Affordable Care Act (ACA) Maternal, Infant, and Early Childhood Home Visiting Program

The Maternal, Infant, and Early Childhood Home Visiting Program is designed:

  1. to strengthen and improve the programs and activities carried out under Title V
  2. to improve coordination of services for at risk communities; and
  3. to identify and provide evidence-based
    home visiting programs to improve outcomes for families who reside in at risk communities.

Agency - Department of Health and Human Services

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

Office - See Regional Agency Offices.

Audrey M.

Yowell, PhD, MSSS; Health Resources and Services Administration; Maternal and Child Health Bureau; 5600 Fishers Lane, 18A-39; Rockville MD 20857; (301) 443-4292;
Website Address

Program Accomplishments

Not Applicable.

Uses and Use Restrictions

Assistance can potentially be used for conducting State needs assessments, developing State Plans for home visiting programs and systems, and enhancing States infrastructure for improving coordination of services for at-risk communities and identifying and providing comprehensive services to improve outcomes for families who reside in at-risk communities, as well as for implementing State home visiting service programs.

A portion of the funding may not be drawn down until the Needs Assessment and Updated State Plan are submitted and approved.


Eligibility Requirements

Applicant Eligibility

Eligibility for funding is limited to a single application from each State, the District of Columbia, Puerto Rico, Guam, the Virgin Islands, the Northern Mariana Islands, and American Samoa. The Governor has the responsibility and authority to designate which entity or group of entities will apply for and administer home visiting program funds on behalf of the State or US Territories. Regardless of the entity or entities designated by the Governor, this application must contain the concurrence and signatures of the:

  • Director of the State s Title V agency;
  • Director of the State s agency for Title II of CAPTA;
  • Director of the State s Single State Agency for Substance Abuse Services;
  • Director of the State s Head Start State Collaboration Office.

Beneficiary Eligibility

  • Eligible families residing in communities in need of such services, as identified in a State needs assessment
  • Low-income eligible families
  • Eligible families who are pregnant women under age 21
  • Eligible families with a history of child abuse or neglect or have had interactions with child welfare services
  • Eligible families with a history of substance abuse or need substance abuse treatment
  • Eligible families that have users of tobacco products in the home
  • Eligible families that are or have children with low student achievement
  • Eligible families with children with developmental delays or disabilities
  • Eligible families who, or that include individuals serving or formerly serving in the Armed Forces, including those with members who have had multiple deployments outside the US
Eligible family:
  • A woman who is pregnant, and the father of the child if available, or
  • A parent or primary caregiver of the child, including grandparents or other relatives and foster parents serving as the child"s primary caregiver from birth until kindergarten entry, including a noncustodial parent with an ongoing relationship with, and at times provides


Aplication and Award Process

Preapplication Coordination

Application Procedures

OMB Circular No. A-102 applies to this program. This program is excluded from coverage under OMB Circular No. A-110. HRSA requires all applicants to apply electronically through

Award Procedures

All qualified applications will be forwarded to an objective review committee. Based on the advice of the objective review committee, the HRSA program official with delegated authority is responsible for final selection and funding decisions.
Notification is made in writing by a Notice of Award.


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


Legislative Authority: Social Security Act, Title V, Section 511 (42 U.S.C. 701), as amended by the Patient Protection and Affordable Care Act of 2010 (PPACA) (P.L. 111-148).

Range of Approval/Disapproval Time


Not Applicable.


Competing continuation applications may be submitted for continuance of a grant beyond the initial project period.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula.
This program has no matching requirements.
This program does not have MOE requirements.

Length and Time Phasing of Assistance

Funds awarded to an eligible entity for a fiscal year remain available for expenditure through the end of the second succeeding fiscal year after award. See the following for information on how assistance is awarded/released: Grantee drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.

Additional information about the availability of funding will be provided in the funding opportunity announcement.

Post Assistance Requirements


Grantees are required to submit progress and financial reports on the status of the project using the Electronic Handbooks System (

Refer to the specific funding opportunity announcement for further information.

Submit a quarterly electronic Federal Financial Cash Transaction Report via the Payment Management System.

The report identifies cash expenditures against the authorized funds for the grant.

The Cash Transaction Reports must be filed within 30 days of the end of each quarter.

Failure to submit the report may result in the inability to access award funds.

Go to for additional information.

Successful applicants receiving funding will be required, within 90 days from the end of the project period, to electronically complete the program specific data forms.

The requirement includes providing expenditure data for the final year of the project period, the project abstract and award summary data as well as final indicators/scores for the performance measures.

A Financial Report is required within 90 days of the end of each budget period.

The report is an accounting of expenditures under the project that year.

It must be submitted on-line by grantees in the HRSA Electronic Handbooks system at

More specific information will be included in the award notice.

It must be submitted on-line by grantees in the HRSA Electronic Handbooks system at


In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Non-Profit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133.


Grantees are required to maintain grant accounting records 3 years after the date they submit the Federal Financial Report (FFR). If any litigation, claim, negotiation, audit or other action involving the award has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later.

Financial Information

Account Identification

75-0321-0-1-550 - TAFS: 75-0321/2010.


(Salaries) FY 09 not reported.; FY 10 est $88,000,000; FY 11 est $227,000,000

Range and Average of Financial Assistance

$500,000 - $7,782,987.

Regulations, Guidelines, and Literature

This program is subject to the provisions of 45 CFR Part 92 for State, local and tribal governments and 45 CFR Part 74 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations, as applicable.

HRSA awards are subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available at

Information Contacts

Regional or Local Office

See Regional Agency Offices. Audrey M. Yowell, PhD, MSSS; Health Resources and Services Administration; Maternal and Child Health Bureau; 5600 Fishers Lane, 18A-39; Rockville MD 20857; (301) 443-4292;

Headquarters Office

Audrey M. Yowell, 5600 Fishers Lane, 18A-39, Rockville, Maryland 20857 Email:

Criteria for Selecting Proposals

In FY2010, awards will be made on a formula basis. All applications will be reviewed internally by grants management officials (business and financial review) and program staff (technical review) for eligibility, completeness, accuracy, and compliance with the requirements outlined in this announcement. The program review will include the State s response to the Program Narrative section of the funding opportunity announcement. Of particular concern will be:

  • The capacity and commitment of the entity designated by the Governor to administer an evidence-based home visiting program under the Maternal, Infant, and Early Childhood Home Visiting Program.

  • The clarity and feasibility of the State s approach to conducting and submitting the needs assessment and the degree to which this approach complies with the specific requirements for an application under this FOA, as outlined above and in accordance with section 511(b) of Title V, as amended by the PPACA.

  • The clarity of the State s plan for ensuring coordination and collaboration among entities and stakeholders.

  • The clarity of the State s description of anticipated technical assistance needs.

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