIS EXPANSION IS POSSIBLE BECAUSE OF THE MATCHING FUNDS AVAILABLE TO IDAHO. LIAS ARE PREDICTING GROWTH OF THEIR PROGRAMS TO MEET THE NEEDS OF ALL IDENTIFIED MIECHV COMMUNITIES. MATCHING FUNDS WILL ALSO BE USED TO IMPROVE SUPPORTS AVAILABLE TO LIAS INCLUDING TECHNICAL ASSISTANCE AND REFLECTIVE CONSULTATION. IDAHO’S STATE GENERAL FUNDS ARE NOT CONSIDERED PART OF THE MAINTENANCE OF EFFORT AND ARE RENEWED AT A RATE OF $1,000,000 ANNUALLY. THESE FUNDS MEET MATCH REQUIREMENTS. THE TOTAL PROPOSED CASELOAD OF FAMILY SLOTS IS 417 FOR FY 2025 AND 505 FOR FY 2026. KEY ACTIVITIES TO ENSURE APPROPRIATE NETWORKING AND SUPPORT INCLUDE: REGULARLY COORDINATING AND CONVENING WITH STATE AND COMMUNITY PARTNERS TO GUIDE PLANNING AND IMPLEMENTATION; EVALUATION OF PROGRAM ACTIVITIES, OUTCOMES, AND IMPLEMENTATION; AND SUBRECIPIENT MONITORING VIA CHECK-IN CALLS, REPORTS, DATA ANALYSIS, AND BIENNIAL SITE VISITS.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT ADDRESS: 1500 JEFFERSON STREET SE, OLYMPIA, WA 98501PROJECT DIRECTOR: JUDY KING CONTACT PHONE #:360.725.2841CONTACT PHONE #:360.725.2841 EMAIL ADDRESS: JUDY.KING@DCYF.WA.GOV BASE FUNDS: $11,261,560 MATCHING FUNDS: $725,893ANNOTATION: WASHINGTON CONTINUES BUILDING AND INCREASING A COMPREHENSIVE STATE-WIDE HOME VISITING (HV) SYSTEM THAT BUILDS A BRIDGE BETWEEN HEALTH AND THE EARLY LEARNING SYSTEMS AVAILABLE IN THE STATE. A CONTINUED FOCUS ON SUSTAINING AND STRENGTHENING THE QUALITY OF PROGRAMMING, ENSURING ACCOUNTABLE INTEGRATION OF OUR PROGRAMS AT EVERY LEVEL, AND CREATING A SUSTAINABLE PROGRAM THAT PROMOTES MATERNAL, INFANT AND EARLY CHILDHOOD HEALTH, SAFETY AND DEVELOPMENT AND STRONG PARENT-CHILD RELATIONSHIPS REMAINS AT THE FOREFRONT OF OUR WORK. KEEPING WITH THIS FOCUS OVER MANY GRANT PERIODS ALLOWS WASHINGTON TO INCREASE THE BREADTH AND DEPTH OF SERVICES. PROBLEM: DECADES OF RESEARCH HAVE PROVEN THAT LONG TERM, RELATIONSHIP-BASED HOME VISITING SERVICES ARE AN EFFECTIVE AND COST-EFFICIENT APPROACH TO IMPROVE CHILD AND FAMILY OUTCOMES IN HEALTH DEVELOPMENT AND PROMOTE SCHOOL READINESS. HOWEVER, DUE TO LIMITED FUNDING, WE ONLY REACH A SMALL FRACTION OF THOSE IN NEED IN OUR STATE. TO COUNTER THIS, WE USE THE MIECHV HOME VISITING NEEDS ASSESSMENTS TO PINPOINT THE HIGHEST NEEDS AREAS AND CONTINUE TO MOLD A COMPREHENSIVE EARLY LEARNING APPROACH THAT EXPANDS HOME VISITING. PURPOSE: WASHINGTON STATE HAS CONTINUED TO EMBED HOME VISITING INTO OUR STATEWIDE EARLY LEARNING SYSTEM AND DEVELOP A STRONG HOME VISITING PORTFOLIO FOR THE HIGHEST RISK FAMILIES. THROUGH THIS GRANT WE CONTINUE THIS IMPACT BY SUSTAINING AND STRENGTHENING THE EXISTING PROGRAMS. GOALS AND OBJECTIVES: THE GOALS AND OBJECTIVES OF THE WASHINGTON HOME VISITING SYSTEM HAVE CONTINUED TO REFLECT THE STRONG WORK OF OUR STATE MORE THAN 10 YEARS. THESE FOUNDATIONAL SYSTEMS GOALS CONTINUE TO GUIDE HOME VISITING SYSTEMS PLANNING AND DEVELOPMENT. GOAL 1 - GOVERNANCE AND PLANNING: INTEGRATE THE HOME VISITING SYSTEM AS PART OF THE BROADER EARLY LEARNING PLANNING AND GOVERNANCE STRUCTURE; ENCOURAGE COLLABORATION AT THE STATE AND LOCAL LEVELS AND ENGAGE AND REFLECT THE COMMUNITIES SERVED. GOAL 2 - FINANCE AND SUSTAINABILITY: BUILD FINANCE STRATEGIES AND GENERATE RESOURCES TO SUSTAIN AND GROW THE HOME VISITING SYSTEM IN WASHINGTON STATE. GOAL 3 - SERVICE DELIVERY AND ACCESS: ENSURE HIGH-QUALITY, CULTURALLY COMPETENT HOME VISITING SERVICES THAT MEET THE NEEDS OF LOCAL COMMUNITIES ARE AVAILABLE AND ACCESSIBLE TO AT-RISK FAMILIES ACROSS THE STATE. GOAL 4 - QUALITY AND ACCOUNTABILITY: ENSURE HIGH-QUALITY SERVICES AND EFFECTIVE IMPLEMENTATION OF HOME VISITING MODELS AND PROGRAMS. GOAL 5 - PUBLIC ENGAGEMENT: BUILD COMMUNITY AND PUBLIC WILL FOR A HOME VISITING SYSTEM THAT PROVIDES HIGH-QUALITY SERVICES TO FAMILIES IN LOCAL COMMUNITIES. APPROACH: THE PROPOSED FUNDS WILL SUPPORT COMMU NITIES IN 16 AT RISK AREAS STATEWIDE. FFY24 FORMULA GRANT FUNDS WILL SUPPORT TWO EVIDENCE-BASED MODELS: NURSE-FAMILY PARTNERSHIPS AND PARENTS AS TEACHERS. WASHINGTON WILL FUND 1,309 FAMILY SLOTS THROUGH THE FFY2024 GRANT PERIOD. POPULATIONS SERVED INCLUDE FAMILIES IN POVERTY, DIVERSE RACIAL/ETHNIC POPULATIONS, YOUNG MOTHERS, FAMILIES INVOLVED WITH CHILD WELFARE, AND MILITARY FAMILIES. WASHINGTON’S IMPLEMENTATION HUB WILL PROVIDE TRAINING, TECHNICAL ASSISTANCE AND COACHING FOR EVIDENCE-BASED MODELS. AT THE STATE LEVEL, HOME VISITING CONTINUES TO PARTNER WITH EARLY CARE AND EDUCATION, HEALTH AND HUMAN SERVICES AGENCIES TO IDENTIFY SYSTEM GAPS THAT COULD BE STRENGTHENED IN ORDER TO BETTER SERVE FAMILIES. WE CONTINUE OUR WORK OUTLINED IN MEMORANDUMS OF UNDERSTANDING (MOUS) TO BETTER SERVE FAMILIES THAT ARE ACCESSING SERVICES FROM MULTIPLE STATE PROGRAMS TO ENSURE SEAMLESS ACCESS TO VOLUNTARY PROGRAMS. AT THE REGIONAL AND LOCAL LEVELS, WE WILL CONTINUE TO PROVIDE TECHNICAL ASSISTANCE ON INITIATING AND STRENGTHENING REFERRALS TO AND FROM A VARIETY OF OTHER LOCAL AGENCIES.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT TITLE: TENNESSEE’S MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING PROGRAM FY 2024 FORMULA GRANT APPLICANT NAME: TENNESSEE DEPARTMENT OF HEALTH, DIVISION OF FAMILY HEALTH AND WELLNESS ADDRESS: 710 JAMES ROBERTSON PARKWAY, ANDREW JOHNSON TOWER, 8TH FLOOR NASHVILLE, TN 37243 PROJECT DIRECTOR NAME: SARAH SANDERS, SECTION CHIEF, EARLY CHILDHOOD INITIATIVES CONTACT INFORMATION: PHONE: 615-253-4137 EMAIL ADDRESS: SARAH.SANDERS@TN.GOV PURPOSE: THE FY 2024 MIECHV GRANT WILL ENSURE THAT TENNESSEE FAMILIES ARE SERVED WITH HIGH QUALITY HOME VISITING SERVICES PROVIDED BY AN EXPERTLY TRAINED WORKFORCE AND THAT THE EARLY CHILDHOOD SYSTEM IS COMPREHENSIVE AND COORDINATED AND ENSURES THAT FAMILIES ARE ENROLLED IN THE MOST APPROPRIATE SERVICES AS EARLY AS POSSIBLE. GOALS AND OBJECTIVES: GOAL 1: BY SEPTEMBER 29, 2026, ASSURE AVAILABILITY OF HIGH QUALITY EBHV SERVICES IN THIRTY-ONE OF THE MOST AT-RISK COUNTIES IN TENNESSEE. GOAL 2: BY SEPTEMBER 29, 2026, STRENGTHEN THE CAPACITY OF TENNESSEE’S HOME VISITING WORKFORCE TO EFFECTIVELY IMPLEMENT HIGH-QUALITY, FAMILY-CENTERED, RESILIENCE-INFORMED, AND CULTURALLY SENSITIVE SERVICES. GOAL 3: BY SEPTEMBER 29, 2026, PROMOTE A COMPREHENSIVE, HIGH-QUALITY EARLY CHILDHOOD SYSTEM IN TENNESSEE THAT BEGINS PRENATALLY OR AT BIRTH. GOAL 4: BY SEPTEMBER 29, 2026, MAINTAIN COORDINATION OF FAMILY SERVING TDH AND OTHER STATE AGENCY PROGRAMS TO INCREASE COORDINATION OF REFERRALS OF FAMILIES INTO EBHV SERVICES. METHODOLOGY: PLANNED PROJECT ACTIVITIES WILL RESULT IN FAMILIES BEING SERVED BY EBHV PROGRAMS IN THIRTY-ONE OF THE MOST AT-RISK COMMUNITIES, INCLUDING ONE ADDITIONAL PROJECT THAT SERVES MILITARY FAMILIES LIVING CLOSE TO FORT CAMPBELL ARMY INSTALLATION. TANF (TEMPORARY ASSISTANCE FOR NEEDY FAMILIES) AND STATE FUNDED EBHV PROGRAMS ALSO CONTRIBUTE TO THE CASELOAD, BASED ON THE HRSA DEFINITION OF CASELOAD. MIECHV FUNDS SUPPORT THE IMPLEMENTATION OF TWO EBHV MODELS: HEALTHY FAMILIES AMERICA (HFA) AND PARENTS AS TEACHERS (PAT). THE TOTAL CASELOAD OF FAMILY SLOTS FOR SEPTEMBER 30, 2024 - SEPTEMBER 29, 2025 IS 1,073 AND THE TOTAL CASELOAD OF FAMILY SLOTS FOR SEPTEMBER 30, 2025 - SEPTEMBER 29, 2026 IS 1,074. TENNESSEE MAINTAINS STRONG PARTNERSHIPS WITH INFANT AND EARLY CHILDHOOD PARTNERS AND STATE AGENCIES INVOLVED IN PERPETUATING A COLLABORATIVE AND COMPREHENSIVE INFANT AND EARLY CHILDHOOD SYSTEM IN TENNESSEE. PARTNERS INCLUDE: THE EARLY SUCCESS COALITION IN MEMPHIS, TN; THE ASSOCIATION FOR INFANT MENTAL HEALTH IN TENNESSEE (AIMHITN); THE DEPARTMENT OF HUMAN SERVICES (TDHS); THE TENNESSEE COMMISSION ON CHILDREN AND YOUTH (TCCY); AND THE TENNESSEE YOUNG CHILD WELLNESS COUNCIL (TNYCWC, UNDER THE AUSPICES OF THE TCCY).

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT TITLE: MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING (MIECHV) PROGRAM IN KENTUCKY APPLICANT NAME: KENTUCKY CABINET FOR HEALTH AND FAMILY SERVICES 275 EAST MAIN STREET, FRANKFORT, KY 40601-2321 PROJECT DIRECTOR INFORMATION: CHRISTINE SAWALHA, (502) 564-3363. CHRISTINE.SAWALHA@KY.GOV ANNOTATION: THE KENTUCKY HEALTH ACCESS NURTURING DEVELOPMENT SERVICES (HANDS) MIECHV PROGRAM PROVIDES EVIDENCE-BASED HOME VISITING SERVICES THROUGH THE HANDS MODEL, SUPPORTING FAMILIES FROM PREGNANCY THROUGH EARLY CHILDHOOD. THE PROGRAM ENHANCES MATERNAL AND CHILD HEALTH AND STRENGTHENS FAMILY RESILIENCE. BY ADDRESSING HEALTHCARE ACCESS GAPS AND SOCIAL DISPARITIES, MIECHV ENSURES THAT AT-RISK FAMILIES RECEIVE ESSENTIAL SUPPORT. PROBLEM: KENTUCKY FAMILIES FACE SIGNIFICANT CHALLENGES, INCLUDING ECONOMIC INSTABILITY, HEALTHCARE BARRIERS, AND HIGH RATES OF MATERNAL DEPRESSION, TOBACCO USE, AND CHILD INJURIES. THESE DISPARITIES CONTRIBUTE TO POOR MATERNAL AND CHILD HEALTH OUTCOMES, HIGHLIGHTING THE NEED FOR EVIDENCE-BASED EARLY INTERVENTION SERVICES. PURPOSE: THE KENTUCKY HANDS MIECHV PROGRAM DELIVERS VOLUNTARY HOME VISITING SERVICES TO IMPROVE MATERNAL AND CHILD HEALTH, CHILD SAFETY, AND EARLY DEVELOPMENT. THE PROGRAM PRIORITIZES AT-RISK FAMILIES, ENSURING ACCESS TO COMPREHENSIVE SUPPORT. MATCHING FUNDS WILL EXPAND SERVICE CAPACITY, STRENGTHEN WORKFORCE TRAINING, AND ENHANCE REFERRAL COORDINATION WITH HEALTHCARE AND SOCIAL SERVICES. GOAL(S) AND OBJECTIVES: GOAL A: DELIVER HIGH-QUALITY, EVIDENCE-BASED HOME VISITING SERVICES • REDUCE AT LEAST 15% OF CORRECTIVE ACTION PLANS (CAPS) ISSUED TO LIAS BY SEPTEMBER 29, 2027, THROUGH ENHANCED OVERSIGHT AND QUALITY IMPROVEMENT. • INCREASE FAMILY PARTICIPATION IN HOME VISITING SERVICES BY 5%. GOAL B: IMPROVE MATERNAL AND CHILD HEALTH, CHILD SAFETY, AND FAMILY SUPPORT • INCREASE MATERNAL DEPRESSION SCREENINGS, FOLLOW-UP CARE, AND TOBACCO CESSATION REFERRALS. • REDUCE CHILD INJURIES, MALTREATMENT CASES, AND EMERGENCY DEPARTMENT VISITS AMONG HANDS FAMILIES BY 2%. • STRENGTHEN REFERRALS BY INCREASING COMPLETED REFERRALS BY 5%. GOAL C: STRENGTHEN COORDINATION WITH EARLY CHILDHOOD SYSTEMS • INCREASE HANDS REFERRALS BY 5% THROUGH IMPROVED STATEWIDE PARTNERSHIP. • INCREASE HEALTHCARE PROVIDER REFERRALS BY AT LEAST 250 FAMILIES. GOAL D: FOSTER WORKFORCE DEVELOPMENT • REDUCE TRAINING DEFICIENCIES IDENTIFIED IN PLANS FOR GROWTH OR CAPS BY 10%. • IMPROVE STAFF RETENTION RATES BY 5% THROUGH PROFESSIONAL DEVELOPMENT. APPROACH: MIECHV IMPLEMENTS THE HANDS MODEL, USING EVIDENCE-BASED INTERVENTIONS TO SUPPORT AT-RISK FAMILIES. HOME VISITORS PROVIDE EARLY INTERVENTION AND PARENT EDUCATION TO IMPROVE HEALTH, SAFETY, AND CHILD DEVELOPMENT OUTCOMES. • CASELOAD: MAINTAIN A CASELOAD OF 4,161 MIECHV FAMILY SLOTS IN YEAR 1 AND 4,372 IN YEAR 2. • MIECHV COMMUNITIES SERVED: SERVICES WILL BE PROVIDED IN 120 MIECHV-FUNDED COUNTIES, EXPANDING TO MEET HIGH-NEED AREAS. • LOCAL IMPLEMENTING AGENCIES (LIAS): FUND 58 LIAS/LOCAL SITES TO ENSURE STATEWIDE ACCESS. • MATCHING FUNDS: SUPPORT WORKFORCE TRAINING, INCREASE SERVICE DELIVERY CAPACITY, AND IMPROVE COORDINATION WITH COMMUNITY ORGANIZATIONS. IF NOT APPLIED, SERVICES WILL BE MAINTAINED WITHIN CURRENT FUNDING WHILE IDENTIFYING FUTURE FUNDING SOURCES. KENTUCKY MIECHV IS COMMITTED TO IMPROVING MATERNAL AND CHILD HEALTH, STRENGTHENING FAMILIES, AND FOSTERING COMMUNITY RESILIENCE THROUGH HIGH-QUALITY HOME VISITING SERVICES.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT TITLE: NORTH DAKOTA MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING FORMULA AWARD (NORTH DAKOTA MIECHV) PROJECT DIRECTOR NAME: ALLISON MAHONEY RECIPIENT NAME: PREVENT CHILD ABUSE NORTH DAKOTA MAILING ADDRESS: 418 E BROADWAY AVE, STE 250, BISMARCK ND, 58501 CONTACT INFORMATION: (701) 223-9052; AMAHONEY@PCAND.ORG; WWW.PCAND.ORG FUNDS REQUESTED: $1,294,162.00 ANNOTATION: THE NORTH DAKOTA MIECHV (ND MIECHV) PROGRAM PROVIDES VOLUNTARY, EVIDENCE-BASED HOME VISITING SERVICES TO AT-RISK FAMILIES. ND MIECHV AIMS TO IMPROVE CHILDREN AND FAMILIES’ HEALTH OUTCOMES AND IMPROVE CARE COLLABORATION IN TARGETED COMMUNITIES. PREVENT CHILD ABUSE NORTH DAKOTA, ND MIECHV LOCAL IMPLEMENTING AGENCIES (LIAS), AND STATEWIDE PARTNERS WORK TOGETHER TO BUILD AND STRENGTHEN TRIBAL AND STATE MATERNAL AND CHILD HEALTH, EARLY CHILDHOOD EDUCATION, AND SERVICE REFERRAL SYSTEMS FOR FAMILIES ACROSS NORTH DAKOTA. PROBLEM: MANY NORTH DAKOTA FAMILIES LIVE IN GEOGRAPHIC AREAS WITH A LACK OF ACCESS TO MEDICAL, BEHAVIORAL HEALTH, AND FAMILY SUPPORT SERVICE OPTIONS. HOME VISITING PROGRAMS ALLOW FAMILIES TO DEVELOP RELATIONSHIPS WITH TRAINED PROFESSIONALS WHO CAN PROVIDE SUPPORT AND MAKE SERVICE REFERRALS AND CONNECTIONS. FURTHERMORE, HOME VISITORS PROVIDE EDUCATION ON CHILD DEVELOPMENT AND POSITIVE PARENTING PRACTICES, EMPOWERING PARENTS, AND GUARDIANS TO INCREASE THEIR CAPACITY TO RAISE HEALTHY, HAPPY FAMILIES. PURPOSE: THE PURPOSE OF ND MIECHV IS TO CONNECT FAMILIES WITH ONE OR MORE RISK FACTORS OF POOR HEALTH OR SOCIAL OUTCOMES, LIVING IN HIGH-NEEDS AREAS, WITH TRAINED PROFESSIONAL SUPPORT IN ORDER TO MORE EASILY ACCESS MENTAL HEALTH SCREENINGS, PARENTING EDUCATION, AND RESOURCES TO PLAN FOR THE FUTURE. GOALS AND OBJECTIVES: THE MAJOR GOALS AND OBJECTIVES OF THE NORTH DAKOTA MIECHV PROGRAM ARE AS FOLLOWS: GOAL 1: INCREASE THE CAPACITY OF MIECHV PROGRAMS TO IMPLEMENT EFFECTIVE EVIDENCE-BASED HOME VISITING SERVICES. OBJ. 1: BY JUNE 30, 2025, ND MIECHV LIAS WILL RECEIVE AN ANNUAL REPORT DETAILING HOME VISITOR PERFORMANCE, MIECHV PERFORMANCE MEASURE PROGRESS, AND BEST PRACTICES FOR IMPROVEMENT. OBJ. 2: BY SEPTEMBER 29, 2025, SITE SUPERVISORS OF MIECHV FUNDED LIAS WILL DEVELOP AND MANAGE INDIVIDUAL PROFESSIONAL DEVELOPMENT PLANS FOR ALL HOME VISITORS, BASED ON BIANNUAL STAFF ASSESSMENT. GOAL 2: COORDINATE WITH LOCAL, TRIBAL, STATE, AND PRIVATE STAKEHOLDERS TO ACHIEVE COMPREHENSIVE STATEWIDE EARLY CHILDHOOD SYSTEMS DEVELOPMENT. OBJ. 1: BY SEPTEMBER, 29,2026 ND MEICHV WILL IDENTIFY AND ADVOCATE FOR HOME VISITING PROGRAMS IN THEIR ABILITY TO BECOME REGISTERED MEDICAID-APPROVED PROVIDERS. OBJ. 2: BY SEPTEMBER 29, 2026, ND MIECHV AND THE ND HOME VISITING COALITION WILL PROVIDE FEEDBACK ON WHAT A PLAN FOR A COORDINATED REFERRAL SYSTEM FOR FAMILY-BASED SERVICES COULD LOOK LIKE WITHIN THE STATE. GOAL 3: ENSURE ACCURATE DATA COLLECTION, INTERPRETATION, AND REPORTING, AS WELL AS CONTINUOUS QUALITY IMPROVEMENT. (CQI). OBJ. 1: BY SEPTEMBER 29, 2025 ND MIECHV WILL DEVELOP A COMPREHENSIVE PROGRAM LEVEL DATA REPORTING PROCESS MAP. OBJ. 2: BY SEPTEMBER 29, 2026 ND MIECHV LIA'S WILL MONITOR THEIR LOCAL DATA PROCESS AND ADJUST ACCORDINGLY. METHODOLOGY NORTH DAKOTA MIECHV USES TWO EVIDENCE-BASED HOME VISITING MODELS TO SERVE 184 FAMILIES IN THE STATE. FAMILIES (90) RESIDING IN ROLETTE COUNTY, INCLUDING THE RESERVATION OF THE TURTLE MOUNTAIN BAND OF CHIPPEWA INDIANS, IMPLEMENT PARENTS AS TEACHERS CURRICULUM, AND FAMILIES(54) IN BURLEIGH, MORTON, SIOUX, AND GRANT COUNTIES RECEIVE NURSE-FAMILY PARTNERSHIP SERVICES. THE STANDING ROCK SIOUX TRIBE PROVIDES PARENTS AS TEACHERS TO THOSE RESIDING (40) IN SIOUX COUNTY. NORTH DAKOTA MIECHV PRIORITY POPULATIONS INCLUDE FAMILIES THAT ARE LOW INCOME, INCLUDE PARENTS UNDER THE AGE OF 21, HAVE A HISTORY OF CHILD ABUSE OR NEGLECT, HAVE A HISTORY OF SUBSTANCE MISUSE, USE TOBACCO PRODUCTS, AND INCLUDE MEMBERS OF THE MILITARY.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT TITLE: NEVADA HOME VISITING (NHV) PROGRAM APPLICANT NAME: NEVADA DIVISION OF PUBLIC AND BEHAVIORAL HEALTH ADDRESS: 4150 TECHNOLOGY WAY, STE. 200, CARSON CITY NV 89706-2009 PROJECT DIRECTOR NAME: VICKIE IVES, MA CONTACT PHONE NUMBERS: (775) 684-2201 (OFFICE); (775) 220-4109 (MOBILE) E-MAIL ADDRESS: VIVES@HEALTH.NV.GOV WEB SITE ADDRESS: HTTP://HEALTH.NV.GOV/HOMEVISITING.HTM ANNOTATION: THE NHV PROGRAM PROVIDES COMPREHENSIVE HOME VISITING SERVICES TO ELIGIBLE FAMILIES LIVING IN COMMUNITIES THAT FACE BARRIERS TO ACHIEVING POSITIVE MATERNAL AND CHILD HEALTH OUTCOMES. NHV AIMS TO IMPROVE COORDINATION OF SERVICES WITHIN ‘AT-RISK COMMUNITIES’ THAT ARE IDENTIFIED IN THE APPROVED STATEWIDE NEEDS ASSESSMENT AS AT RISK FOR POOR MATERNAL AND CHILD HEALTH OUTCOMES. IDENTIFIED POPULATION GROUPS INCLUDE WOMEN OF REPRODUCTIVE AGE, PREGNANT WOMEN AND WOMEN ONE YEAR POSTPARTUM, NEWBORNS AND INFANTS, YOUNG CHILDREN, CHILDREN 6-11 YEARS OF AGE, ADOLESCENTS/YOUNG ADULTS 12-21 YEARS OF AGE, CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS. NHV PROVIDES SUPPORT THROUGH EVIDENCE-BASED PROGRAMS TO FAMILIES IN UNDER RESOURCED COUNTIES. LINKAGE AND REFERRAL ACTIVITIES INCLUDE PROVIDING AN ONLINE RESOURCE REFERRAL SYSTEM, SUPPORTING AGENCIES’ PRIMARY CONTACT WITH KEY SUPPORT SERVICE PROVIDERS, AND PROVIDING QUALITY PROGRAMMING TO SUPPORT FAMILY ENGAGEMENT IN SCHOOL-READINESS ACTIVITIES. PROBLEM: FAMILIES LIVING IN UNDER RESOURCED COUNTIES, INCLUDING RURAL AND REMOTE AREAS, HAVE LIMITED ACCESS TO SERVICES, EXPERIENCE HIGHER LEVELS OF SUBSTANCE USE, DOMESTIC VIOLENCE, AND OTHER ADVERSE EXPERIENCES. PURPOSE: THE PURPOSE OF NHV IS TO ENRICH THE LIVES OF ENROLLED FAMILIES AND IMPROVE ACADEMIC, HEALTH, AND FAMILY OUTCOMES. HOME VISITING HAS THE OPPORTUNITY TO CHANGE THE LIFE COURSE FOR CHILDREN AND ADULTS BY PROVIDING EDUCATION, SERVICE REFERRAL, TIMELY HEALTH INFORMATION, AND LITERACY SUPPORT. GOALS AND OBJECTIVES: • IDENTIFY AND PROVIDE COMPREHENSIVE HOME VISITING SERVICES TO IMPROVE OUTCOMES FOR ELIGIBLE FAMILIES LIVING IN AT-RISK COMMUNITIES. ? BY SEPTEMBER 2026, NHV WILL FACILITATE AT LEAST SIX (6) QUALITY IMPROVEMENT MEETINGS FOR IMPLEMENTING AGENCIES TO PRESENT ON CQI TOPICS. ? OCTOBER 2024 THROUGH SEPTEMBER 2026, NHV WILL CONTINUE TO PARTICIPATE IN THE STATE EARLY CHILDHOOD ADVISORY COUNCIL (ECAC) BY ATTENDING 8 QUARTERLY MEETINGS. ? BY SEPTEMBER 30, 2026, CONTINUE TO COLLABORATE WITH AND ATTEND QUARTERLY MEETINGS FOR THE NEVADA STRONG START INITIATIVE (PRITZKER) AND THE ECCS RECIPIENT TO ADVERTISE AND EDUCATE PEOPLE ON THE NHV PROGRAMMING AND LEARNING ABOUT SPECIFIC NEEDS OF THE COMMUNITY. • STRENGTHEN AND IMPROVE PROGRAMS AND ACTIVITIES THAT ADDRESS PREVENTIVE AND PRIMARY CARE SERVICES FOR PREGNANT PEOPLE, INFANTS AND CHILDREN UNDER TITLE V OF THE SOCIAL SECURITY ACT. ? BY SEPTEMBER 2026, NHV WILL PROVIDE AT LEAST SIX (6) COMPETENCY LEVEL CONTINUING EDUCATION AND TECHNICAL ASSISTANCE (TA) OPPORTUNITIES TO LOCAL IMPLEMENTING AGENCIES (LIAS) IN ADDITION TO THE START EARLY CURRICULUM REQUIRED THAT ADDRESS PREVENTIVE AND PRIMARY CARE SERVICES FOR PREGNANT PEOPLE, INFANTS AND CHILDREN UNDER TITLE V OF THE SOCIAL SECURITY ACT. ? BY SEPTEMBER 2026, NHV WILL PROVIDE AT LEAST FOUR (4) TECHNICAL ASSISTANCE OPPORTUNITIES REGARDING RECRUITMENT, RETENTION, AND ENHANCED ADVERTISING FOR THE NHV PROGRAM. EFFORTS WILL FOCUS ON PROMOTING A WELCOMING APPROACH TO SERVE FAMILIES. TA ACTIVITIES WILL ENSURE RECRUITMENT AND ADVERTISING IS CULTURALLY HOLISTIC AND WELCOMING TO ENSURE PROGRAMS ARE SERVING THEIR FULL CAPACITY AND POTENTIAL. • NHV WILL CONTINUE TO MAKE PROGRESS IN THE COORDINATION AND REFERRALS OF AT-RISK FAMILIES TO COMMUNITY RESOURCES. ? BY SEPTEMBER 2026, PROVIDE AT LEAST ONE TRAINING ON THE USE OF NEVADA 2-1-1 TO IMPLEMENTING AGENCIES. ? OCTOBER 2024 THROUGH SEPTEMBER 2026, NHV STAFF WILL CONTINUE TO PARTICIPATE IN THE STATEWIDE ECCE CENTRAL REFERRAL SYSTEM (CRS) WORKGROUP QUARTERLY MEETINGS AND ENSURE NHV PROGRAMS ARE WELL REFLE

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT TITLE: MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING PROGRAM IN KENTUCKY APPLICANT NAME: KENTUCKY CABINET FOR HEALTH AND FAMILY SERVICES ADDRESS: 275 EAST MAIN STREET, FRANKFORT, KY 40601-2321 PROJECT DIRECTOR INFORMATION: CHRISTINE SAWALHA, (502) 564-3363. EMAIL: CHRISTINE.SAWALHA@KY.GOV ANNOTATION: KENTUCKY'S MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING (MIECHV) PROGRAM AIMS TO PROVIDE EVIDENCE-BASED HOME VISITATION SERVICES THROUGH THE HEALTH ACCESS NURTURING DEVELOPMENT SERVICES (HANDS) MODEL, SUPPORTING FAMILIES DURING PREGNANCY AND EARLY CHILDHOOD. BY ADDRESSING COMMUNITY NEEDS IDENTIFIED THROUGH A NEEDS ASSESSMENT, THE PROJECT SEEKS TO ENHANCE MATERNAL AND CHILD HEALTH OUTCOMES, PROMOTE FAMILY RESILIENCE, AND FOSTER HEALTH EQUITY WITHIN THE SERVICE DELIVERY SYSTEM. PROBLEM: THE PROJECT ADDRESSES THE NEEDS OF OVERBURDENED PARENTS AND COMMUNITIES FACING CHALLENGES SUCH AS INADEQUATE ACCESS TO HEALTHCARE SERVICES, ECONOMIC INSTABILITY, AND SOCIAL DISPARITIES IMPACTING MATERNAL AND CHILD HEALTH OUTCOMES. PURPOSE: THE PURPOSE OF THE PROJECT IS TO ESTABLISH A STATEWIDE SYSTEM OF HIGH-QUALITY, EVIDENCE-BASED HOME VISITATION SERVICES THROUGH THE HANDS MODEL, PROMOTING THE HEALTH, SAFETY, AND DEVELOPMENT OF MOTHERS, INFANTS, AND YOUNG CHILDREN. GOAL(S) AND OBJECTIVES: GOAL A: AT-RISK COMMUNITIES HAVE HIGH-QUALITY EQUITABLE ACCESS TO HEALTH SERVICES. • STRATEGIC OBJECTIVE A-1.1: IMPROVE MATERNAL AND CHILD HEALTH OUTCOMES FOR AT-RISK COMMUNITIES. BY SEPT. 29, 2026. • STRATEGIC OBJECTIVE A-1.2: PROMOTE HEALTHY, SOCIAL, AND EMOTIONAL DEVELOPMENT OF MIECHV/ HANDS CHILDREN BY SEP. 29, 2026. GOAL B: ENHANCED FAMILY RESILIENCE. • STRATEGIC OBJECTIVE B-1.1: STRENGTHEN SOCIAL SUPPORT NETWORKS AND PARENTING SKILLS BY SEP. 29, 2026. • STRATEGIC OBJECTIVE B-1.2: IMPROVE ECONOMIC STABILITY OF AT-RISK FAMILIES. GOAL C: PROMOTE HEALTH EQUITY AND WORKFORCE DEVELOPMENT. • STRATEGIC OBJECTIVE C-1.1: FOSTER CULTURAL COMPETENCY AND WORKFORCE PROCESSES BY SEP. 29, 2026. • STRATEGIC OBJECTIVE C-1.2: FACILITATE ACCESS TO COMMUNITY RESOURCES AND IMPROVE AWARENESS BY SEP. 29, 2026. GOAL D: STRENGTHEN WORKFORCE DEVELOPMENT AND CAPACITY. • STRATEGIC OBJECTIVE D-1.1: ENHANCE THE WORKFORCE THROUGH IMPROVED COMMUNICATION AND TRAINING BY SEP 29, 2026. • STRATEGIC OBJECTIVE D-1.2: STRENGTHEN LEADERSHIP, PARTNERSHIP, AND STEWARDSHIP BY SEP. 29, 2026. APPROACH: HANDS MODEL FOR HOME VISITATION SERVICES. TARGET POPULATION: AT-RISK FAMILIES IDENTIFIED THROUGH SCREENING—PROPOSED CASELOAD: 4,841 FAMILIES PER YEAR, 120 COUNTIES WILL BE SERVED THROUGHOUT KENTUCKY. METHODOLOGY: UTILIZATION OF THE HANDS MODEL FOR HOME VISITATION, COLLABORATION WITH EARLY CHILDHOOD COMPREHENSIVE SYSTEMS INITIATIVES, AND MAINTAINING A CASELOAD OF 4,841 FAMILIES PER YEAR TO PROMOTE THE HEALTH AND WELL-BEING OF MOTHERS, INFANTS, AND YOUNG CHILDREN.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT TITLE: DELAWARE’S FY24 MIECHV GRANT ? ADDRESS: DELAWARE DIVISION OF PUBLIC HEALTH: 417 FEDERAL STREET DOVER, DE 19901 ? PROJECT DIRECTOR: CRYSTAL SHERMAN, MIECHV PROJECT DIRECTOR ? PHONE NUMBERS: (302) 608-5742 ? E-MAIL ADDRESS: CRYSTAL.SHERMAN@DELAWARE.GOV ? MIECHV - $4,754,584 PURPOSE: THE PURPOSE OF THIS PROJECT IS TO DEVELOP, IMPLEMENT AND SUSTAIN A CONTINUUM OF HOME VISITING SERVICES STATEWIDE WITH PRIORITY SERVICE GIVEN TO SIX HIGH RISK ZONES. PROJECT ACTIVITIES INCLUDE CONTINUING CONTRACTS FOR 4 LIAS, COORDINATION OF COMPREHENSIVE SERVICES, PROFESSIONAL DEVELOPMENT, CQI, DATA COLLECTION AND SUB-RECIPIENT MONITORING. THE 2020 MIECHV NEEDS ASSESSMENT IDENTIFIED SIX HIGH RISK ZONES ACCORDING TO KEY HEALTH AND SOCIOECONOMIC INDICATORS THAT WOULD BENEFIT FROM HOME VISITING SERVICES AND DE DOES NOT HAVE SUFFICIENT CAPACITY AND/OR RESOURCES. GOALS AND OBJECTIVES: DEVELOP, IMPLEMENT AND SUSTAIN A CONTINUUM OF HOME VISITING SERVICES STATEWIDE WHERE THE NEEDS OF FAMILIES ARE MET BY THE MOST APPROPRIATE PROGRAM. • THROUGH THE HOME VISITING COMMUNITY ADVISORY BOARD, COLLABORATE WITH EVIDENCE-BASED HOME VISITING PROGRAMS, MATERNAL HEALTH AND EARLY CHILDHOOD PARTNERS, COMMUNITY AGENCIES AND ADVOCATES THAT FACILITATE THE SUCCESS OF THE HOME VISITING CONTINUUM OF SERVICES TO IMPLEMENT ULTIMATE SYSTEMS IMPROVEMENTS. • INCREASE ACCESS TO THE EARLY CHILDHOOD CONTINUUM OF SERVICES ENSURING APPROPRIATE AND TIMELY REFERRALS AND REDUCTION OR ELIMINATION OF DUPLICATION ACROSS HOME VISITING PROGRAMS. IMPROVE MATERNAL, INFANT AND EARLY CHILDHOOD OUTCOMES THROUGH TARGETED HOME VISITING. • ALL HOME VISITORS WILL BE TRAINED AND WILL PROVIDE VOLUNTARY INTENSIVE LONG-TERM HOME VISITING SERVICES TO PREGNANT WOMEN INITIATED PRENATALLY TO ADDRESS CERTAIN RISK FACTORS ASSOCIATED WITH POOR BIRTH OUTCOMES. MONITOR HOME VISITING SYSTEM CHANGES AND CHALLENGES TO ENSURE LONG-TERM SUSTAINABILITY. • THE PERCENTAGE OF HOME VISITING PROGRAMS THAT REPORT THAT THEY USE CONTINUOUS QUALITY IMPROVEMENT METHODS WILL INCREASE ANNUALLY. APPROACH: CONTINUE CONTRACTS WITH FOUR LIAS IMPLEMENTING HEALTHY FAMILIES AMERICA AND PARENTS AS TEACHERS. THE PROGRAMS PROVIDE SERVICES STATEWIDE BUT SIX SPECIFIC HIGH-RISK AREAS ARE GIVEN PRIORITY SERVICE. THE PROGRAM WILL CONTINUE TO SUPPORT BENCHMARK AND MODEL SPECIFIC DATA COLLECTION EFFORTS, CQI SUPPORT AND PROFESSIONAL DEVELOPMENT ACTIVITIES. THE PROPOSED CASELOAD FOR FY24 IS 569 AND FY25 IS 569. CURRENTLY, DE-MIECHV PROGRAM HAS OVER 400 FAMILIES ENROLLED IN A PAT, HFA OR NFP PROGRAM. EACH LIA IS A MEMBER OF THE HOME VISITING COMMUNITY ADVISORY BOARD WHICH IS A STRONG COALITION OF COMMUNITY SERVICE PROVIDERS THAT MEET REGULARLY. THE HOME VISITING COMMUNITY ADVISORY BOARD WILL CONTINUE TO MONITOR REFERRALS, CAPACITY OF EACH LIA AS WELL AS THE RELATIONSHIPS THE LIAS HAVE WITH EACH OTHER AND HMG TO ENSURE FAMILIES RECEIVE THE CARE COORDINATION AND COMMUNITY REFERRALS TO ADDITIONAL SERVICES AS NEEDED.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT TITLE: DELAWARE’S FY25 MIECHV GRANT ADDRESS: DELAWARE DIVISION OF PUBLIC HEALTH: 417 FEDERAL STREET DOVER, DE 19901 PROJECT DIRECTOR: CRYSTAL SHERMAN, MIECHV PROJECT DIRECTOR PHONE NUMBERS: (302) 608-5742 E-MAIL ADDRESS: CRYSTAL.SHERMAN@DELAWARE.GOV PURPOSE: THE PURPOSE OF THIS PROJECT IS TO DEVELOP, IMPLEMENT AND SUSTAIN A CONTINUUM OF HOME VISITING SERVICES STATEWIDE WITH PRIORITY SERVICE GIVEN TO SIX HIGH RISK ZONES. PROJECT ACTIVITIES INCLUDE CONTINUING CONTRACTS FOR 4 LIAS, COORDINATION OF COMPREHENSIVE SERVICES, PROFESSIONAL DEVELOPMENT, CQI, DATA COLLECTION AND SUB-RECIPIENT MONITORING. THE 2020 MIECHV NEEDS ASSESSMENT IDENTIFIED HIGH RISK ZONES ACCORDING TO KEY HEALTH AND SOCIOECONOMIC INDICATORS THAT WOULD BENEFIT FROM HOME VISITING SERVICES AND DE DOES NOT HAVE SUFFICIENT CAPACITY AND/OR RESOURCES. GOALS AND OBJECTIVES: DEVELOP, IMPLEMENT AND SUSTAIN A CONTINUUM OF HOME VISITING SERVICES STATEWIDE WHERE THE NEEDS OF FAMILIES ARE MET BY THE MOST APPROPRIATE PROGRAM. • THROUGH THE HOME VISITING COMMUNITY ADVISORY BOARD, COLLABORATE WITH EVIDENCE-BASED HOME VISITING PROGRAMS, MATERNAL HEALTH AND EARLY CHILDHOOD PARTNERS, COMMUNITY AGENCIES AND ADVOCATES THAT FACILITATE THE SUCCESS OF THE HOME VISITING CONTINUUM OF SERVICES TO IMPLEMENT ULTIMATE SYSTEMS IMPROVEMENTS. • INCREASE ACCESS TO THE EARLY CHILDHOOD CONTINUUM OF SERVICES ENSURING APPROPRIATE AND TIMELY REFERRALS AND REDUCTION OR ELIMINATION OF DUPLICATION ACROSS HOME VISITING PROGRAMS. IMPROVE MATERNAL, INFANT AND EARLY CHILDHOOD OUTCOMES THROUGH TARGETED HOME VISITING. • ALL HOME VISITORS WILL BE TRAINED AND WILL PROVIDE VOLUNTARY INTENSIVE LONG-TERM HOME VISITING SERVICES TO PREGNANT WOMEN INITIATED PRENATALLY TO ADDRESS CERTAIN RISK FACTORS ASSOCIATED WITH POOR BIRTH OUTCOMES. MONITOR HOME VISITING SYSTEM CHANGES AND CHALLENGES TO ENSURE LONG-TERM SUSTAINABILITY. • THE PERCENTAGE OF HOME VISITING PROGRAMS THAT REPORT THAT THEY USE CONTINUOUS QUALITY IMPROVEMENT METHODS WILL INCREASE ANNUALLY. • MONITOR IMPLEMENTATION OF MEDICAID REIMBURSEMENT FOR HFA AND NFP. APPROACH: CONTINUE CONTRACTS WITH FOUR LIAS IMPLEMENTING HEALTHY FAMILIES AMERICA AND PARENTS AS TEACHERS. THE PROGRAMS PROVIDE SERVICES STATEWIDE WITH ALL THREE OF OUR COUNTIES BEING IDENTIFIED AS BENEFITING FROM EVIDENCE-BASED HOME VISITING. HOWEVER, SPECIFIC HIGH-RISK AREAS ARE GIVEN PRIORITY SERVICE. THE PROGRAM WILL CONTINUE TO SUPPORT BENCHMARK AND MODEL SPECIFIC DATA COLLECTION EFFORTS, CQI SUPPORT AND PROFESSIONAL DEVELOPMENT ACTIVITIES. THE PROPOSED CASELOAD FOR FY25 IS 549 AND FY26 IS 569. OVER 80% OF ALL HOME VISITS ARE BEING CONDUCTED IN PERSON, WITH LESS THAN 20% BEING CONDUCTED VIRTUALLY. CURRENTLY, DE-MIECHV PROGRAM HAS OVER 400 FAMILIES ENROLLED IN A PAT, HFA OR NFP PROGRAM. EACH LIA IS A MEMBER OF THE HOME VISITING COMMUNITY ADVISORY BOARD WHICH IS A STRONG COALITION OF COMMUNITY SERVICE PROVIDERS THAT MEET REGULARLY. THE HOME VISITING COMMUNITY ADVISORY BOARD WILL CONTINUE TO MONITOR REFERRALS, CAPACITY OF EACH LIA AS WELL AS THE RELATIONSHIPS THE LIAS HAVE WITH EACH OTHER AND HMG TO ENSURE FAMILIES RECEIVE THE CARE COORDINATION AND COMMUNITY REFERRALS TO ADDITIONAL SERVICES AS NEEDED.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT TITLE: FAMILY FOUNDATIONS HOME VISITING PROGRAM APPLICANT NAME: WISCONSIN DEPARTMENT OF CHILDREN AND FAMILIES MAILING ADDRESS: 201 WEST WASHINGTON AVENUE, MADISON, WI 53703 PROJECT DIRECTOR NAME: TERRI ENTERS, HOME VISITING COORDINATOR PHONE: 608-422-6969 EMAIL: TERRI2.ENTERS@WISCONSIN.GOV WEBSITE: HTTPS://DCF.WISCONSIN.GOV/CWPORTAL/HOMEVISITING ANNOTATION: WISCONSIN’S FAMILY FOUNDATIONS HOME VISITING (FFHV) PROGRAM IS LED BY THE DEPARTMENT OF CHILDREN AND FAMILIES (DCF) AND SUPPORTED BY PARTNER AGENCIES, THE DEPARTMENT OF HEALTH SERVICES (DHS), THE DEPARTMENT OF PUBLIC INSTRUCTION (DPI), THE WISCONSIN CHILD ABUSE AND NEGLECT PREVENTION BOARD (CANPB), AND THE OFFICE OF CHILDREN’S MENTAL HEALTH (OCMH). THE FFHV PROGRAM PROVIDES HIGH QUALITY, EVIDENCE-BASED HOME VISITING SERVICES WITH THE GOALS OF IMPROVING MATERNAL AND CHILD HEALTH AND SCHOOL READINESS AND REDUCING CHILD ABUSE AND NEGLECT. PURPOSE: BUILDING ON PREVIOUS MIECHV FUNDS AND AVAILABLE STATE GENERAL PURPOSE REVENUE (GPR) AND TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF) DOLLARS, THE FY2025 MIECHV GRANT OF $9,308,174 AND MATCHING GRANT OF $1,383,782 WILL BE USED TO CONTINUE TO SUPPORT THE FFHV PROGRAM TO PROVIDE HIGH QUALITY, EVIDENCE-BASED HOME VISITING SERVICES TO HIGH-NEED FAMILIES SUSCEPTIBLE TO POOR CHILD AND FAMILY OUTCOMES. THE ADDITIONAL FUNDING WILL BE UTILIZED TO ADD 2 STATE AWARDEE STAFF AND STABILIZING THE CURRENT HOME VISITING WORKFORCE. GOALS FOR THE FY2025 MIECHV GRANT INCLUDE: 1) BUILD ON THE SUCCESSFUL IMPLEMENTATION OF HIGH QUALITY, EVIDENCE-BASED HOME VISITING IN AT-RISK COMMUNITIES, INCLUDING EXPANDING HOME VISITING CAPACITY TO SERVE THE MAXIMUM NUMBER OF FAMILIES. 2) ENSURE HOME VISITING PROGRAMS AND STAFF STATEWIDE RECEIVE PROFESSIONAL DEVELOPMENT OPPORTUNITIES THAT PROMOTE BEST PRACTICE AND EFFECTIVE SERVICE DELIVERY, SUPPORT IMPLEMENTATION, AND BRING ABOUT MEANINGFUL PRACTICE CHANGE IN SERVING MIECHV ENROLLED FAMILIES. 3) CREATE A CULTURE OF QUALITY AND MEANINGFUL ENGAGEMENT OF FAMILY VOICE IN HOME VISITING, USING BENCHMARK REPORTING, CONTINUOUS QUALITY IMPROVEMENT (CQI), AND EVALUATION TO INFORM HOW HOME VISITING SERVICES ARE DELIVERED IN WISCONSIN. 4) EMBED EVIDENCE-BASED HOME VISITING IN WELL-COORDINATED AND ROBUST STATEWIDE AND LOCAL EARLY CHILDHOOD SYSTEM. 5) PARTNER WITH KEY AGENCIES TO SUPPORT A COORDINATED LINKAGE AND REFERRAL NETWORK AND CONTINUUM OF EARLY CHILDHOOD AND PERINATAL SERVICES FOR FAMILIES IN ELIGIBLE COMMUNITIES. METHODOLOGY: FY2025 MIECHV GRANT FUNDS WILL SUPPORT SERVICES TO HIGH-NEED FAMILIES IN 40 COUNTIES AND 6 TRIBES THROUGH 2,172 FAMILY SLOTS IN FY2025 AND 2,172 FAMILY SLOTS IN FY2026. SERVICES WILL BE PROVIDED USING FOUR EVIDENCE-BASED MODELS: HEALTHY FAMILIES AMERICA, PARENTS AS TEACHERS, EARLY HEAD START-HOME BASED, AND NURSE-FAMILY PARTNERSHIP. DCF WORKS CLOSELY WITH HOME VISITING PROGRAMS AND PARTNER AGENCIES, SUCH AS THE BIRTH TO THREE PROGRAM, TITLE V, AND WIC, TO SUPPORT ELIGIBLE FAMILIES WITH APPROPRIATE LINKAGES AND REFERRALS TO COMMUNITY RESOURCES.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT TITLE: GEORGIA MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING PROGRAM RECIPIENT NAME: DEPARTMENT OF PUBLIC HEALTH RECIPIENT ADDRESS: 200 PIEDMONT AVE SE, ATLANTA, GA 30334 PROJECT DIRECTOR: EARLISHA BIBBS EMAIL ADDRESS: EARLISHA.BIBBS@DPH.GA.GOV WEB ADDRESS: DPH.GEORGIA.GOV ANNOTATION: GEORGIA IS COMMITTED TO IMPLEMENTING HIGH-QUALITY EVIDENCE-BASED MATERNAL, INFANT, AND, EARLY CHILDHOOD HOME VISITING PROGRAMS IN TWENTY-TWO AT-RISK COUNTIES AS AN ESSENTIAL STRATEGY FOR STRENGTHENING THE SYSTEM OF CARE AND IMPROVING THE WELL-BEING OF FAMILIES. THESE COMPREHENSIVE PROGRAMS MAINTAIN HIGH STANDARDS, QUALITY SERVICE DELIVERY WITH FIDELITY TO THE MODEL, AND CONTINUOUS PROGRAM QUALITY IMPROVEMENT. THE STATE HAS DEVELOPED A COMPREHENSIVE, COMMUNITY-BASED MATERNAL AND EARLY CHILDHOOD SYSTEM THAT PROVIDES A UNIVERSAL APPROACH TO IDENTIFYING EXPECTANT PARENTS, CHILDREN BIRTH TO FIVE, AND THEIR FAMILIES. THE FORMULA FUNDING ALLOWS GEORGIA TO CONTINUE TO STRENGTHEN THE CAPACITY FOR ADDRESSING THE OVERALL HEALTH, SAFETY, AND WELL-BEING OF AT-RISK FAMILIES AND CHILDREN THROUGHOUT THE STATE BY UTILIZING EVIDENCE-BASED PRACTICES AND STRATEGIES. GOALS AND OBJECTIVES: THE GOAL OF GEORGIA’S MIECHV PROGRAM IS TO ENHANCE THE WELL-BEING OF ALL FAMILIES BY IMPLEMENTING COMPREHENSIVE EBHV MODELS THROUGH LOCAL IMPLEMENTING AGENCIES (LIAS), WHILE PROMOTING PROGRAM QUALITY, UTILIZING DATA FOR DECISION-MAKING, LEVERAGING FATHERHOOD INVOLVEMENT, PRIORITIZING HEALTH EQUITY, AND SUPPORTING LIAS IN HOME VISITOR RECRUITMENT, RETENTION, AND WELL-BEING. PROGRAM OBJECTIVES INCLUDE: 1. BY SEPTEMBER 29, 2026, THE GHVP WILL PROVIDE CONSISTENT TA AND TRAINING TO 100% OF THE FUNDED HOME VISITING PROGRAMS IN THE 22 COUNTIES. 2. BY SEPTEMBER 29, 2026, THE GHVP WILL MAINTAIN 100% SITE-LEVEL MODEL FIDELITY AS DETERMINED BY REPORTS FROM MODEL DEVELOPERS, TA PROVIDERS, AND STATE LEAD FOR THE THREE MODELS UTILIZED IN GEORGIA: HEALTHY FAMILIES GEORGIA® (HFA), NURSE-FAMILY PARTNERSHIP® (NFP), AND PARENTS AS TEACHERS® (PAT). 3. BY SEPTEMBER 29, 2026, THE GHVP WILL PROVIDE EBHV MODEL CORE TRAINING AND SUBJECT MATTER EXPERTISE FOR ADDRESSING SERIOUS FAMILY CONCERNS SUCH AS MATERNAL DEPRESSION TO 100% OF THE MIECHV SITES. 4. BY SEPTEMBER 29, 2026, THE GHVP WILL ASSIST 85% OF GEORGIA HOME VISITING SITES WITH DEVELOPMENT AND/OR CONTINUED IMPLEMENTATION OF A FATHER INVOLVEMENT ACTION PLAN. 5. BY SEPTEMBER 29, 2026, 85% OF HOME VISITING STAFF REPORT THEY ALWAYS FEEL SUPPORTED TO MANAGE THEIR WORK AND STILL BE PRESENT FOR THE FAMILIES OR STAFF THEY SUPPORT. METHODOLOGY: DPH WILL USE THE FY24 MIECHV GRANT TO SUPPORT THE IMPLEMENTATION OF THREE EBHV MODELS TO TARGET THE NEEDS OF EXPECTANT PARENTS, CHILDREN BIRTH TO FIVE, AND THEIR FAMILIES IN TWENTY-TWO COMMUNITIES. THE CURRENT CASELOAD FOR GA MIECHV IS 1461. THE FY24 CASELOAD WILL BE 1484 IN YEAR 1 AND 1484 IN YEAR 2 OF THE PROJECT PERIOD. THE SYSTEM FUNCTIONS INCLUDE IDENTIFICATION, REFERRAL, SCREENING, PARENT EDUCATION, AND LINKAGE TO APPROPRIATE COMMUNITY SERVICES. THE IMPLEMENTATION ALSO INCLUDES THE DEVELOPMENT OF A COHESIVE PLAN TO PROMOTE PROGRAM QUALITY AND EFFECTIVENESS, AS WELL AS A COORDINATED DATA SYSTEM TO GUIDE DECISION-MAKING, IMPROVE COORDINATION OF SERVICES, AND ASSIST COUNTIES IN MONITORING PROGRESS TOWARD DESIRED RESULTS AND CONTINUOUS QUALITY IMPROVEMENT. THE GEORGIA MIECHV PROGRAM IS ALSO COMMITTED TO BEING INTENTIONAL ABOUT ENGAGING FATHERS, PROMOTING EQUITABLE SERVICES THROUGH COMMUNITY PARTNERSHIPS, AND TRAINING ON HEALTH EQUITY AND THE SOCIAL DETERMINANTS OF HEALTH.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT TITLE: MASSACHUSETTS MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING INITIATIVE RECIPIENT NAME: MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH (DPH) ADDRESS: 250 WASHINGTON STREET, 5TH FLOOR, BOSTON, MA 02108 PROJECT DIRECTOR NAME: CHRISTINE SILVA CONTACT PHONE NUMBER: (978) 875-5785 EMAIL ADDRESS: CHRISTINE.SILVA@MASS.GOV WEB SITE ADDRESS: WWW.MASS.GOV/DPH/HOMEVISITING FUNDS REQUESTED: $9,739,198 ($9,013,305 BASE, $725,893 FEDERAL MATCH) ANNOTATION: MASSACHUSETTS MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING (MA MIECHV) PROVIDES EVIDENCE-BASED HOME VISITING (EBHV) SERVICES IN 18 COMMUNITIES TO IMPROVE FAMILY AND CHILD HEALTH AND WELL-BEING. MA MIECHV PRIORITIES INCLUDE DELIVERING DATA-DRIVEN PROGRAMMING TO FAMILIES AFFECTED BY SUBSTANCE USE, HOUSING INSTABILITY, AND TRAUMA AND IMPROVING SERVICE COORDINATION WITHIN THE EARLY CHILDHOOD SYSTEM OF CARE. PROBLEM: ENSURING EVERY FAMILY SHOULD HAS ACCESS TO THE TYPE OF HOME VISITING SUPPORT THEY NEED, WHEN AND WHERE THEY NEED IT TAKES TIME, RESOURCES, AND COLLABORATION WITH PARTNERS AND COMMUNITIES TO SCALE AN EFFECTIVE HOME VISITING SYSTEM THAT MEETS THE NEEDS AND PREFERENCES OF FAMILIES WITH YOUNG CHILDREN IN MASSACHUSETTS. PURPOSE: MA MIECHV SUPPORTS EFFORTS TO IMPROVE HEALTH AND DEVELOPMENTAL OUTCOMES FOR CHILDREN AND FAMILIES THROUGH ALIGNMENT WITH TITLE V, COORDINATION WITH EARLY CHILDHOOD SYSTEMS OF CARE, AND IMPLEMENTATION OF EVIDENCE-BASED HOME VISITING. GOAL AND OBJECTIVES: THROUGH A RACIAL EQUITY AND TRAUMA-INFORMED FRAMEWORK MA MIECHV GOALS AIM TO STRENGTHEN STATE TITLE V ACTIVITIES, ENHANCE COORDINATION OF SERVICES WITHIN EARLY CHILDHOOD SYSTEMS OF CARE, AND PROVIDE COMPREHENSIVE SUPPORTS TO IMPROVE FAMILY OUTCOMES. THE OBJECTIVES ARE TO: 1) LEVERAGE MA MIECHV TO ACHIEVE MEASURABLE PROGRESS ON SEVEN OF THE TEN TITLE V PRIORITIES; 2) IDENTIFY PRIORITY AREAS FOR PROGRAM IMPROVEMENT BASED ON FAMILY ENGAGEMENT AND LEADERSHIP OPPORTUNITIES; 3) COLLABORATE WITH NATIONAL, STATE AND LOCAL PARTNERS TO COORDINATE AND STREAMLINE STATE INITIATIVES AND SUPPORTS FOR FAMILIES WITHIN THE CONTINUUM OF EARLY CHILDHOOD SERVICES; 4) ELEVATE MA MIECHV’S VISIBILITY AND SEEK OPPORTUNITIES TO DIVERSIFY FUNDING; 5) INCREASE THE CAPACITY OF MA MIECHV LIAS; 6) RECRUIT AND RETAIN QUALIFIED STAFF AND INCREASE THE PERCENT OF LIAS WITH NO STAFF VACANCIES; 7) STRENGTHEN LIA CAPACITY TO TAILOR SERVICES TO PRIORITY POPULATIONS AND ADDRESS THE SOCIAL DETERMINANTS OF HEALTH (SDOH); 8) INCREASE THE PERCENT OF REFERRALS MADE DURING WELCOME FAMILY VISITS THAT WERE SUCCESSFULLY CONNECTED TO EBHV; 9) DEMONSTRATE EQUITABLE IMPROVEMENT IN FOUR OF THE SIX BENCHMARK AREAS; 10) PROVIDE PROGRAMMATIC AND FISCAL SUBRECIPIENT MONITORING AND TECHNICAL ASSISTANCE TO LIAS; AND 11) CONDUCT EVALUATION THROUGH PARTICIPATION IN A COORDINATED STATE EVALUATION WORKFORCE DEVELOPMENT. APPROACH: MA MIECHV WILL SUPPORT 21 LIAS TO IMPLEMENT PARENTS AS TEACHERS AND HEALTHY FAMILIES MASSACHUSETTS IN 18 COMMUNITIES: BOSTON, BROCKTON, CHELSEA, EVERETT, FALL RIVER, FITCHBURG, HOLYOKE, LAWRENCE, LOWELL, LYNN, NEW BEDFORD, NORTH ADAMS, PITTSFIELD, REVERE, SOUTHBRIDGE, SPRINGFIELD, WEBSTER, AND WORCESTER. PRIORITY POPULATIONS INCLUDE FAMILIES AFFECTED BY SUBSTANCE USE, HOMELESSNESS OR HOUSING INSTABILITY, AND INVOLVEMENT WITH THE CHILD WELFARE SYSTEM. THE PROPOSED ANNUAL CASELOAD IS 1,598 FOR FY 2024 AND FY 2025.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT TITLE: NORTH DAKOTA MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING FORMULA AWARD (NORTH DAKOTA MIECHV) PROJECT DIRECTOR NAME: ALLISON MAHONEY RECIPIENT NAME: PREVENT CHILD ABUSE NORTH DAKOTA MAILING ADDRESS: 418 E BROADWAY AVE, STE 250, BISMARCK ND, 58501 CONTACT INFORMATION: (701) 223-9052; AMAHONEY@FAMILIESFLOURISH.ORG; WWW.PCAND.ORG ANNOTATION: THE NORTH DAKOTA MIECHV (ND MIECHV) PROGRAM PROVIDES VOLUNTARY, EVIDENCE-BASED HOME VISITING SERVICES TO AT-RISK FAMILIES. ND MIECHV AIMS TO IMPROVE CHILDREN AND FAMILIES’ HEALTH OUTCOMES AND IMPROVE CARE COLLABORATION IN TARGETED COMMUNITIES. PREVENT CHILD ABUSE NORTH DAKOTA, ND MIECHV LOCAL IMPLEMENTING AGENCIES (LIAS), AND STATEWIDE PARTNERS WORK TOGETHER TO BUILD AND STRENGTHEN TRIBAL AND STATE MATERNAL AND CHILD HEALTH, EARLY CHILDHOOD EDUCATION, AND SERVICE REFERRAL SYSTEMS FOR FAMILIES ACROSS NORTH DAKOTA. PROBLEM: MANY NORTH DAKOTA FAMILIES LIVE IN GEOGRAPHIC AREAS WITH A LACK OF ACCESS TO MEDICAL, BEHAVIORAL HEALTH, AND FAMILY SUPPORT SERVICE OPTIONS. HOME VISITING PROGRAMS ALLOW FAMILIES TO DEVELOP RELATIONSHIPS WITH TRAINED PROFESSIONALS WHO CAN PROVIDE SUPPORT AND MAKE SERVICE REFERRALS AND CONNECTIONS. FURTHERMORE, HOME VISITORS PROVIDE EDUCATION ON CHILD DEVELOPMENT AND POSITIVE PARENTING PRACTICES, EMPOWERING PARENTS AND GUARDIANS TO INCREASE THEIR CAPACITY TO RAISE HEALTHY, HAPPY FAMILIES. PURPOSE: THE PURPOSE OF ND MIECHV IS TO CONNECT FAMILIES WITH ONE OR MORE RISK FACTORS OF POOR HEALTH OR SOCIAL OUTCOMES, LIVING IN HIGH-NEEDS AREAS, WITH TRAINED PROFESSIONAL SUPPORT IN ORDER TO MORE EASILY ACCESS MENTAL HEALTH SCREENINGS, PARENTING EDUCATION, AND RESOURCES TO PLAN FOR THE FUTURE. GOALS AND OBJECTIVES: THE MAJOR GOALS AND OBJECTIVES OF THE NORTH DAKOTA MIECHV PROGRAM ARE AS FOLLOWS: GOAL 1: INCREASE THE CAPACITY OF MIECHV PROGRAMS TO IMPLEMENT EFFECTIVE EVIDENCE-BASED HOME VISITING SERVICES. OBJ. 1: BY JUNE 30, 2027, ND MIECHV LIAS WILL RECEIVE AN ANNUAL REPORT DETAILING HOME VISITOR PERFORMANCE, MIECHV PERFORMANCE MEASURE PROGRESS, AND BEST PRACTICES FOR IMPROVEMENT. OBJ. 2: BY SEPTEMBER 29, 2027, SITE SUPERVISORS OF MIECHV FUNDED LIAS WILL DEVELOP AND MANAGE INDIVIDUAL PROFESSIONAL DEVELOPMENT PLANS FOR ALL HOME VISITORS, BASED ON BIANNUAL STAFF ASSESSMENT. GOAL 2: COORDINATE WITH LOCAL, TRIBAL, STATE, AND PRIVATE STAKEHOLDERS TO ACHIEVE COMPREHENSIVE STATEWIDE EARLY CHILDHOOD SYSTEMS DEVELOPMENT. OBJ. 1: BY SEPTEMBER, 29,2027 ND MEICHV WILL IDENTIFY AND ADVOCATE FOR HOME VISITING PROGRAMS IN THEIR ABILITY TO BECOME REGISTERED MEDICAID-APPROVED PROVIDERS. OBJ. 2: BY SEPTEMBER 29, 2027, ND MIECHV AND THE ND HOME VISITING COALITION WILL PROVIDE FEEDBACK ON WHAT A PLAN FOR A COORDINATED REFERRAL SYSTEM FOR FAMILY-BASED SERVICES COULD LOOK LIKE WITHIN THE STATE. GOAL 3: ENSURE ACCURATE DATA COLLECTION, INTERPRETATION, AND REPORTING, AS WELL AS CONTINUOUS QUALITY IMPROVEMENT. (CQI). OBJ. 1: BY SEPTEMBER 29, 2027 ND MIECHV WILL DEVELOP A COMPREHENSIVE PROGRAM LEVEL DATA REPORTING PROCESS MAP. OBJ. 2: BY SEPTEMBER 29, 2027 ND MIECHV LIA'S WILL MONITOR THEIR LOCAL DATA PROCESS AND ADJUST ACCORDINGLY. METHODOLOGY NORTH DAKOTA MIECHV USES TWO EVIDENCE-BASED HOME VISITING MODELS TO SERVE 184 FAMILIES. PARENTS AS TEACHERS IS UTILIZED TO SERVE 90 FAMILIES ON THE TURTLE MOUNTAIN BAND OF CHIPPEWA INDIANS RESERVATION IN ROLETTE COUNTY AND 40 FAMILIES ON THE STANDING ROCK SIOUX TRIBE RESERVATION IN SIOUX COUNTY. NURSE FAMILY PARTNERSHIP IS UTILIZED TO SERVE 54 FAMILIES IN BURLEIGH, MORTON, SIOUX, AND GRANT COUNTY THE ADDITION OF KIDDER, LOGAN, OLIVER AND EMMONS AS A RESULT OF THE AMENDED NEEDS ASSESSMENT. NORTH DAKOTA MIECHV PRIORITY POPULATIONS INCLUDE FAMILIES THAT ARE LOW INCOME, INCLUDE PARENTS UNDER THE AGE OF 21, HAVE A HISTORY OF CHILD ABUSE OR NEGLECT, HAVE A HISTORY OF SUBSTANCE MISUSE, USE TOBACCO PRODUCTS, AND INCLUDE MEMBERS OF THE MILITARY.MATCHING FUNDS ARE NOT BEING REQUESTED AS THE AGENCY WAS NOT ABLE TO OBTAIN ADDITIONAL FUNDS FROM A NONFEDERAL AGEN

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT TITLE: OREGON MATERNAL INFANT AND EARLY CHILDHOOD HOME VISITING PROGRAM APPLICANT: OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION ADDRESS: 800 NE OREGON STREET, SUITE 825, PORTLAND, OREGON, 97232 PROJECT DIRECTOR: DREW STRAYER DREW.STRAYER@OHA.OREGON.GOV CONTACT: PHONE: 503-949-8132 WEB SITE: WWW.HEALTHOREGON.ORG/HOMEVISITING GRANT REQUESTS: BASE OF $8,927,312 AND MATCHING FUNDS $725,893. ANNOTATION: THE OREGON MIECHV PROGRAM WILL SUSTAIN THE ENROLLMENT CAPACITY OF EVIDENCE BASED HOME VISITING AVAILABLE TO ELIGIBLE FAMILIES IN AT-RISK COMMUNITIES IDENTIFIED THROUGH STATE AND LOCAL NEEDS ASSESSMENTS. SUSTAINABILITY IS REINFORCED THROUGH COLLABORATIVE EFFORTS WITH STATE PARTNER AGENCIES TO INTEGRATE HOME VISITING AS A SERVICE STRATEGY WITHIN A COMPREHENSIVE EARLY CHILDHOOD SYSTEM. EFFORTS INCLUDE SUPPORT FOR LOCAL SYSTEM ALIGNMENT, DEVELOPMENT AND CAPACITY, WORKFORCE DEVELOPMENT AND PROFESSIONAL SUPPORTS, TECHNOLOGY IMPROVEMENTS AND ROBUST IMPLEMENTATION OF CONTINUOUS QUALITY IMPROVEMENT (CQI) THAT LEAD TO IMPROVED OUTCOMES FOR ELIGIBLE FAMILIES. PROBLEM: OREGON HAS INADEQUATE HOME VISITING SERVICE CAPACITY AND COORDINATION TO MEET THE STATE DEMAND. THE STATEWIDE NEEDS ASSESSMENT FOUND THAT AMONG THE EIGHT (8) HOME VISITING MODELS AVAILABLE IN OREGON, ONLY 8% OF ELIGIBLE FAMILIES ARE RECEIVING A HOME VISITING SERVICE. IN ADDITION, TRAINING AND SUPPORTS ARE INSUFFICIENT FOR PREPARING THE WORKFORCE TO EFFECTIVELY WORK WITH COMPLEX FAMILY CIRCUMSTANCES. PURPOSE: THE OREGON MIECHV PROGRAM SEEKS TO SUSTAIN EXPANSION OF HIGH-QUALITY, VOLUNTARY, EVIDENCE BASED HOME VISITING, AND TO ENHANCE THE CAPACITY AND CAPABILITIES OF THE HOME VISITING PROFESSIONAL PRACTICE. GOALS AND OBJECTIVES: THE OREGON MIECHV PROGRAM WILL SUSTAIN ENROLLMENT CAPACITY FOR EVIDENCE BASED HOME VISITING AND IMPROVE OUTCOMES THROUGH WORKFORCE SUPPORTS AS WELL AS STAKEHOLDER AND PARENT PARTNERSHIPS. THE OBJECTIVES INCLUDE: 1. SUSTAIN AND EVALUATE OPPORTUNITIES TO BUILD ADDITIONAL CAPACITY OF HIGH-QUALITY, EVIDENCE BASED HOME VISITING SERVICES WITH ATTENTION TO AT-RISK COMMUNITIES IDENTIFIED THROUGH A STATE NEEDS ASSESSMENT. 2. EFFECTIVELY SUPPORT AND STRENGTHEN THE ACTIVITIES OF TITLE V. 3. EFFECTIVELY INTEGRATE EVIDENCE BASED HOME VISITING WITHIN THE COMPREHENSIVE EARLY CHILDHOOD AND HEALTH SYSTEMS TO IMPROVE COORDINATION OF SERVICES AND PROFESSIONAL SUPPORTS IN THE AT-RISK COMMUNITIES TO IMPROVE OUTCOMES FOR ELIGIBLE FAMILIES. METHODOLOGY: GRANT FUNDS WILL SUPPORT THREE (3) EVIDENCE BASED HOME VISITING MODELS, EARLY HEAD START – HOME BASED (EHS), HEALTHY FAMILIES OREGON (HFO) AND NURSE-FAMILY PARTNERSHIP (NFP), IN AT-RISK COMMUNITIES IDENTIFIED THROUGH A STATE NEEDS ASSESSMENT INCLUDING BAKER, CLATSOP, CROOK, JACKSON, KLAMATH, LANE, LINCOLN, MALHEUR, MARION, MORROW, MULTNOMAH, UMATILLA AND YAMHILL COUNTIES. THE PROGRAM PROPOSES TO SUSTAIN AND EXPAND ENROLLMENT OF THE THREE MODELS ACROSS THE STATE WHILE BUILDING A REGIONAL HOME VISITING SYSTEM INFRASTRUCTURE THROUGH FY26. FUNDING SUSTAINS SUPPORT FOR COMMUNITY-BASED SYSTEM ALIGNMENT ACTIVITIES THAT UNITE HOME VISITING AS A NETWORK OF SERVICE, INCORPORATED AND LINKED TO CHILD AND FAMILY SERVICES AND SUPPORTS INCLUDED IN A COMPREHENSIVE EARLY CHILDHOOD SYSTEM. STAKEHOLDER AND PARENT PARTNERS WILL COLLABORATE ON THE DEVELOPMENT, IMPLEMENTATION AND ASSESSMENT OF GRANT ACTIVITIES TO SUPPORT TRANSFORMATION IN EARLY LEARNING AND HEALTH AND ASSURE THE INTEGRATION OF A HIGH-QUALITY, EQUITABLE AND COMPREHENSIVE EARLY CHILDHOOD SYSTEM. CASELOAD GOALS: EHS (125), HFO (300) NFP (415) FOR A TOTAL OF 840 CLIENTS SERVED FOR FY24 & FY25. THIS INCLUDES 21 DISTINCT LOCAL IMPLEMENTING SITES WITHIN 13 COUNTIES.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PURPOSE WASHINGTON STATE WILL CONTINUE TO INTEGRATE VOLUNTARY HOME VISITING SERVICES INTO OUR STATEWIDE EARLY LEARNING AND CHILD WELFARE SYSTEMS. WE AIM TO DEVELOP A ROBUST HOME VISITING PORTFOLIO THAT SUPPORTS THE HIGHEST-RISK FAMILIES, WITH A FOCUS ON THOSE IMPACTED BY HEALTH DISPARITIES, POVERTY, SUBSTANCE USE DISORDER, YOUNG FIRST-TIME MOTHERS, FAMILIES INVOLVED WITH CHILD WELFARE, AND MILITARY FAMILIES. THROUGH THIS GRANT, DCYF AND OUR PARTNERS WILL STRENGTHEN THE EXISTING NURSE-FAMILY PARTNERSHIP AND PARENTS AS TEACHERS HOME VISITING PROGRAMS THROUGHOUT WASHINGTON STATE. GOALS AND OBJECTIVES ATTACHMENT 1 CONTAINS WASHINGTONS DETAILED WORK PLAN. THE WORK PLAN HIGHLIGHTS WASHINGTON STATE'S STRONG COMMITMENT TO HOME VISITING AND CONTINUES TO GUIDE THE PLANNING AND DEVELOPMENT OF OUR STATEWIDE HOME VISITING SYSTEM. FOR THE FFY25 GRANT PERIOD WASHINGTON WILL CONTINUE TO WORK TOWARDS ALL THE GOALS AND OBJECTIVES OUTLINED IN THE PLAN. APPROACH THE PROPOSED FUNDING WILL BE DIRECTED TOWARD SUPPORTING AT-RISK COMMUNITIES IDENTIFIED THROUGH WASHINGTON STATE’S COMPREHENSIVE NEEDS ASSESSMENT. PLEASE REFER TO ATTACHMENT 2 FOR THE SPECIFIC COMMUNITIES THAT WILL BE SERVE. FOR THE FFY25 GRANT PERIOD, THE STATE WILL ALLOCATE RESOURCES TO SUPPORT 1207 FAMILY SLOTS AND FUND 18 LOCAL IMPLEMENTING AGENCIES (LIAS) OPERATING WITHIN DESIGNATED SERVICE AREAS ACROSS WASHINGTON. THESE AGENCIES WILL IMPLEMENT TWO EVIDENCE-BASED HOME VISITING MODELS: NURSE-FAMILY PARTNERSHIP (NFP) AND PARENTS AS TEACHERS (PAT). THE NUMBER OF FAMILY SLOTS ASSIGNED TO EACH LIA WILL BE DETERMINED BASED ON ORGANIZATIONAL CAPACITY AND THE SPECIFIC NEEDS OF THE COMMUNITIES THEY SERVE. CASELOADS FOR HOME VISITORS WILL VARY ACCORDING TO MODEL-SPECIFIC GUIDELINES AND THE NUMBER OF SLOTS AWARDED. CURRENTLY UNDER THE PAT MODEL, THE MAXIMUM CASELOAD IS 18 FAMILIES PER HOME VISITOR; UNDER THE NFP MODEL, THE MAXIMUM NUMBER IS 25 FAMILIES. MATCHING FUNDS WASHINGTON HAS ESTABLISHED A STRONG STATEWIDE HOME VISITING SYSTEM, SUPPORTED BY A ROBUST INFRASTRUCTURE AND A STRONG NETWORK OF COMMUNITY-BASED PROVIDERS. THE SOURCE OF MATCHING FUNDS WILL BE GENERAL FUND STATE ALLOCATED TO THREE LIAS IN MIECHV ELIGIBLE COMMUNITIES. FOR MORE DETAIL, PLEASE REFER TO THE BUDGET NARRATIVE. MATCHING FUNDS WILL BE USED TO FURTHER STRENGTHEN THIS INFRASTRUCTURE, WITH AN EMPHASIS ON ADVANCING PROGRESS TOWARD THE FOLLOWING OBJECTIVES: 1.OBJECTIVE 1.3: BY SEPTEMBER 2027, THE DCYF HOME VISITING TEAM WILL COLLABORATE WITH THE DCYFFFPSA CHILD WELFARE TEAM TO DEVELOP A REFERRAL PROTOCOL THAT ALIGNS WITH THE DCYF FFPSA PLAN. THIS PROTOCOL WILL ENSURE THAT CASE MANAGERS IN CHILD WELFARE CAN REFER FAMILIES INVOLVED WITH CHILD WELFARE TO HOME VISITING SERVICES STATEWIDE. REFERRALS TO HOME VISITING LOCAL IMPLEMENTING AGENCIES (LIAS) WILL BE ONE-WAY DCYF PROVIDES FAMILIES WITH SECONDARY PREVENTION SUPPORTS, AS OUTLINED IN THE FFPSA PLAN. 2.OBJECTIVE 3.2: THROUGHOUT THE PROJECT PERIOD, SUPPORT LOCAL PROGRAMS TO CONDUCT CULTURALLY APPROPRIATE OUTREACH TO RECRUIT AND RETAIN FAMILIES IN HOME VISITING PROGRAMS IN UNDERSERVED COMMUNITIES.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PURPOSE: THE DISTRICT OF COLUMBIA DEPARTMENT OF HEALTH (DC HEALTH) WILL PROVIDE HIGH-QUALITY, EVIDENCE BASED HOME VISITING SERVICES TO 340 ELIGIBLE FAMILIES OF PERINATAL WOMEN AND CHILDREN AGES 0-5 YEARS LIVING IN GEOGRAPHICAL AREAS IDENTIFIED IN THE UPDATED 2020 NEEDS ASSESSMENT AS AREAS WITH THE GREATEST NEED AND POOREST HEALTH OUTCOMES INCLUDING HEALTH PLANNING GROUPS LOCATED IN WARDS 4, 5, 7, AND 8. THE OVERALL AIM IS TO IMPROVE MATERNAL AND CHILD HEALTH AND WELL-BEING IN THROUGH PARTNERSHIPS WITH COMMUNITY-BASED ORGANIZATIONS PROVIDING EVIDENCE-BASED HOME VISITING MODELS INCLUDING, BUT NOT LIMITED TO HEALTHY FAMILIES AMERICA (HFA), PARENTS AS TEACHERS (PAT), SAFECARE AUGMENTED, OR HOME INSTRUCTION FOR PARENTS OF PRESCHOOL YOUNGERS (HIPPY). MATCHING FUNDS WILL BE USED TO INCREASE THE NUMBER OF LOCAL IMPLEMENTING AGENCIES (LIAS) PROVIDING EVIDENCE-BASED HOME VISITING SERVICES WITHIN THE IDENTIFIED WARDS TO EXPAND AND MAXIMIZE THE REACH OF SERVICE DELIVERY. PRIORITY GOALS AND OBJECTIVES FOR FY 2025 – FY 2027 GOAL 1: INCREASE THE PERCENTAGE OF CHILDREN WHO RECEIVE DEVELOPMENTAL SCREENINGS AND ARE REFERRED TO EARLY INTERVENTION SERVICES, AS NEEDED, PER DEVELOPMENTAL SCREENING RESULTS. OBJECTIVE: BY SEPTEMBER 29, 2027, INCREASE THE PERCENTAGE OF CHILDREN AGES 9 THROUGH 35 MONTHS WHO RECEIVE TIMELY DEVELOPMENTAL SCREENINGS FROM 82.1% TO 85% GOAL 2: ENHANCE THE CURRENT REFERRAL PLATFORM TO PROVIDE A CENTRALIZED SYSTEM TO CONNECT FAMILIES WITH PROGRAMS AND RESOURCES MOST SUITABLE TO THE FAMILIES’ NEEDS. OBJECTIVE: BY SEPTEMBER 29, 2027, PARTNER WITH HELP ME GROW DC TO STRENGTHEN THE CENTRALIZED INTAKE PROCESS AND DATA MANAGEMENT SYSTEM TO ENHANCE CARE COORDINATION, SERVICE LINKAGES, AND REFERRALS TO HOME VISITING PROGRAMS. GOAL 3: IMPLEMENT CONTINUOUS QUALITY IMPROVEMENT (CQI) BEST PRACTICES TO EVALUATE PROGRAM OUTCOMES AND IMPROVE PERFORMANCE MEASURES. OBJECTIVE: BY SEPTEMBER 29, 2027, USE PLAN, DO, STUDY, ACT (PDSA) CYCLE METHODOLOGY TO MEASURE IMPROVEMENT IN FOUR (4) OF SIX (6) PERFORMANCE MEASURES TO INCLUDE MATERNAL AND NEWBORN HEALTH, SCHOOL READINESS AND ACHIEVEMENT, COORDINATION AND REFERRALS, CHILD INJURY- MALTREATMENT-ED VISITS APPROACH: DC HEALTH WILL SERVE HEALTH PLANNING GROUPS 2, 8, 16, 17, 18, 19, 21, 23, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, AND 39 IN WARDS 4, 5, 7, AND 8. THE PROPOSED CASELOAD WILL INCREASE BY 180 ELIGIBLE FAMILIES WITH THE FY 2025 FUNDING. WE PROPOSE TO DESIGNATE UP TO THREE (3) LIAS TO RECEIVE FY 2025 FUNDING. LIAS IMPLEMENTING MIECHV-APPROVED EVIDENCE-BASED HOME VISITING MODELS WILL BE SELECTED THROUGH A COMPETITIVE REQUEST FOR APPLICATIONS PROCESS. MATCHING FUNDS WILL BE USED TO INCREASE THE NUMBER OF LOCAL LIAS PROVIDING EVIDENCE-BASED HOME VISITING SERVICES WITHIN THE IDENTIFIED WARDS TO EXPAND AND MAXIMIZE THE REACH OF SERVICE DELIVERY. LOCAL FUNDS WILL BE USED AS THE SOURCE OF NON-FEDERAL FUNDS TO MEET THE FEDERAL MATCHING REQUIREMENTS.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PURPOSE: KANSAS AIMS TO EXPAND AND STRENGTHEN ITS MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING (MIECHV) PROGRAM TO REDUCE INFANT MORTALITY, PREVENT CHILD ABUSE AND NEGLECT, SUPPORT STRONG FAMILIES, AND PROMOTE SAFE, NURTURING ENVIRONMENTS FOR CHILD DEVELOPMENT AND SCHOOL READINESS. THE PROJECT WILL SERVE PREGNANT WOMEN AND FAMILIES WITH CHILDREN FROM BIRTH TO KINDERGARTEN ENTRY IN HIGH-RISK COMMUNITIES THROUGH EVIDENCE-BASED HOME VISITING MODELS, INCLUDING PARENTS AS TEACHERS AND HEALTHY FAMILIES AMERICA. SERVICES WILL BE DELIVERED BY TRAINED PROFESSIONALS WHO COORDINATE CARE ACROSS THE EARLY CHILDHOOD AND MATERNAL AND CHILD HEALTH SYSTEMS. ADDITIONAL FUNDING WILL SUPPORT INCREASING LOCAL IMPLEMENTING AGENCY (LIA) AWARDS TO RETAIN THE EXISTING WORKFORCE AND EXPAND SERVICES INTO NEW AT-RISK COUNTIES. STATE MATCHING FUNDS BE USED TO SUPPORT THE DELIVERY OF EVIDENCE-BASED HOME VISITING SERVICES. GOALS AND OBJECTIVES: KANSAS’ MIECHV PROJECT IS GUIDED BY THE FOLLOWING GOALS: • INCREASE ACCESS TO EVIDENCE-BASED HOME VISITING. • IMPROVE THE QUALITY OF SERVICES. • EXPAND MIECHV SERVICES TO NEW AT-RISK COMMUNITIES. • LEVERAGE NEEDS ASSESSMENT DATA AND FORMAL EVALUATION OF THE LEAD AGENCY MODEL TO INFORM REGIONAL EXPANSION EFFORTS. • IMPROVE HOME VISITING WORKFORCE WELLBEING AND RETENTION. • ENHANCE ADMINISTRATIVE AND INFRASTRUCTURE SYSTEMS. • DEEPEN HOME VISITING INTEGRATION WITHIN THE BROADER EARLY CHILDHOOD SYSTEM. OBJECTIVES ALIGNED TO THESE GOALS INCLUDE: • IMPLEMENT EVIDENCE-BASED HOME VISITING IN NEW AT-RISK COUNTIES. • ENGAGE IN CONTINUOUS QUALITY IMPROVEMENT AND CHANGE EVALUATION WITH ESTABLISHED LIAS. • LEVERAGE DATA AND COMMUNITY INPUT TO DRIVE STRATEGIC EXPANSION. • PROVIDE HOME VISITORS WITH ENHANCED WELLBEING SUPPORT AND INCENTIVES. • INCREASE COLLABORATION WITH OTHER EARLY CHILDHOOD PROGRAMS AND HOME VISITING LEADERS BOTH WITHIN THE KDHE AND THROUGHOUT THE STATE. APPROACH: KANSAS WILL CONTINUE DELIVERING TWO EVIDENCE BASED HOME VISING MODELS, HEALTHY FAMILIES AMERICA (HFA) AND PARENTS AS TEACHERS (PAT), THROUGH THE WORK OF OUR EXISTING FOUR LIAS. THE MAXIMUM CAPACITY OF EXISTING LIAS IN YEAR 1 AND YEAR 2 WILL BE 556. WE WILL BE SERVING THE FOLLOWING COMMUNITIES: • GREENBUSH – SOUTHEAST KANSAS HUB. COUNTIES SERVED: CHEROKEE, LABETTE, MONTGOMERY, NEOSHO, WILSON, WOODSON, ALLEN, BOURBON, CRAWFORD, MIAMI, CHAUTAUQUA, ELK, COWLEY, AND LINN. MODEL: PAT. MAXIMUM CAPACITY: 284 • KCK PUBLIC SCHOOLS, USD 500. COUNTIES SERVED: WYANDOTTE. MODEL: PAT. MAXIMUM CAPACITY: 71. • TURNER, USD 202. COUNTIES SERVED: WYANDOTTE. MODEL: PAT. MAXIMUM CAPACITY: 67. • UNITED GOVERNMENT PUBLIC HEALTH DEPARTMENT. COUNTIES SERVED: WYANDOTTE. MODEL: HFA. MAXIMUM CAPACITY: 134. WE ARE MOVING FORWARD WITH EXPANSION EFFORTS IN SOUTHEAST KANSAS TO INCLUDE GREENWOOD, COFFEY AND ANDERSON COUNTIES IN YEAR 1. EFFORTS TO ESTABLISH A NEW LIA IN YEAR 1 WILL FOCUS ON SOUTHWEST KANSAS. THIS GROWTH MAY REQUIRE ADJUSTMENTS TO CAPACITY NUMBERS IN THOSE AREAS IN YEAR 2. MATCHING FUNDS: KANSAS USES STATE MATCH FUNDING FROM THE KANSAS CHILDREN’S CABINET AND TRUST FUND TO SUPPORT EVIDENCE-BASED HOME VISITING SERVICES THROUGH THE PARENTS AS TEACHERS MODEL. THESE STATE INVESTMENTS, DRAWN FROM TOBACCO SETTLEMENT FUNDS, HAVE SUPPORTED KANSAS HOME VISITING FOR OVER TWO DECADES. ALTHOUGH MATCH FUNDS ARE ADMINISTERED THROUGH A DIFFERENT AGENCY, HISTORICAL DATA CAN BE USED TO ESTIMATE THE NUMBER OF PARTICIPANTS SERVED. KANSAS HAS CONSISTENTLY MET ITS MATCH REQUIREMENT AND ANTICIPATES CONTINUED SUPPORT TO EXPAND SERVICE REACH.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PURPOSE: THE NEVADA HOME VISITING (NHV) PROGRAM AIMS TO IMPROVE MATERNAL AND CHILD HEALTH OUTCOMES BY PROVIDING COMPREHENSIVE HOME VISITING SERVICES TO FAMILIES IN AT-RISK COMMUNITIES, AS IDENTIFIED THROUGH A STATEWIDE NEEDS ASSESSMENT. NHV ENHANCES SERVICE COORDINATION IN UNDER-RESOURCED AREAS BY OFFERING EVIDENCE-BASED SUPPORT TO WOMEN OF REPRODUCTIVE AGE, PREGNANT AND POSTPARTUM WOMEN, INFANTS, YOUNG CHILDREN, ADOLESCENTS (12-21 YEARS), AND CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS. THE PROGRAM IMPLEMENTS THE NURSE-FAMILY PARTNERSHIP (NFP), EARLY HEAD START HOME-BASED OPTION (EHS), HOME INSTRUCTION FOR PARENTS OF PRESCHOOL YOUNGSTERS (HIPPY), AND PARENTS AS TEACHERS (PAT) MODELS TO STRENGTHEN FAMILY WELL-BEING THROUGH HOME VISITS, LINKAGE TO RESOURCES, AND COLLABORATION WITH SERVICE PROVIDERS. MATCHING FUNDS, IF AWARDED, WILL BE USED TO EXPAND OUTREACH AND ENHANCE SERVICE DELIVERY BY INCREASING PROVIDER CAPACITY AND IMPROVING DATA SYSTEMS FOR PROGRAM EVALUATION. GOAL(S) AND OBJECTIVES: THE NHV PROGRAM IS COMMITTED TO ENHANCING FAMILY WELL-BEING BY IMPROVING ACCESS TO ESSENTIAL HEALTH, EDUCATION, AND SOCIAL SERVICES. KEY GOALS AND OBJECTIVES INCLUDE: IMPROVE ACCESS TO COMPREHENSIVE HOME VISITING SERVICES FACILITATE AT LEAST TWO (2) QUALITY IMPROVEMENT MEETINGS BY SEPTEMBER 2027 TO DISCUSS CONTINUOUS QUALITY IMPROVEMENT (CQI) TOPICS. PARTICIPATE IN FOUR (4) QUARTERLY EARLY CHILDHOOD ADVISORY COUNCIL (ECAC) MEETINGS FROM OCTOBER 2025 TO SEPTEMBER 2027 TO ALIGN WITH STATE EARLY CHILDHOOD INITIATIVES. CONTINUE COLLABORATION WITH THE NEVADA STRONG START INITIATIVE (PRITZKER) AND ECCS RECIPIENT BY ATTENDING QUARTERLY MEETINGS TO PROMOTE NHV PROGRAMMING AND ASSESS COMMUNITY NEEDS BY SEPTEMBER 2027. STRENGTHEN PREVENTIVE AND PRIMARY CARE SERVICES PROVIDE AT LEAST SIX (6) COMPETENCY-BASED CONTINUING EDUCATION AND TECHNICAL ASSISTANCE (TA) SESSIONS FOR LOCAL IMPLEMENTING AGENCIES (LIAS) FOCUSED ON PREVENTIVE AND PRIMARY CARE SERVICES UNDER TITLE V OF THE SOCIAL SECURITY ACT BY SEPTEMBER 2027. OFFER AT LEAST FOUR (4) TA OPPORTUNITIES TO SUPPORT RECRUITMENT, RETENTION, AND CULTURALLY RESPONSIVE OUTREACH BY SEPTEMBER 2027. ENHANCE COORDINATION AND REFERRAL SYSTEMS CONDUCT AT LEAST ONE TRAINING ON THE NEVADA 2-1-1 REFERRAL SYSTEM FOR IMPLEMENTING AGENCIES BY SEPTEMBER 2027. PARTICIPATE IN QUARTERLY MEETINGS OF THE STATEWIDE EARLY CHILDHOOD AND EDUCATION (ECCE) CENTRAL REFERRAL SYSTEM (CRS) WORKGROUP FROM OCTOBER 2025 TO SEPTEMBER 2027. REVIEW REFERRAL DATA WITH LIAS DURING MONTHLY CHECK-INS AND PROVIDE GUIDANCE ON TRACKING REFERRALS IN VISIT TRACKER AT LEAST ONCE DURING A STATEWIDE MEETING. APPROACH: THE NHV PROGRAM UTILIZES EVIDENCE-BASED HOME VISITING MODELS, INCLUDING NURSE-FAMILY PARTNERSHIP (NFP), EARLY HEAD START HOME-BASED OPTION (EHS), HOME INSTRUCTION FOR PARENTS OF PRESCHOOL YOUNGSTERS (HIPPY), AND PARENTS AS TEACHERS (PAT). THE PROGRAM SERVES FAMILIES IN CARSON CITY, DOUGLAS COUNTY, WASHOE COUNTY, LYON COUNTY, STOREY COUNTY, MINERAL COUNTY, NYE COUNTY, AND CLARK COUNTY. CASELOAD: NHV CURRENTLY SERVES 320 FAMILIES OUT OF 349 AVAILABLE SLOTS. THE PROPOSED CASELOAD FOR FY 2025 IS 420 FAMILIES. MIECHV COMMUNITIES SERVED: NHV WILL CONTINUE SERVING THE SAME NINE COUNTIES IN FY 2025, WITH NO NEW COMMUNITIES ADDED. LIAS: NHV WILL DESIGNATE SEVEN LOCAL IMPLEMENTING AGENCIES (LIAS) TO RECEIVE FY 2025 MIECHV FUNDING, ALIGNING WITH ATTACHMENT 2. MATCHING FUNDS: NHV IS APPLYING FOR FEDERAL MATCHING FUNDS. IF AWARDED, THESE FUNDS WILL SUPPORT THE EXPANSION OF OUTREACH EFFORTS, ENHANCEMENT OF SERVICE DELIVERY CAPACITY, AND IMPROVEMENT OF DATA COLLECTION SYSTEMS. TO MEET THE FEDERAL MATCHING REQUIREMENT, NON-FEDERAL FUNDS WILL BE PROVIDED THROUGH IN-KIND CONTRIBUTIONS, VOLUNTEER AND PARENT VOLUNTEER HOURS, PAYROLL TAXES, AND RENT.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PURPOSE: ALASKA MIECHV WILL UTILIZE BOTH BASE AND MATCHING MIECHV FUNDS TO IMPROVE MATERNAL AND CHILD HEALTH, EARLY CHILDHOOD DEVELOPMENT, AND FAMILY WELL-BEING FOR PREGNANT WOMEN AND PARENTS OF CHILDREN UP TO KINDERGARTEN ENTRY, PARTICULARLY THOSE IN COMMUNITIES AT HIGH RISK FOR POOR HEALTH OUTCOMES. THE PROGRAM WILL PROVIDE COORDINATED, COMPREHENSIVE, AND VOLUNTARY EARLY CHILDHOOD HOME VISITING SERVICES TO ELIGIBLE FAMILIES ACROSS ALASKA. TO FURTHER STRENGTHEN THIS INITIATIVE, ALASKA MIECHV WILL CONTINUE IMPLEMENTING THE NURSE-FAMILY PARTNERSHIP MODEL AND WILL INTRODUCE THE PARENTS AS TEACHERS MODEL TO EXPAND AND ENHANCE SERVICE DELIVERY. MATCHING FUNDS WILL BE USED TO IMPROVE PROGRAM REACH, INCREASE SERVICE QUALITY, AND ENHANCE STAFF TRAINING. GOALS AND OBJECTIVES: THE GOALS ARE TO PROVIDE HIGH-QUALITY AND EVIDENCE-BASED HOME VISITATION SERVICES TO MIECHV ELIGIBLE FAMILIES IN THE PROPOSED SERVICES AREAS, CONTINUE AN EVALUATION PROCESS TO COLLECT ADDITIONAL DATA FOR PROGRAM IMPROVEMENT AND EFFECTIVENESS, INTEGRATE HOME VISITING INTO A COMPREHENSIVE, HIGH-QUALITY SYSTEM OF SERVICES FOR THE EARLY CHILDHOOD POPULATION, AND STRIVE FOR PROJECT SUSTAINABILITY. OBJECTIVES: 1. TO CONTINUE TO PROVIDE HIGH-QUALITY NURSE HOME VISITING SERVICES TO AT-RISK, PREGNANT INDIVIDUALS AND THEIR CHILDREN WITHIN THE MUNICIPALITY OF ANCHORAGE AND MATANUSKA-SUSITNA BOROUGH. 2. GOAL: BY 9/29/2026, THE ALASKA MIECHV PROGRAM WILL FULLY IMPLEMENT AT LEAST ONE NEW PARENTS AS TEACHER LIA. 3. CONTINUE THE EVALUATION PROCESS OF THE ALASKA MIECHV PROGRAM TO COLLECT ADDITIONAL DATA TO UTILIZE FOR PROGRAM IMPROVEMENT AND EFFECTIVENESS. 4. ALASKA WILL CONTINUE TO INTEGRATE HOME VISITING INTO A COMPREHENSIVE, HIGH-QUALITY SYSTEM OF SERVICES FOR THE EARLY CHILDHOOD POPULATION. 5. ALASKA WILL STRIVE FOR SUSTAINABILITY OF THE MIECHV PROGRAM, WHICH IS NOT DEPENDENT ON FEDERAL FUNDING AND CREATE ADVOCACY FOR THESE SERVICES. APPROACH: THE ALASKA MIECHV PROGRAM PROPOSES TO USE TWO EVIDENCE-BASED MODELS: PARENTS AS TEACHERS AND NURSE-FAMILY PARTNERSHIP FOR ALL MIECHV ELIGIBLE FAMILIES, MEANING ALL WIC AND MEDICAID ELIGIBLE FAMILIES. SERVICE AREAS INCLUDE THE MUNICIPALITY OF ANCHORAGE AND THE MATANUSKA-SUSITNA BOROUGH. AT LEAST ONE NEW SERVICE AREA IS TO BE DETERMINED IN THE SPRING OF 2025, BASED ON A COMPETITIVE PROPOSAL PROCESS, AND IDENTIFIED COMMUNITY NEED, IN ALIGNMENT WITH THE ALASKA 2020 MIECHV NEEDS ASSESSMENT. THE TOTAL SERVICE CAPACITY OF THE CURRENT PROGRAM IS 200 FAMILIES AT ANY GIVEN TIME. THERE WILL BE AN ADDITIONAL 48 SLOTS EXPECTED TO OPEN WITH THE EXPANSION OF A NEW PARENTS AS TEACHERS PROGRAM. IN ADDITION TO EXPANSION, THE PROPOSED MATCHING FUNDS WILL BE UTILIZED FOR WORKFORCE DEVELOPMENT AND RETENTION.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PURPOSE: ARIZONA AIMS TO IMPLEMENT VOLUNTARY EVIDENCE-BASED AND EVIDENCE-INFORMED HOME VISITING PROGRAMS, DELIVERED BY TRAINED EDUCATORS, IN COMMUNITIES IDENTIFIED IN THE NEEDS ASSESSMENT, TO IMPROVE MATERNAL AND CHILD HEALTH OUTCOMES FOR FAMILIES. HOME VISITING PROGRAM CONTRACTS WITH STATE AGENCIES, COUNTY HEALTH DEPARTMENTS, TRIBAL NATIONS AND NON-PROFIT ORGANIZATIONS TO IMPLEMENT THE FOLLOWING MODELS: FAMILY SPIRIT, HEALTHY FAMILIES, PARENTS AS TEACHERS, NURSE FAMILY PARTNERSHIP, SAFECARE AUGMENTED, MATERNAL AND EARLY CHILDHOOD SUSTAINED HOME-VISITING AND HEALTH START. GOALS AND OBJECTIVES: A) SUPPORT VOLUNTARY EVIDENCE-BASED AND PROMISING APPROACH HOME VISITING PROGRAMS THAT ARE ACCESSIBLE TO ELIGIBLE FAMILIES RESULTING IN POSITIVE OUTCOMES IN AT LEAST 4 OF THE 6 BENCHMARK AREAS BY IMPLEMENTING HOME VISITING SERVICES IN AT-RISK COMMUNITIES WITH AN OVERALL CASELOAD CAPACITY OF 2,385 AND EVALUATE THE PROMISING APPROACH THROUGH AN INSTITUTE OF HIGHER EDUCATION. B) IMPROVE COORDINATION AND INFORMATION PERTAINING TO THE ARIZONA HOME VISITING SYSTEM TO MAXIMIZE FUNDING, SUPPORT, SERVICES AND RESOURCES FOR HOME VISITORS, SUPERVISORS AND ELIGIBLE FAMILIES BY CONVENING THE STRONG FAMILIES AZ HOME VISITING ALLIANCE; USING TECHNOLOGY TO PROVIDE INFORMATION AND TRAINING TO HOME VISITORS, SUPERVISORS AND FAMILIES; COORDINATE EARLY CHILDHOOD EFFORTS AND OUTCOMES; MAINTAIN THE STATEWIDE DATA MANAGEMENT SYSTEM; AND STRENGTHEN COMMUNITY CAPACITY TO IMPROVE HEALTH OUTCOMES. C) ENSURE PROGRAM IMPLEMENTATION OVERSIGHT TO MEET THE GRANT GOALS, OBJECTIVES, BUDGET AND ACTIVITIES BY MAXIMIZING HUMAN AND FINANCIAL RESOURCES; UTILIZE TOOLS TO APPROPRIATELY AND ACCURATELY TRACK ACTIVITIES AND TIMELINES; PARTICIPATE IN MEETINGS, CONFERENCES AND SEEK TECHNICAL ASSISTANCE TO MEET THE GRANT REQUIREMENTS AND IMPROVE THE HEALTH AND WELLBEING OF ARIZONA’S FAMILIES. APPROACH: TO ACHIEVE THE GOALS OF THIS GRANT, ARIZONA WILL: IMPLEMENT VOLUNTARY EVIDENCE-BASED HOME VISITING PROGRAMS AND A PROMISING APPROACH MODEL IN AT-RISK COMMUNITIES WITH EFFECTIVE OVERSIGHT AND GUIDANCE; COLLECT, COMPILE AND REPORT DATA TO ENSURE THE FIDELITY OF THE MODEL BEING USED AND PROGRESS TOWARD BENCHMARKS; AND COORDINATE SERVICES ACROSS THE EARLY CHILDHOOD SYSTEM. DURING THIS PROJECT PERIOD THE HEALTH START PROGRAM WILL BE GOING THROUGH THE REQUEST FOR GRANT APPLICATION PROCESS THROUGH THE ARIZONA PROCUREMENT SYSTEM. ALL SERVICE AREAS ARE IDENTIFIED IN THE 2020 MIECHV NEEDS ASSESSMENT. MIECHV FUNDS ARE USED TO SUPPORT PROGRAMS IN 37 URBAN, 29 RURAL, 4 FRONTIER AND 5 TRIBAL COMMUNITIES IN 25 LOCAL IMPLEMENTING AGENCIES. ARIZONA’S CURRENT CASELOAD CAPACITY IS 2,385 FAMILY SLOTS. ARIZONA PROPOSES A CASELOAD CAPACITY OF 1,571 FROM SEPTEMBER 30, 2025-SEPTEMBER 29, 2027 FOR EVIDENCE-BASED HOME VISITING MODELS. CURRENTLY, WE ARE SERVING 814 FAMILY SLOTS WITH OUR PROMISING APPROACH PROGRAM, HEALTH START. THE MATCHING FUNDS WILL BE UTILIZED TO EXTEND SERVICES DURING THE PROJECT PERIOD AND SUPPORT THE OUTREACH AND REFERRAL PROGRAM, FAMILY CONNECTS. FIRST THING FIRST IS A STATE FUNDED AGENCY DEDICATED TO EARLY CHILDHOOD PROGRAMS AND SERVICES THAT ADDRESS THE DEVELOPMENT, EDUCATION AND HEALTH NEEDS OF CHILDREN BIRTH TO AGE FIVE. FIRST THINGS FIRST WILL PROVIDE THE NON-FEDERAL CONTRIBUTION AND MEETS THE MATCHING REQUIREMENTS TO IMPROVE OUTCOMES FOR INDIVIDUAL FAMILIES AND CORE COMPONENTS OF THE MIECHV PROGRAM.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PURPOSE: MAINE’S MIECHV PROGRAM PROVIDES EFFECTIVE DELIVERY AND ONGOING IMPROVEMENT OF MAINE’S STATEWIDE HOME VISITING SERVICES WITH FIDELITY TO THE PARENTS AS TEACHERS (PAT) EVIDENCE-BASED MODEL, AS PART OF A COORDINATED STATEWIDE EARLY CHILDHOOD SYSTEM. THE GOAL OF THIS PROJECT IS TO IMPLEMENT A COMPREHENSIVE AND INCLUSIVE STATEWIDE SYSTEM TO IMPROVE THE PHYSICAL AND RELATIONAL HEALTH AND WELL-BEING OF MAINE’S MOST VULNERABLE CHILDREN AND FAMILIES. MAINE WILL USE MATCHING FUNDS TO RETAIN FAMILY VISITING STAFF. GOAL(S) AND OBJECTIVES GOAL 1. IMPROVE MATERNAL, INFANT, CHILD AND FAMILY PHYSICAL AND RELATIONAL HEALTH AND WELLBEING FOR PARTICIPATING FAMILIES. OBJECTIVE 1.A. ENGAGE ELIGIBLE FAMILIES WITH PAT EVIDENCE-BASED HOME VISITING SERVICES BY MAINTAINING MAINE FAMILIES ENROLLMENT LEVELS AS A PERCENTAGE OF CAPACITY. OBJECTIVE 1. B. RETAIN VULNERABLE FAMILIES WITH PAT BY MAINTAINING OR INCREASING RETENTION OF ELIGIBLE FAMILIES. OBJECTIVE 1.C. EXPLORE OPPORTUNITIES FOR PROGRAM PARTICIPANTS TO AUTHENTICALLY ENGAGE IN ADVISORY AND COLLABORATIVE ROLES. GOAL 2. MAINTAIN AND CONTINUOUSLY IMPROVE STATEWIDE DELIVERY OF EVIDENCE-BASED PAT SERVICES BY MAINE FAMILIES WITH FIDELITY AND HIGH QUALITY. OBJECTIVE 2.A. SUPPORT CONTINUED FIDELITY AND QUALITY OF PAT DELIVERY BY MAINTAINING AND STRENGTHENING STATE-LEVEL SYSTEMS OF SUPPORTS FOR LOCAL IMPLEMENTING AGENCIES (LIAS) INCLUDING: PERFORMANCE-BASED CONTRACTING, OVERSIGHT, TRAININGS, POLICIES, DATA SYSTEMS, TECHNICAL ASSISTANCE, CONTINUOUS QUALITY IMPROVEMENT (CQI) MONITORING, SUPPORTED THROUGH STATE-LEVEL CQI PROCESS. OBJECTIVE 2.B. SUPPORT LIA’S ABILITY TO MAINTAIN MAXIMUM STAFFING CAPACITY BY EXPLORING ADDITIONAL SYSTEM-WIDE STRATEGIES AND MONITOR THE IMPACT OF NEW HIRING QUALIFICATIONS FOR MAINE FAMILIES STAFF. GOAL 3. DEVELOP AND IMPROVE POPULATION HEALTH PRACTICES. OBJECTIVE 3.A. COMPLETE A WORKFORCE SURVEY TO COMPARE WITH PARTICIPANT DATA. OBJECTIVE 3.B. MAINTAIN COMMUNITY RESPONSIVENESS COMMITTEE. OBJECTIVE 3.C. IDENTIFY FUNDING SUPPORT TO IDENTIFY HEALTH DISPARITIES IN MIECHV PERFORMANCE MEASURE DATA AND FAMILY ENGAGEMENT. • APPROACH: BRIEFLY DESCRIBE THE MAJOR METHODS AND ACTIVITIES USED TO ATTAIN YOUR GOAL(S) AND OBJECTIVES. PLEASE INCLUDE • PARENTS AS TEACHERS WILL BE IMPLEMENTED BY 11 LIAS • ALL MAINE COMMUNITIES WILL BE SERVED WITH THIS GRANT. • THE PROPOSED CASELOAD FOR THE FY 2025 AWARD PERIOD, IS 1,149 FOR EACH YEAR OF THE PERFORMANCE PERIOD. • MAINE WILL BE APPLYING FOR MATCHING FUNDS AND THEY WILL BE USED TO RETAIN STAFF. THE SOURCE FOR THE MATCHING FUNDS IS STATE GENERAL FUNDS SPLIT BETWEEN MAINE CDC AND THE OFFICE OF CHILD AND FAMILY SERVICES.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PURPOSE: THE AMERICAN SAMOA MIECHV PROGRAM IS SUBMITTING THIS DOCUMENT TO REQUEST FUNDING THAT WILL ENABLE THE PROVISION OF EVIDENCE-BASED HOME VISITING SERVICES TO AT-RISK FAMILIES. THESE FAMILIES ARE LOCATED IN THE EASTERN, WESTERN, AND CENTRAL DISTRICTS, INCLUDING THE REMOTE COUNTIES OR DISTRICTS IN THE MANU’A ISLANDS. THIS PROJECT IS DESIGNED TO ENHANCE AND IMPROVE MATERNAL AND CHILD HEALTH, EARLY CHILDHOOD DEVELOPMENT, AND OVERALL FAMILY WELL-BEING FOR PREGNANT MOTHERS AND PARENTS WITH CHILDREN UP TO KINDERGARTEN AGE, ESPECIALLY THOSE IN AT-RISK COMMUNITIES. THE MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING (MIECHV) GRANT OFFERS EVIDENCE-BASED HOME VISITING SERVICES TO ENHANCE HEALTH, SOCIAL, AND ECONOMIC INDICATORS WITHIN AT-RISK COMMUNITIES IN AMERICAN SAMOA. GOALS AND OBJECTIVES: THIS PROGRAM AIMS TO IMPROVE MATERNAL AND CHILD HEALTH, EARLY CHILDHOOD DEVELOPMENT, AND THE OVERALL WELL-BEING OF PREGNANT MOTHERS AND PARENTS WITH CHILDREN UP TO KINDERGARTEN ENTRY, PARTICULARLY THOSE RESIDING IN COMMUNITIES AT RISK FOR POOR MATERNAL AND CHILD HEALTH OUTCOMES. OUR GOALS INCLUDE DELIVERING HIGH-QUALITY HOME VISITATION SERVICES TO AT-RISK PREGNANT WOMEN AND THEIR CHILDREN WITHIN THE TERRITORY BY INTEGRATING HOME VISITING INTO A COMPREHENSIVE SYSTEM OF SERVICES FOR THE EARLY CHILDHOOD POPULATION, AND STRIVING FOR THE SUSTAINABILITY OF THE MIECHV PROGRAM. OUR KEY OBJECTIVES INCLUDING IMPROVING SCHOOL READINESS, BOOSTING ECONOMIC SELF-SUFFICIENCY, AND BETTER COORDINATING REFERRALS TO SERVICES. APPROACH: OUR APPROACH INVOLVES CONTINUING SUPPORT FOR THE PROVISION OF COORDINATED, COMPREHENSIVE, HIGH-QUALITY, AND VOLUNTARY EARLY CHILDHOOD HOME VISITING SERVICES TO ELIGIBLE FAMILIES WHILE IMPLEMENTING AND UTILIZING THE EVIDENCE-BASED HEALTHY FAMILIES AMERICA (HFA) MODEL. MATCHING FUNDS WILL BE USED TO EXPAND SERVICES AND IMPROVE HOME VISITING SERVICE DELIVERY THROUGHOUT THE ISLAND. TO ACHIEVE THESE GOALS, WE HAVE SET THE FOLLOWING OBJECTIVES: (1) SERVE 225 FAMILIES AT ANY GIVEN TIME, (2) PROVIDE CONTINUING EDUCATION FOR HOME VISITORS, (3) IMPROVE BENCHMARK VI PERFORMANCE MEASURES ON REFERRALS AND OUTCOMES, (4) COMPLETE THREE PLAN-DO-STUDY-ACT CYCLES, (5) ACHIEVE A 30% INCREASE IN REFERRALS TO EARLY CHILDHOOD EDUCATION UTILIZING A TRANSITION PLANNING PROCESS, AND (6) ATTAIN AN 85% OR BETTER CLIENT SATISFACTION RATE AMONG FAMILIES. CASELOAD: THE AIGA MANUIA OF THE AMERICAN SAMOA MIECHV PROPOSES A TOTAL CASELOAD OF 225 MIECHV FAMILY SLOTS TO MAINTAIN FOR THE FY2025 PERIOD OF PERFORMANCE (09/30/2025 THROUGH 09/29/2026 AND 09/30/2026 THROUGH 09/29/2027). FUNDING WILL ENABLE THE AIGA MANUIA PROGRAM TO DELIVER AMERICAN SAMOA MIECHV HOME VISITING SERVICES, SERVING 15 COUNTIES ACROSS THE AMERICAN SAMOA ARCHIPELAGO AND ITS OUTER ISLANDS. AMERICAN SAMOA HAS ONE CONGRESSIONAL DISTRICT SERVED BY THE AIGA MANUIA OF THE MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING PROGRAM. THE FOLLOWING COUNTIES OR DISTRICTS SERVED BY THE AIGA MANUIA PROGRAM OF THE AMERICAN SAMOA MIECHV ARE: FOFO, ITUAU, LEALATAUA/ALATAUA, LEASINA/AITULAGI, MA’OPUTASI, SA’OLE, SUA, TUALATAI, TUALAUTA, AND VAIFANUA, FALEASAO, FITIUTA, OFU, OLOSEGA, AND TA’U. LIAS: THE GRANTEE-RECIPIENT WILL CONTINUE TO USE THE HEALTHY FAMILIES AMERICA (HFA) MODEL TO IMPROVE HOME VISITING SERVICE DELIVERY AND PERFORMANCE. THE AIGA MANUIA OF THE AMERICAN SAMOA MIECHV PROGRAM IS THE GRANTEE-RECIPIENT AND IS DESIGNATED TO RECEIVE FY2025 MIECHV FUNDING. MATCHING FUNDS: WE PLAN TO UTILIZE MATCHING FUNDS AND TO FORMALLY REQUEST A WAIVER FOR THE MATCHING FUNDS REQUIREMENT FOR THE AMERICAN SAMOA MIECHV PROJECT. WE ARE REQUESTING A WAIVER FOR THE MATCHING FUNDS DUE TO SIGNIFICANT CHALLENGES AND ECONOMIC LIMITATIONS WITHIN OUR TERRITORY. GIVEN THESE LIMITED RESOURCES, THE AMERICAN SAMOA MIECHV PROGRAM INTENDS TO UTILIZE UP TO $329, 934 FROM THE WAIVED MATCHING FUNDS TO SUPPORT OUR INITIATIVES. WE WILL NOT BE USING ANY NON-FEDERAL FUNDS TO MEET THE MATCHING REQUIREMENT.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PURPOSE: THE NYS MIECHV INITIATIVE AIMS TO HELP PREGNANT WOMEN AND PARENTS OF YOUNG CHILDREN IMPROVE HEALTH AND WELL-BEING FOR THEMSELVES AND THEIR FAMILIES. THIS IS ACCOMPLISHED BY PROVIDING COMPREHENSIVE HOME VISITING SERVICES VIA THE NFP AND HEALTHY FAMILIES AMERICA (HEALTHY FAMILIES NEW YORK/HFNY) HOME VISITING PROGRAMS TO ELIGIBLE FAMILIES LIVING IN COMMUNITIES THAT FACE BARRIERS TO ACHIEVING POSITIVE MATERNAL AND CHILD HEALTH OUTCOMES. PROGRAMMING AT BOTH THE LOCAL AND STATE LEVEL IS INTEGRATED WITHIN A COMPREHENSIVE, COORDINATED SYSTEM OF PERINATAL, INFANT AND EARLY CHILDHOOD SERVICES. MATCHING FUNDS WILL BE USED TO IMPROVE AND EXPAND HOME VISITING SERVICE DELIVERY TO EXISTING COMMUNITIES THROUGH THE NURSE FAMILY PARTNERSHIP EXPANSION (NFPX). GOAL(S) AND OBJECTIVES: THERE ARE THREE OVERARCHING GOALS: IMPROVE PREGNANCY OUTCOMES FOR PREGNANT WOMEN AND BABIES, IMPROVE CHILDREN’S HEALTH AND DEVELOPMENT, AND STRENGTHEN FAMILY FUNCTIONING AND LIFE COURSE. THERE ARE SIX OBJECTIVES TO MEET THESE GOALS: 1.BY 9/29/27, NFP AND HFNY PROGRAMS WILL HAVE CONTINUOUSLY IMPLEMENTED THEIR PROGRAMS IN ACCORDANCE WITH MODEL ELEMENTS ESTABLISHED BY THE RESPECTIVE MODEL DEVELOPERS. 2.BY 9/29/27, NFP AND HFNY PROGRAMS WILL MAINTAIN AN ACTIVE ENROLLMENT OF AT LEAST 85% OF THEIR MAXIMUM SERVICE CAPACITY. 3.BY 9/29/27, NFP AND HFNY PROGRAMS WILL INCREASE RECIPROCAL REFERRALS BETWEEN COMMUNITY AGENCIES (E.G., HOSPITALS, PRENATAL CARE PROVIDERS, SCHOOLS, WIC, LOCAL DEPARTMENTS OF SOCIAL SERVICES) SERVING PREGNANT AND NEWLY PARENTING FAMILIES. 4.BY 9/29/27, NFP AND HFNY WILL DEMONSTRATE IMPROVEMENTS IN MEASURABLE OUTCOMES FOR PARTICIPATING FAMILIES. 5.BY 9/29/27, NYSDOH MIECHV STAFF WILL ACTIVELY PARTICIPATE IN WORKGROUPS TO INCREASE AND STRENGTHEN COORDINATION AND INTEGRATION OF HOME VISITING PROGRAMS WITHIN LARGER MATERNAL AND INFANT HEALTH AND EARLY CHILDHOOD SERVICES SYSTEMS. 6.BY 9/29/27, NYSDOH MIECHV STAFF WILL ANALYZE MIECHV PERFORMANCE MEASURES, AND SHARE THE RESULTS WITH NFP AND HFNY PROGRAMS TO COLLABORATIVELY IMPROVE OUTCOMES FOR ALL FAMILIES SERVED. APPROACH: THE NYSDOH MIECHV INITIATIVE WILL SUPPORT HFNY PROGRAMS IN SIX COUNTIES (BRONX, ERIE, KINGS, MONROE, ONEIDA, QUEENS), NFP PROJECTS IN EIGHT COUNTIES (BRONX, ERIE, KINGS, MONROE, NASSAU, NIAGARA, QUEENS, AND RICHMOND COUNTIES). THE CASELOAD OF FAMILY SLOTS OF CURRENTLY CONTRACTED PROGRAMS IS 3,402. THE TOTAL PROPOSED CASELOAD OF FAMILY SLOTS IS 3,295 FOR FFY 2025 AND FFY 2026. NYS MIECHV PARTICIPATES IN A VARIETY OF INTERAGENCY AND STATE-WIDE WORKGROUPS AND INITIATIVES RELATED TO PERINATAL, INFANT AND CHILD HEALTH AND EARLY CHILDHOOD SYSTEMS, ENSURING HOME VISITING IS WELL-INTEGRATED INTO THE LARGER SYSTEMS. USE OF MATCHING FUNDS: MATCH FUNDING WILL BE ALLOCATED ACROSS THE SEVEN MIECHV-FUNDED NFP GRANTEES TO ENROLL ADDITIONAL INDIVIDUALS. THE DEPARTMENT WILL WORK WITH THE NSO TO OBTAIN A LETTER OF SUPPORT, CONFIRMING THAT THE NFPX SITES ARE IN GOOD STANDING. AWARDEES MUST THEN CONTACT THEIR HRSA. THE DEPARTMENT WILL THEN CONTACT THEIR HRSA PROJECT OFFICER FOR FORMAL APPROVAL TO USE MIECHV FUNDING FOR THIS PURPOSE. THE DEPARTMENT WILL AMEND THE PROJECT WORKPLAN AND OTHER DOCUMENTS AS NECESSARY. NON-FEDERAL MATCHING FUNDS TO BE UTILIZED ARE ANNUAL APPROPRIATED ALLOCATED BY THE NYS LEGISLATURE TO NFP PROGRAMS SERVING MIECHV-ELIGIBLE CLIENTS AND FAMILIES. WE DO ANTICIPATE A POTENTIAL REDUCTION IN CASELOAD FOR FFY 2026 AND FFY 2027 AS A RESULT OF INCREASED EXPENSES PER FAMILY FOR THE HFNY PROGRAM. HOWEVER, IT IS ALSO POSSIBLE THAT WE WILL SEE AN INCREASE IN FAMILIES SERVED WHEN NFPX IS IMPLEMENTED. WE DO NOT YET KNOW WHICH PROGRAMS WILL BE SEEKING APPROVAL TO PROVIDE NFPX SERVICES AND CANNOT BREAK DOWN THIS POTENTIAL INCREASED CASELOAD BY LIA AT THIS TIME. ADDITIONALLY, IF THERE AREN'T SUFFICIENT PROGRAMS SEEKING TO IMPLEMENT NFPX, WE MAY DISTRIBUTE THE MATCH FUNDING AND GIVE LIAS THE OPTION OF ALLOCATING IT TOWARDS TRADITIONAL NFP AND/OR NFPX IMPLEMENTATION.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PURPOSE: THE PURPOSE OF THE H.O.M.E. VISITING PROGRAM IS TO PROVIDE FAMILIES IN THE CNMI WHO ARE IDENTIFIED AS AT-RISK WITH THE TOOLS AND SUPPORT TO IMPROVE THEIR OVERALL HEALTH STATUS, SAFETY AND WELL-BEING THROUGH THE DELIVERY OF COORDINATED AND COMPREHENSIVE HIGH-QUALITY VOLUNTARY, EVIDENCE BASED, EARLY CHILDHOOD HOME VISITING SERVICES. FAMILIES RESIDING IN AT-RISK COMMUNITIES CONTINUE TO FACE CHALLENGES AND/OR BARRIERS WHEN SEEKING PRIMARY/PREVENTIVE SERVICES WHICH RESULT IN POOR HEALTH OUTCOMES. THE CHALLENGES INCLUDE NO MEANS OF TRANSPORTATION, LANGUAGE BARRIERS, CONFLICTING CULTURAL AND UPBRINGING BELIEFS, EDUCATION LESS THAN 12 YEARS, FAMILY PRIORITIES, LOW-INCOME LEVEL WITH HIGH COST OF LIVING, ETC. THE H.O.M.E. VISITING PROGRAM HAS IMPLEMENTED THE HEALTHY FAMILIES AMERICA (HFA) MODEL THAT WILL SYSTEMATICALLY HELP REDUCE ASSOCIATED RISK FACTORS WHILE AT THE SAME TIME IMPROVE PROTECTIVE FACTORS SUCH AS WITH STRENGTHENED POSITIVE PARENT-CHILD RELATIONSHIP. GOAL(S) AND OBJECTIVES: •GOAL 1: PROMOTE THE IMPORTANCE AND BENEFITS OF BREASTFEEDING. OBJECTIVE: BY SEPT 2027, INCREASE THE NUMBER OF INFANTS ENROLLED IN HV WHO ARE BREASTFED AT 6 MONTHS BY 5% FROM THE PREVIOUS REPORTING YEAR. •GOAL 2: INCREASE WELL-CHILD VISIT RATES. OBJECTIVE: BY SEPTEMBER 2027, INCREASE PERCENT OF ENROLLED CHILDREN WHO RECEIVED THE LAST RECOMMENDED WELL CHILD VISIT BASED ON THE AAP SCHEDULE BY 5% FROM PREVIOUS REPORTING PERIOD. •GOAL 3: INCREASE DEPRESSION REFERRAL TO APPROPRIATE AGENCY. OBJECTIVE: BY SEPTEMBER 2027, INCREASE THE NUMBER OF CAREGIVERS SCREENED FOR POSITIVE DEPRESSION WHO RECEIVED RECOMMENDED SERVICES WITH ONE OF MORE SERVICE CONTACTS BY 5% FROM PREVIOUS REPORTING PERIOD. •GOAL 4: INCREASE PARENT-CHILD INTERACTION (PCI) USING A VALIDATED TOOL. OBJECTIVE: BY SEPTEMBER 2027, 75% OF TARGET CHILDREN ENROLLED RECEIVE AT-LEAST ONE PCI OBSERVATION. APPROACH: THE H.O.M.E. VISITING PROGRAM WILL CONTINUE TO PROVIDE THE TOOLS AND SUPPORT TO IMPROVE THE OVERALL HEALTH STATUS, SAFETY AND WELL-BEING OF FAMILIES RESIDING IN AT-RISK COMMUNITIES. THE AT-RISK COMMUNITIES TO BE SERVED INCLUDE THE ENTIRE ISLAND OF SAIPAN, TINIAN AND ROTA. THE EVIDENCE-BASED MODEL IMPLEMENTED IN THE CNMI IS HEALTHY FAMILIES AMERICA (HFA) AND WILL BE THE ONLY HOME VISITING MODEL USED. THE TOTAL PROPOSED CASELOAD OF FAMILY SLOTS FY 2024 IS 200 AND FY 2025 IS 215. THE CURRENT NUMBER OF FAMILIES ENROLLED IS 160 (SAIPAN -139, TINIAN 14, AND ROTA – 7) FOR THE ENTIRE CNMI. COLLABORATIVE EFFORTS WITH COMMUNITY PARTNERS WILL ENSURE THAT FAMILIES FACED WITH MULTIPLE NEEDS SUCH AS RESOURCES FOR HEALTH PROMOTION, SUPPORT, FAMILY ASSISTANCE, PREVENTIVE SERVICES, AND OVERALL ACCESS TO COMMUNITY RESOURCES ARE BEING MET.KEY ACTIVITIES TO ENSURE APPROPRIATE LINKAGES AND REFERRAL NETWORKS TO OTHER COMMUNITY RESOURCES AND SUPPORTS THAT THE FAMILIES COULD BENEFIT FROM INCLUDE: JOINT EFFORTS FOR CAPACITY BUILDING AMONG PROGRAM STAFF WHO MAKE UP THE CNMI EARLY CHILDHOOD SYSTEM, ADDRESS SOCIAL DETERMINANTS OF HEALTH, INCLUDING IDENTIFYING FAMILIES’ HOUSING NEEDS, CONTINUING EDUCATION, JOB SEEKING ASSISTANCE TO IMPROVE FAMILY SELF-SUFFICIENCY, AND COLLABORATING ON A CENTRALIZED EARLY CHILDHOOD SYSTEM AS PART OF PRESSING EFFORTS TO REDUCE THE BURDEN AMONG FAMILIES WHO COMPLETE DUPLICATE DEVELOPMENTAL SCREENING. THE CNMI MIECHV PROGRAM WILL BE REQUESTING ADDITIONAL FEDERAL MATCHING FUNDS OF $599,997.00 FOLLOWING THE MATCHING GRANTS WAIVER OPPORTUNITY PROVIDED TO THE CNMI. FY 25 FEDERAL MATCH CEILING AMOUNT: $599,997.00 FY 2025 NON-FEDERAL CONTRIBUTION REQUIRED FOR MATCHING FUNDS – CEILING AMOUNT: USE MATCH WAIVER AMOUNT OF $199,999.00