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Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - ABSTRACT PURPOSE: HOME VISITING (HV) IS A KEY STRATEGY FOR PREVENTING INFANT AND MATERNAL MORTALITY AND PROMOTING MATERNAL AND CHILD HEALTH IN MARYLAND. THE PRIORITY POPULATION IS EXPECTANT WOMEN, MOTHERS, AND CHILDREN BIRTH TO FIVE. THE PROJECT FOCUSES ON ALL OF THE STATE’S 24 JURISDICTIONS – THOSE WITH COMMUNITIES AT GREATEST RISK. THE PROJECT PROVIDES EVIDENCE-BASED HOME VISITING (EBHV) IN ALL JURISDICTIONS; SUPPORTS INFRASTRUCTURE FOR ALL SITES; AND SUPPORTS WORKFORCE RETENTION. GOALS AND OBJECTIVES: GOAL 1: IMPROVE MATERNAL, INFANT, AND EARLY CHILDHOOD HEALTH BY PROVIDING VOLUNTARY HOME VISITING SERVICES THROUGH EVIDENCE-BASED MODELS. OBJECTIVE 1.1 – PROVIDE FUNDING FOR ALL ELIGIBLE JURISDICTIONS BY CONSIDERING THE ADOPTION AND IMPLEMENTATION OF EVIDENCE-BASED HOME VISITING (EBHV) MODELS IN THE PERINATAL PERIOD THROUGH EARLY CHILDHOOD. OBJECTIVE 1.2 -- PROVIDE LOCAL IMPLEMENTING AGENCIES (LIAS) WITH NEEDED SUPPORTS TO POSITIVELY IMPACT FAMILIES THROUGH TRAINING, AND TECHNICAL ASSISTANCE, AND PROFESSIONAL DEVELOPMENT OPPORTUNITIES OBJECTIVE 1.3 – STRENGTHEN PARTNERSHIPS WITH STATE AGENCIES TO IMPROVE PROGRAMS AND ACTIVITIES FOR FAMILIES RECEIVING HOME VISITING SERVICES GOAL 2: ENSURE THE PROVISION OF HIGH-QUALITY HOME VISITING SERVICES TO ELIGIBLE FAMILIES. OBJECTIVE 2.1 -- LEVERAGE STRATEGIC PARTNERSHIPS TO IMPROVE PROGRAMS AND ACTIVITIES FOR FAMILIES RECEIVING HOME VISITING SERVICES. OBJECTIVE 2.2 -- UTILIZE DATA FOR PROGRAM MONITORING, EVALUATION AND LEARNING. OBJECTIVE 2.3 - CONTINUE TO IMPLEMENT QUALITY IMPROVEMENT INITIATIVES. APPROACH: PROPOSED CASELOAD: 1,238 IN FEDERAL FISCAL YEAR 1(9/30/25-9/29/26) AND 1,263 IN FEDERAL FISCAL YEAR 2 (9/30/26-9/29/27). NOTE THAT THESE NUMBERS DO NOT YET INCLUDE THE 5 NEWLY ELIGIBLE JURISDICTIONS (APPROVED IN MAY 2025). THIS PROPOSED CASELOAD WILL BE REVISED AFTER OUTREACH WITH THE COUNTIES. COMMUNITIES SERVED: ALL 24 MD JURISDICTIONS ARE ELIGIBLE; NEW JURISDICTIONS IDENTIFIED IN FY 2025 NEEDS ASSESSMENT UPDATE: ALLEGANY, CALVERT, CHARLES, HOWARD AND FREDERICK COUNTIES NUMBER OF LIAS: 26 MATCHING FUNDS- FEDERAL MATCHING FUNDS WILL BE USED TO SUPPORT THE DELIVERY OF EBHV SERVICES IN EXISTING JURISDICTIONS AND THE EXPANSION OF EBHV IN NEW JURISDICTIONS. THE MARYLAND STATE DEPARTMENT OF EDUCATION (MSDE) WILL PROVIDE THE NON-FEDERAL FUNDS TO MEET THE FEDERAL MATCHING REQUIREMENT.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - ADDRESS: 1330 LADY STREET, 310 COLUMBIA, SC 29201 AUTHORIZING OFFICIAL: ERIC BELLAMY, CHIEF PARTNER ENGAGEMENT OFFICER CONTACT NUMBER: 803/733-5430 (O); 803/744-4020 (F) EMAIL ADDRESS: EBELLAMY@SCCHILDREN.ORG WEBSITE: WWW.SCCHILDREN.ORG FUNDS REQUESTED: $10,392,714 PURPOSE: SOUTH CAROLINA’S MIECHV PROGRAM SEEKS TO SUSTAIN EVIDENCE-BASED HOME VISITING IN THE STATE THROUGH STRATEGIC PROGRAM IMPLEMENTATION AND TARGETED PARTNERSHIPS. TARGET AREAS AND POPULATIONS INCLUDE CHILD MALTREATMENT, MATERNAL/INFANT HEALTH, SCHOOL READINESS, AND HARD-TO-REACH FAMILIES. SCMIECHV WILL ADDRESS COORDINATION AND DELIVERY OF CRITICAL HEALTH, CHILD DEVELOPMENT, EARLY LEARNING, CHILD ABUSE AND NEGLECT PREVENTION, AND FAMILY SUPPORT SERVICES THROUGH EVIDENCE-BASED HOME VISITING AND STRENGTHENED EARLY CHILDHOOD SYSTEMS. GOALS AND OBJECTIVES: GOAL 1 – INCREASE CAPACITY OF MIECHV PROGRAMS AND COMMUNITIES TO IMPLEMENT EFFECTIVE EVIDENCE-BASED HOME VISITING SERVICES. OBJECTIVE I: INCREASE CAPACITY OF SERVICE PROVISION FOR CONTRACTED 15 LIAS TO REACH AND MAINTAIN ENROLLMENT OF FAMILIES AT 85% THROUGH SEPTEMBER 2027. GOAL 2 – CONTINUED EXPANSION OF COMPETENCIES OF HOME VISITING PROGRAM STAFF WORKING WITH FAMILIES IN ALL CONTRACTED SITES AND PARTNERING EARLY CHILDHOOD PROGRAMS THROUGH SEPTEMBER 30, 2027. OBJECTIVE I: INCREASE KNOWLEDGE, SKILLS, ABILITIES OF HOME VISITING WORKFORCE BY PROVIDING EIGHT (8) MANDATORY TRAININGS AND SUPPLEMENTAL TRAINING OPPORTUNITIES BY SEPTEMBER 2027. GOAL 3 – ADVOCATE FOR SUSTAINABLE EVIDENCE-BASED HOME VISITING WITHIN STATE THROUGH SEPTEMBER 2027. OBJECTIVE I: TRANSLATE RESULTS FROM STAKEHOLDERS’ EVALUATIONS AND PRODUCE COLLECTIVE DATA REPORT FOR STATE LEGISLATORS IN THE 2026 AND 2027 LEGISLATIVE SESSIONS FOR MEANINGFUL SUSTAINABILITY RECOMMENDATIONS. OBJECTIVE II: CONVENE 20 EARLY CHILDHOOD STAKEHOLDERS THROUGH THE SOUTH CAROLINA HOME VISITING CONSORTIUM (SCHVC) THROUGH SEPTEMBER 2027. OBJECTIVE III: COORDINATE EFFORTS TO INCREASE EDUCATION AND ADVOCACY FOR HOME VISITING PROGRAMS THROUGH THE SCHVC THROUGH SEPTEMBER 2027. GOAL 4 – EXPAND THE CAPACITY AND QUALITY OF SERVICE PROVISION TO FAMILIES IN SOUTH CAROLINA UNDER ADDITIONAL STATE AND FEDERAL MATCH FUNDING BY SEPTEMBER 2026. OBJECTIVE I: IMPLEMENT AN RFP PROCESS TO EXPAND SERVICE PROVISION TO ADDITIONAL FAMILIES THROUGH EXISTING LIA PARTNERS BY SEPTEMBER 2026. OBJECTIVE II: BEGIN IMPLEMENTATION OF THE HEALTHY FAMILIES AMERICA (HFA) MULTI-SITE SYSTEM BY JANUARY 2026. OBJECTIVE III: RECRUIT HOME VISITING MANAGER POSITION TO SUPPORT PROGRAM IMPLEMENTATION, DELIVERY AND ASSESSMENT, AND COORDINATE THE HFA MULTI-SITE SYSTEM BY DECEMBER 2025. METHODOLOGY: - SUPPORTED MODELS INCLUDE HFA, NFP, AND PAT; - PROPOSAL WILL REACH 38 OF 46 SOUTH CAROLINA COUNTIES; - PROPOSAL WILL INVOLVE 15 LIAS/LOCAL IMPLEMENTING AGENCIES; - TOTAL PROPOSED CASELOAD OF FAMILY SLOTS: FY 2026 = 1474; FY 2027 = 1474 (CURRENT CASELOAD IS 1394). MATCHING FUNDS: - SCMIECHV IS APPLYING FOR FEDERAL MATCHING FUNDS UNDER THIS FUNDING OPPORTUNITY - MATCHING FUNDS SOURCE: SOUTH CAROLINA STATE AGENCY - WITH ADDITIONAL STATE AND FEDERAL MATCH FUNDING, CHILDREN’S TRUST PROPOSES TO EXPAND SERVICES TO REACH ADDITIONAL FAMILIES THROUGH EXISTING PARTNER LIA(S). ADDITIONALLY, CHILDREN’S TRUST IS PLANNING TO BECOME THE CENTRAL ADMINISTRATION FOR A HEALTHY FAMILIES AMERICA (HFA) MULTI-SITE SYSTEM IN SOUTH CAROLINA, WHICH WILL STRENGTHEN CHILDREN’S TRUST ROLE IN ENSURING EVIDENCE-BASED OUTCOMES FOR FAMILIES SERVED BY HFA ACROSS THE STATE.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - ADDRESS: 1330 LADY ST., STE. 310, COLUMBIA, SC 29201 PROJECT DIRECTOR: CATHY RAMAGE PHONE: 803-744-4027 (VOICE) EMAIL ADDRESS: CRAMAGE@SCCHILDREN.ORG WEBSITE: SCCHILDREN.ORG GRANT PROGRAM FUNDS REQUESTED: MIECHV X10MC50328, $9,599,933 ANNOTATION: SOUTH CAROLINA’S MIECHV PROGRAM SEEKS TO SUSTAIN EVIDENCE-BASED HOME VISITING IN THE STATE BY CONCENTRATING ON THE AREAS OF GREATEST NEED WITH STRATEGIC PROGRAM IMPLEMENTATION. TARGET AREAS AND POPULATIONS INCLUDE CHILD MALTREATMENT, MATERNAL/INFANT HEALTH, SCHOOL READINESS AND FAMILIES/CHILDREN WITH SPECIAL NEEDS. SCMIECHV WILL ADDRESS COORDINATION AND DELIVERY OF CRITICAL HEALTH, CHILD DEVELOPMENT, EARLY LEARNING, CHILD ABUSE AND NEGLECT PREVENTION, AND FAMILY SUPPORT SERVICES THROUGH EVIDENCE-BASED HOME VISITING AND STRENGTHENED EARLY CHILDHOOD SYSTEMS. PROBLEM: IN 2020, SCMIECHV CONDUCTED A NEEDS ASSESSMENT WHICH USED ESTABLISHED CRITERIA INCLUDING A MIX OF SOCIO-ECONOMIC INDICATORS, PERINATAL HEALTH AND SUBSTANCE USE DISORDER MEASURES, CHILD MALTREATMENT DATA, AND EXISTING ENGAGEMENT IN HOME VISITING TO IDENTIFY RISK AND FOUND THAT 44 OF SOUTH CAROLINA’S 46 COUNTIES WERE AT-RISK DUE TO POOR PRENATAL, MATERNAL, NEWBORN, OR CHILD HEALTH OUTCOMES. PURPOSE: REQUESTED FUNDS WILL SUPPORT THE CONTINUED STRENGTHENING OF SCMIECHV SERVICE PROVISION, INFRASTRUCTURE, AND WORKFORCE DEVELOPMENT THROUGH TECHNICAL ASSISTANCE, MONITORING, TRAINING, COLLABORATION, AND COORDINATION. SCMIECHV STRIVES TO SERVE SOUTH CAROLINA’S MOST VULNERABLE POPULATIONS THROUGH INNOVATIVE, TACTICAL SERVICE PROVISION SUPPORT AND SYSTEMIC INFRASTRUCTURE BUILDING. GOALS & OBJECTIVES: GOAL 1. INCREASE CAPACITY OF MIECHV PROGRAMS AND COMMUNITIES TO IMPLEMENT EFFECTIVE EVIDENCE-BASED HOME VISITING SERVICES. OBJ 1: INCREASE CAPACITY OF SERVICE PROVISION FOR CONTRACTED 16 LIAS TO REACH AND MAINTAIN ENROLLMENT OF FAMILIES AT 85% THROUGH SEPTEMBER 2026. OBJ 2: INCREASE CAPACITY AND PRECISION OF 16 LIAS TO EFFECTIVELY TARGET AND SERVE POPULATIONS IN AT RISK COMMUNITIES BASED ON RESULTS OF THE 2020 HOME VISITING NEEDS ASSESSMENT AND USING A HEALTH EQUITY APPROACH BY SEPTEMBER 2026. GOAL 2. CONTINUED EXPANSION OF COMPETENCIES OF HOME VISITING PROGRAM STAFF WORKING WITH FAMILIES AND SPECIAL POPULATIONS IN ALL CONTRACTED SITES AND PARTNERING EARLY CHILDHOOD PROGRAMS THROUGH SEPTEMBER 30, 2025. OBJ 1: INCREASE KNOWLEDGE, SKILLS, ABILITIES OF HOME VISITING WORKFORCE IN WORKING WITH VULNERABLE POPULATIONS BY PROVIDING EIGHT (8) MANDATORY TRAININGS AND SUPPLEMENTAL TRAINING OPPORTUNITIES BY SEPTEMBER 2026. GOAL 3. ADVOCATE FOR SUSTAINABLE EVIDENCE-BASED HOME VISITING WITHIN STATE THROUGH SEPTEMBER 2025. OBJ 1: TRANSLATE RESULTS FROM STAKEHOLDERS’ EVALUATIONS AND PRODUCE COLLECTIVE DATA REPORT FOR STATE LEGISLATORS IN THE 2025 AND 2026 LEGISLATIVE SESSIONS FOR MEANINGFUL SUSTAINABILITY RECOMMENDATIONS. OBJ 2: CONVENE 20 EARLY CHILDHOOD STAKEHOLDERS THROUGH THE SOUTH CAROLINA HOME VISITING CONSORTIUM (SCHVC) THROUGH SEPTEMBER 2026. OBJ 3: COORDINATE EFFORTS TO INCREASE EDUCATION AND ADVOCACY FOR HOME VISITING PROGRAMS THROUGH THE SCHVC THROUGH SEPTEMBER 2026. GOAL 4. INCREASE CAPACITY OF MIECHV PROGRAMS TO PROVIDE HIGH QUALITY IN-PERSON AND VIRTUAL SERVICES. OBJ 1: INCREASE CAPACITY OF 16 CONTRACTED LIAS TO REACH AND MAINTAIN THE RATE OF 60% VISITS PROVIDED IN-PERSON THROUGH SEPTEMBER 2026. OBJ 2: INCREASE KNOWLEDGE, SKILLS, ABILITIES OF HOME VISITING WORKFORCE IN CONDUCTING IN-PERSON AND VIRTUAL VISITS BY PROVIDING TARGETED TRAINING OPPORTUNITIES THROUGH SEPTEMBER 2026. APPROACH: THE THREE EVIDENCE-BASED MODELS SUPPORTED BY SCMIECHV: HFA, NFP, AND PAT. SCMIECHV INTENDS TO SERVE 37 OF SC’S 44 COUNTIES AND WILL TARGET FAMILIES/INDIVIDUALS WITH ONE OR MORE OF THE FOLLOWING CRITERIA: SINGLE PARENT; LOW INCOME; HISTORY/RISK OF SUBSTANCE ABUSE; HISTORY/RISK OF CHILD ABUSE, NEGLECT/MALTREATMENT; PREGNANT/PARENTING TEEN, UP TO AGE 21; AND/OR MILITARY FAMILY. TOTAL PROPOSED CASELOAD SLOTS:1,206 IN FY25 AND 1,266 IN FY26

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - ADDRESS: 5666 TAFUNA RD. TAFUNA, AMERICAN SAMOA 96799 PROJECT DIRECTOR:TINA IOANE TELEPHONE NUMBER: OFFICE: (684) 699-3905; CELLPHONE (684) 254-3426 EMAIL ADDRESS:TINA.IOANE@DOH.AS PURPOSE: IN SUPPORTING OF THIS FY2024 FUNDING OPPORTUNITY, THE MAIN PURPOSE OF THE MIECHV BASE GRANT AWARD IS TO IMPROVE MATERNAL AND CHILD HEALTH, EARLY CHILDHOOD DEVELOPMENT, AND FAMILY WELL-BEING OF PREGNANT MOTHERS AND PARENTS WITH CHILDREN UP TO KINDERGARTEN ENTRY—ESPECIALLY THOSE LIVING IN COMMUNITIES IDENTIFIED AS AT RISK FOR POOR MATERNAL AND CHILD HEALTH OUTCOMES—BY SUPPORTING THE DELIVERY OF COORDINATED AND COMPREHENSIVE HIGH QUALITY AND VOLUNTARY EARLY CHILDHOOD HOME VISITING SERVICES TO ELIGIBLE FAMILIES. AS REQUESTED $1,058,860.00 IN THE BASE FUNDS AND $437,750.00 IN MATCHING FUNDS USING THE WAIVER FOR TERRITORIES. GOAL: PROVIDE HIGH QUALITY AND COMPREHENSIVE HOME VISITING SERVICES TO WOMEN, THEIR INFANTS AND FAMILIES WHO ARE LOW INCOME AND RESIDE IN HIGH-RISK COMMUNITIES; DEVELOP A SYSTEM OF ISLAND WIDE COORDINATED HOME VISITING SERVICES THAT BEFITS LONG TERM AND UNDUPLICATED OUTCOMES OF HOME VISITING SERVICES AND LOCALLY COORDINATED REFERRALS; COORDINATE NECESSARY SERVICES OUTSIDE OF HOME VISITING PROGRAMS TO ADDRESS THE NEEDS OF ENROLLED FAMILIES, AND DELIVERED SERVICES BY A COMPETENT TRAINED HOME VISITING WORKFORCE.THE AS MIECHV PLAN TO FOCUS ON IMPROVEMENT OF PERFORMANCE FOR THE MIECHV FAMILIES, ENSURING RESOURCES FOR THE NEEDS OF THE TARGET POPULATION. AS MIECHV CONTINUES TO UTILIZE THE HEALTHY FAMILIES AMERICA (HFA) MODEL TO PROVIDE QUALITY SERVICES FOR PREGNANT MOTHERS, CHILDREN, AND THEIR FAMILIES. THE AS MIECHV PROGRAM WILL CONTINUE SOME OF THE PLANS IN THE WORK PLAN FROM FY 2023. IT HAS IMPROVED THE QUALITY OF SERVICES FOR THE AT-RISK COMMUNITIES THUS FAR. OBJECTIVES: 1) IDENTIFY AND PROVIDE COMPREHENSIVE HOME VISITING SERVICES TO IMPROVE OUTCOMES FOR ELIGIBLE FAMILIES LIVING IN-AT RISK COMMUNITIES; 2) STRENGTHEN AND IMPROVE PROGRAMS AND ACTIVITIES THAT ADDRESS PREVENTIVE AND PRIMARY CARE SERVICES FOR PREGNANT MOTHERS, INFANTS, AND CHILDREN UNDER THE TITLE V OF THE SOCIAL SECURITY ACT; 3) IMPROVE COORDINATION OF SERVICES IN AT-RISK COMMUNITIES. 4) CONTINUE TO PARTNERSHIP WITH LOCAL PARTNERS REGARDING REFERRAL COORDINATION AND EXPANSION OF HOME VISITING SERVICES TO THE OUTER ISLAND; 5) CONTINUE TO INCREASE THE NUMBER OF REFERRALS TO ADDITIONAL SERVICES WHEN A PARTICIPANT NEED IS IDENTIFIED FROM UTILIZING THE SCREENING TOOLS FOR DEVELOPMENTAL DELAY SERVICES, DEPRESSION, TOBACCO CESSATION, SUBSTANCE USE, MENTAL HEALTHCARE, INTIMATE PARTNER VIOLENCE, OR CHILD ABUSE/NEGLECT; 6) CONTINUE TO IDENTIFY AND PROVIDE TRAINING AND SERVICES RELEVANT TO HIGH QUALITY HOME VISITING AND EARLY CHILDHOOD SERVICES TO CONTINUE OBTAIN A COMPETENT QUALIFIED WORKFORCE FOR HIGH QUALITY SERVICE DELIVERY WHILE ENCOURAGING AND EMPOWERING SELF-DEVELOPMENT. BY SEPTEMBER 29, 2026- 1). AS WILL INCREASE ENROLLMENT OF EXPECTANT MOTHERS, 1ST TRIMESTER IN THE PROGRAM FROM 45% TO 50%. 2). AS WILL IMPROVE FAMILY RETENTION FOR ENROLLED FAMILIES UP TO 5%. 3). AS MIECHV IN MANU’A WILL INCREASE THE NUMBER OF FAMILIES ENROLLED IN THE PROGRAM UP TO 3 FAMILIES. 4).AS WILL IMPROVE COORDINATION OF TRANSITION AND CONTINUE SERVING CHILDREN 5 YEARS UP TO 7 CHILDREN 5 YEARS. METHODOLOGY: THE FUNDING WILL PROVIDE THE AIGA MANUIA PROGRAM OF THE AMERICAN SAMOA MIECHV HOME VISITING SERVICES TO 225 FAMILIES FOR BOTH YEARS OF THE PROJECT PERIOD IN 15 COUNTIES OF AMERICAN SAMOA ARCHIPELAGO AND ITS OUTER ISLANDS. 1. THE GRANTEE-RECIPIENT IMPLEMENTS HEALTHY FAMILIES AMERICA (HFA), AN EVIDENCED-BASED MODEL FOR FIDELITY TO IMPROVE HOME VISITING SERVICE DELIVERY AND PERFORMANCE. 2. BASED ON THE APPROVED FY2022 NEEDS ASSESSMENT, THE GRANTEE-RECIPIENT PROGRAM WILL SERVED TEN COUNTIES IN THE MAIN ISLAND KNOWN AS TUTUILA AND THE FIVE COUNTIES IN THE ISLAND OF MANU’A OF AS.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - ADDRESS: PO BOX 142002, SALT LAKE CITY, UT 84114 PROJECT DIRECTOR: ELIZABETH VANSANT-WEBB PHONE NUMBER: (385) 271-7231 EMAIL ADDRESS: ELIZABETHVW@UTAH.GOV WEBSITE ADDRESS: WWW.HOMEVISITING.UTAH.GOV GRANT FUNDS REQUESTED: $4,911,777 ANNOTATION : THE UTAH HOME VISITING PROGRAM (HVP) PROMOTES EVIDENCE-BASED HOME VISITING TO IMPROVE THE HEALTH AND DEVELOPMENTAL OUTCOMES OF AT-RISK PREGNANT WOMEN AND YOUNG CHILDREN, ENSURE CHILDREN LIVE IN SAFE AND NURTURING ENVIRONMENTS, STRENGTHEN PARENT-CHILD RELATIONSHIPS, AND TO PROMOTE COORDINATION OF SERVICES FOR AT-RISK PREGNANT AND YOUNG PARENTING FAMILIES. UTAH PLANS TO INCREASE SERVICES IN 4 CURRENT COMMUNITIES AND EXPAND TO 3 NEW COMMUNITIES. PROBLEM: UTAH’S STATEWIDE NEEDS ASSESSMENT IDENTIFIED 16 COUNTIES WITH A RANGE OF RISK INDICATORS INCLUDING, ADVERSE PARENTAL OUTCOMES, CHILD MALTREATMENT, LOW SOCIOECONOMIC STATUS, CRIME, AND SUBSTANCE USE. FURTHERMORE, UTAH MUST FOCUS ON WORKFORCE DEVELOPMENT TO ENSURE HIGH QUALITY SERVICES ARE AVAILABLE ACROSS THE STATE AS SERVICES EXPAND. PURPOSE: UTAH WILL IMPLEMENT EVIDENCE-BASED HOME VISITING IN 7 COUNTIES TO ADDRESS THESE RISK INDICATORS FOR FAMILIES WITH YOUNG CHILDREN. UTAH WILL SUPPORT AND GROW THE HOME VISITING WORKFORCE TO BEST ADDRESS THESE INDICATORS. GOAL(S) AND OBJECTIVES: UTAH WILL INCREASE THE CAPACITY OF FUNDED COMMUNITIES TO IMPLEMENT EFFECTIVE EVIDENCE-BASED HOME VISITING SERVICES BY: 1.1: INCREASING THE MAXIMUM CASELOAD CAPACITY FROM 584 TO 819 BY JUNE 2025, 1.2: INCREASE THE MAXIMUM CASELOAD CAPACITY TO 848 BY JUNE 2026, 1.3: SUPPORT LOCAL PROGRAMS TO STRENGTHEN THEIR ROLE IN THEIR EARLY CHILDHOOD SYSTEM BY JUNE 2025, 1.4: IMPROVE LOCAL RECRUITMENT AND RETENTION EFFORTS BY JUNE 2026. UTAH WILL MAINTAIN A QUALITY STATEWIDE CONTINUOUS QUALITY IMPROVEMENT WORKGROUP BY: 2.1: ONBOARDING NEW COMMUNITIES INTO THE WORKGROUP BY FEBRUARY 2025, 2.2: MAINTAINING 100% PARTICIPATION IN THE WORKGROUP FOR THE DURATION OF THE GRANT. UTAH WILL IMPLEMENT TRAINING AND PROFESSIONAL DEVELOPMENT PLAN: 3.1: INTRODUCING 100% OF HOME VISITING STAFF TO THE STATE’S WORKFORCE DEVELOPMENT PLANS FOR THE YEAR BY DECEMBER, 3.2: PROVIDE TRAINING AND PROFESSIONAL DEVELOPMENT IN ALIGNMENT WITH OBJECTIVES 1.3 AND 1.4 ABOVE. UTAH WILL IMPROVE PROGRAM IMPLEMENTATION STRATEGIC ENGAGEMENT WITH CAREGIVERS BY: 4.1: REGULARLY ENGAGING WITH AT LEAST ONE CAREGIVER PER PROGRAM BY SEPTEMBER 2026, UTAH WILL IMPLEMENT A COORDINATED STATE EVALUATION FOCUSED ON WORKFORCE DEVELOPMENT BY: 5.1: PLANNING AND DESIGNING A PROJECT BY SEPTEMBER 2025, 5.2: BEGIN CONDUCTING THE PROJECT BY SEPTEMBER 2026. APPROACH: MODELS TO BE IMPLEMENTED: UTAH WILL IMPLEMENT THE PARENTS AS TEACHERS AND NURSE-FAMILY PARTNERSHIP EVIDENCE-BASED MODELS. COMMUNITIES SERVED: UTAH WILL SERVE THE FOLLOWING COUNTIES: CACHE, CARBON, DAVIS, EMERY, GRAND, SALT LAKE, SANPETE, UTAH, AND WEBER. PROVIDERS IN THESE COUNTIES WILL IDENTIFY SPECIFIC TARGET POPULATIONS TO BE SERVED IN THEIR COMMUNITIES. PROPOSED CASELOAD: THE TOTAL PROPOSED CASELOAD FOR YEAR ONE IS 819. THE TOTAL PROPOSED CASELOAD FOR YEAR TWO IS 848.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - ANNOTATION: MARYLAND MIECHV (MD MIECHV) IS IMPLEMENTING EVIDENCE-BASED HOME VISITING (EBHV) PROGRAMS IN 19 OF THE 24 JURISDICTIONS ACROSS THE STATE IN HIGH-RISK COMMUNITIES THAT WERE IDENTIFIED IN THE NEEDS ASSESSMENT. WE HAVE BUILT A STRONG STATEWIDE PROGRAM, BUT MUST FURTHER STRENGTHEN AVAILABILITY, REACH, AND COORDINATION OF HOME VISITING SERVICES, WHILE SUPPORTING PARENT ENGAGEMENT/LEADERSHIP, HEALTH EQUITY AND WORKFORCE RETENTION. THE PROJECT GOALS WILL BE ACCOMPLISHED THROUGH ACTIVITIES THAT SUPPORT THE LOCAL IMPLEMENTING AGENCIES (LIAS) AND CONTINUED COORDINATION WITH OTHER CHILD-AND FAMILY SERVING AGENCIES AT THE STATE LEVEL. PROBLEM: THE NEEDS ASSESSMENT IDENTIFIED 19 JURISDICTIONS WITH HIGH-RISK INDICATORS. THERE WERE 23 INDICATORS ACROSS FIVE FEDERAL MIECHV DOMAINS. THE INDICATORS INCLUDE PRETERM BIRTH, ABUSE AND NEGLECT INVESTIGATION RATE, HIGH SCHOOL DROPOUT RATE, AND UNEMPLOYMENT RATE. THE DOMAINS ARE: 1) MATERNAL AND NEWBORN HEALTH, 2) CHILD INJURIES, MALTREATMENT AND REDUCTION OF EMERGENCY DEPARTMENT VISITS, 3) SCHOOL READINESS AND ACHIEVEMENT, 4) CRIME OR DOMESTIC VIOLENCE AND 5) FAMILY ECONOMIC SELF-SUFFICIENCY. PURPOSE: THE PURPOSE OF THIS PROJECT IS TO IMPLEMENT AND EXPAND EBHV SERVICES IN ALL ELIGIBLE JURISDICTIONS IN MARYLAND. GOALS AND OBJECTIVES: GOAL 1: IMPROVE MATERNAL, INFANT, AND EARLY CHILDHOOD HEALTH BY PROVIDING VOLUNTARY HOME VISITING SERVICES THROUGH EVIDENCE-BASED MODELS FOR FAMILIES IN AT-RISK COMMUNITIES AS IDENTIFIED BY OUR NEEDS ASSESSMENT, WHILE ALSO FOCUSING ON TARGETED OUTCOMES IN THE STATUTORILY MANDATED BENCHMARK AREAS. OBJECTIVE 1.1- SUPPORT 19 LOCAL INTERVENTIONS WITH VULNERABLE FAMILIES IN AT-RISK COMMUNITIES AS EARLY IN PREGNANCY AS POSSIBLE, USING EVIDENCE-BASED HOME VISITING (EBHV) MODELS. OBJECTIVE 1.2 -- PROVIDE LIAS WITH NEEDED SUPPORT TO POSITIVELY IMPACT FAMILIES THROUGH TRAINING, TECHNICAL ASSISTANCE, AND PROFESSIONAL DEVELOPMENT OPPORTUNITIES. OBJECTIVE 1.3 – STRENGTHEN PROGRAM INFRASTRUCTURE TO IMPROVE PROGRAMS AND ACTIVITIES FOR FAMILIES RECEIVING HOME VISITING SERVICES. OBJECTIVE 1.4- CONTINUE TO IMPLEMENT MARYLAND’S CQI PLAN GOAL 2: ENSURE THE PROVISION OF HIGH-QUALITY HOME VISITING SERVICES TO ELIGIBLE FAMILIES LIVING IN AT-RISK COMMUNITIES BY, IN PART, COORDINATING WITH COMPREHENSIVE STATEWIDE EARLY CHILDHOOD SYSTEMS TO SUPPORT THE NEEDS OF THOSE FAMILIES. OBJECTIVE 2.1 - STRENGTHEN HOME VISITING SERVICES BY ASSESSING AND EVALUATING DATA QUALITY AND ENGAGING IN DATA SHARING WITH OTHER EARLY CHILDHOOD SYSTEMS AS APPLICABLE. OBJECTIVE 2.2 - PARTNER WITH CHILD-SERVING AGENCIES STATEWIDE, PUBLIC AND PRIVATE AGENCIES AS WELL AS LOCA AGENCIES AND ORGANIZATIONS QUARTERLY TO ASSURE HOME VISITING REMAINS AT THE FOREFRONT OF A ROBUST SYSTEM OF EARLY CARE. APPROACH: ? THE EBHV THAT WILL BE IMPLEMENTED ARE HEALTHY FAMILIES AMERICA (HFA) AND NURSE FAMILY PARTNERSHIPS (NFP). WE WILL ALSO EXPLORE THE IMPLEMENTATION OF MATERNAL INFANT HEALTH OUTREACH WORKER (MIHOW) IN ONE JURISDICTION. ? WE INTEND TO SERVE THE FOLLOWING JURISDICTIONS THAT WERE IDENTIFIED IN OUR STATEWIDE NEEDS ASSESSMENT: ALLEGANY COUNTY, BALTIMORE CITY, BALTIMORE COUNTY, CAROLINE COUNTY, CARROLL COUNTY, CECIL COUNTY, DORCHESTER COUNTY, GARRETT COUNTY, HARFORD COUNTY, KENT COUNTY, MONTGOMERY COUNTY, PRINCE GEORGE’S COUNTY, QUEEN ANNE’S COUNTY, SOMERSET COUNTY, ST. MARY’S COUNTY, TALBOT COUNTY, WASHINGTON COUNTY, WICOMICO COUNTY, AND WORCESTER COUNTY. THE PRIORITY POPULATIONS ARE PREGNANT PEOPLE, FAMILIES, AND CHILDREN BIRTH TO FIVE WITHIN THESE JURISDICTIONS. ? THE PROPOSED CASELOAD OF MIECHV FAMILY SLOTS IS 1051 FOR EACH YEAR OF THE AWARD PERIOD OF PERFORMANCE.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - ARKANSAS’S MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING (MIECHV) PROGRAM I. PROJECT ABSTRACT ADDRESS: ARKANSAS DEPARTMENT OF HEALTH, 4815 W MARKHAM ST, SLOT 16, LITTLE ROCK, AR 72205 PROJECT DIRECTOR: MICHAEL CONYERS, 501-661-2086, MICHAEL.CONYERS@ARKANSAS.GOV ARKANSAS DEPARTMENT OF HEALTH (ADH) WEBSITE: WWW.HEALTHY.ARKANSAS.GOV GRANT PROGRAM FUNDS REQUESTED: $9,455,628.00 PURPOSE: THE PURPOSE OF THE ARKANSAS MIECHV PROGRAM IS TO IMPROVE OUTCOMES FOR AT-RISK CHILDREN AND FAMILIES. RESEARCH SHOWS THAT HOME VISITING (HV) PROGRAMS ARE EFFECTIVE IN ADDRESSING THE HEALTH AND WELL-BEING NEEDS OF AT-RISK FAMILIES, PARTICULARLY IN RURAL AREAS. HOME VISITING SERVICES ARE SUPPORTED BY ONGOING TRAINING, REFLECTIVE SUPERVISION, DATA COLLECTION AND REVIEW, COORDINATED INTAKE, PROGRAM EVALUATION, CONTINUOUS QUALITY IMPROVEMENT (CQI), AND SUBRECIPIENT MONITORING. GOALS AND OBJECTIVES: GOAL: MAINTAIN FUNDING FOR EXISTING LOCAL IMPLEMENTING AGENCIES AND HOME VISITING MODELS. BY SEPTEMBER 2027, THE PROGRAM WILL: • INCREASE THE QUARTERLY ACTIVE ENROLLMENT FOR EACH MODEL TO 85% OF MAXIMUM SERVICE CAPACITY, • STRENGTHEN ARKANSAS'S NETWORK OF HV PROGRAMS AND THEIR INTEGRATION INTO EARLY CHILDHOOD PROGRAMS BY 20% AND, • MAINTAIN EXISTING COLLABORATIVE PARTNERSHIPS WITH STAKEHOLDERS AND BUILD ONE NEW COLLABORATIVE PARTNERSHIP. GOAL: PREPARE THE HV WORKFORCE BY DEVELOPING AND DELIVERING TRAINING TO HV STAFF. BY SEPTEMBER 2027, THE PROGRAM WILL: • DEVELOP TWO NEW ONLINE TRAININGS AND UPDATE ONE EXISTING ONLINE TRAINING BASED ON NEEDS ASSESSMENTS, CORE COMPETENCIES, AND EVALUATION DATA, • DEVELOP TWO NEW INSTRUCTOR-LED TRAININGS AND UPDATE TWO EXISTING TRAININGS BASED ON NEEDS ASSESSMENTS, CORE COMPETENCIES, AND EVALUATION DATA AND, • DELIVER AT LEAST 24 INSTRUCTOR-LED TRAININGS TO HOME VISITORS, SUPERVISORS, AND COORDINATORS. GOAL: CONTRIBUTE TO THE HV KNOWLEDGE BASE THROUGH COORDINATED INTAKE, CQI INITIATIVES, AND EVALUATION ACTIVITIES. BY SEPTEMBER 2027, THE PROGRAM WILL: • USE BENCHMARKS AND OTHER DATA TO SUPPORT CQI PROJECTS AT THE STATE AND LOCAL LEVELS, • DISSEMINATE FINDINGS IN PEER-REVIEWED PUBLICATIONS AND CONFERENCES AS FEASIBLE, • PARTICIPATE IN AN ADVISORY CAPACITY IN NATIONAL HV ASSOCIATIONS AND COUNCILS AND, • CONDUCT RIGOROUS RESEARCH OF THE STATE'S PROMISING APPROACH, FOLLOWING BABY BACK HOME. APPROACH: HOME VISITING SERVICES ARE PROVIDED BY 29 LOCAL IMPLEMENTING AGENCIES (LIAS) THROUGH FOUR EVIDENCE-BASED MODELS AND ONE PROMISING APPROACH: HEALTHY FAMILIES AMERICA (HFA), HOME INSTRUCTION FOR PARENTS OF PRESCHOOL YOUNGSTERS (HIPPY), NURSE-FAMILY PARTNERSHIP (NFP), PARENTS AS TEACHERS (PAT), AND PROMISING APPROACH-FOLLOWING BABY BACK HOME (FBBH). ARKANSAS MIECHV SERVES THE FOLLOWING COUNTIES: ARKANSAS, ASHLEY, BAXTER, BENTON, BOONE, BRADLEY, CALHOUN, CARROLL, CLARK, CLEBURNE, CLEVELAND, COLUMBIA, CONWAY, CRAIGHEAD, CRITTENDEN, CROSS, DALLAS, FAULKNER, FULTON, GARLAND, GRANT, HEMPSTEAD, HOT SPRING, HOWARD, INDEPENDENCE, IZARD, JACKSON, JEFFERSON, LAWRENCE, LEE, LINCOLN, LONOKE, MADISON, MARION, MILLER, MISSISSIPPI, MONROE, MONTGOMERY, NEVADA, NEWTON, OUACHITA, PHILLIPS, PIKE, POINSETT, POLK, PRAIRIE, PULASKI, RANDOLPH, SAINT FRANCIS, SALINE, SCOTT, SEARCY, SEBASTIAN, SHARP, STONE, UNION, VAN BUREN, WASHINGTON, AND WHITE. PROPOSED CASELOAD OF FAMILY SLOTS: OCTOBER 2025 - SEPTEMBER 2026: 1,395 OCTOBER 2026 - SEPTEMBER 2027: 1,403 NON-FEDERAL MATCHING FUNDS FOR ARKANSAS' MIECHV PROJECT WILL BE USED TO SUPPORT SERVICE DELIVERY THOUGH THE HIPPY, PAT AND HFA EVIDENCE-BASED HOME VISITING MODELS BY FUNDING 22.75 EXISTING HOME VISITING FTE'S THAT WOULD OTHERWISE BE CUT FROM THE FORMULA BUDGET AND TO SUPPLEMENT TRAVEL, QUALITY MONITORING, AND DATA COLLECTIONS COSTS. MATCH FUNDS ARE STATE GENERAL FUNDS LEGISLATIVELY APPROPRIATED TO SUPPORT HOME VISITING SERVICE DELIVERY UNDER A STATE GRANT AWARDED TO ARKANSAS CHILDREN'S HOSPITAL BY THE ARKANSAS DEPARTMENT OF EDUCATION ABC PROFESSIONAL SERVICES GRANT.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - FY 2025 PROJECT ABSTRACT TENNESSEE’S MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING PROGRAM FY 2025 FORMULA GRANT ABSTRACT PROJECT TITLE: TENNESSEE’S MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING PROGRAM FY 2025 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 2025 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, 2027, ASSURE AVAILABILITY OF HIGH QUALITY EBHV SERVICES IN THIRTY OF THE MOST AT-RISK COUNTIES IN TENNESSEE. GOAL 2: BY SEPTEMBER 29, 2027, 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, 2027, PROMOTE A COMPREHENSIVE, HIGH-QUALITY EARLY CHILDHOOD SYSTEM IN TENNESSEE THAT BEGINS PRENATALLY OR AT BIRTH. GOAL 4: BY SEPTEMBER 29, 2027, 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 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, 2025 - SEPTEMBER 29, 2026 IS 1,006.75 AND THE TOTAL CASELOAD OF FAMILY SLOTS FOR SEPTEMBER 30, 2026 - SEPTEMBER 29, 2027 IS 1,006.75. 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 - I. PROJECT ABSTRACT PROJECT TITLE: COLORADO- HRSA FY 2025 MIECHV PROGRAM: BASE AND MATCHING GRANT AWARDS APPLICANT NAME: COLORADO DEPARTMENT OF EARLY CHILDHOOD PROJECT DIRECTOR: BRITTANY MARTENS, MIECHV PROGRAM MANAGER ADDRESS: COLORADO DEPARTMENT OF EARLY CHILDHOOD 710 S. ASH ST (BUILDING C), DENVER, CO 80220 P| (303) 653-3109 F (303)-866-4453, BRITTANY.MARTENS@STATE.CO.US; HTTPS://CDEC.COLORADO.GOV ANNOTATION: COLORADO MIECHV WILL IMPLEMENT THREE EVIDENCE-BASED HOME VISITING MODELS ACROSS ALL 64 COUNTIES IN COLORADO TO IMPROVE PARENT AND FAMILY OUTCOMES, INCLUDING DECREASES IN PRETERM BIRTH RATES AND CHILD MALTREATMENT INVESTIGATED CASES, INCREASES IN BREASTFEEDING AND PRIMARY CAREGIVER EDUCATION ATTAINMENT, AND IMPROVEMENTS IN OTHER CRUCIAL INDICATORS (AS SET BY HRSA’S MIECHV BENCHMARKS). CO MIECHV WILL CONTINUE TO BUILD STATEWIDE COLLABORATION AND SYSTEMS OF SUPPORT AND REFERRAL NETWORKS FOR HOME-VISITING PROFESSIONALS THROUGH ENHANCED OPPORTUNITIES AT ORIENTATION TRAINING. COLORADO WILL WORK TO EXPAND ACCESS TO ALL 64 COUNTIES THROUGH THE APPROVED UPDATED NEEDS ASSESSMENT AND IMPROVED CENTRALIZED INTAKE SYSTEMS; THIS WORK IS FULLY SUPPORTED THROUGH BOTH BASE AWARD AND MATCHING FUNDS. PROBLEM: COLORADO WILL CONTINUE TO RECRUIT AT-RISK FAMILIES, INCLUDING FAMILIES EXPERIENCING LOW INCOMES, LIVING IN POVERTY, LOW EDUCATIONAL ATTAINMENT, FAMILIES IMPACTED BY DOMESTIC VIOLENCE, FAMILIES AFFECTED BY SUBSTANCE ABUSE, AND FAMILIES FACING STRESSORS THAT PUT THEM AT RISK FOR PREMATURE BIRTH, LOW-BIRTH-WEIGHT INFANTS, INFANT MORTALITY, POOR HEALTH, OR MALTREATMENT. PURPOSE: ENHANCE PARENT AND FAMILY OUTCOMES THROUGH EVIDENCE-BASED HOME VISITING ACROSS 64 COUNTIES, TARGETING PRETERM BIRTH REDUCTION, BREASTFEEDING PROMOTION, CAREGIVER EDUCATION IMPROVEMENT, AND STRENGTHENING SUPPORT NETWORKS FOR PROFESSIONALS WHILE EXPANDING SERVICE ACCESS. GOALS AND OBJECTIVES: SMARTIE GOAL 1: IN EVERY MONTH OF THE PERIOD OF PERFORMANCE (SEPTEMBER 30, 2025 – SEPTEMBER 29, 2027), PROVIDE EVIDENCE-BASED HOME VISITING SERVICES IN 22 COLORADO COUNTIES SERVING A CASELOAD OF 1,461 FAMILIES. ? SMARTIE OBJECTIVE: EVERY MONTH OF THE PERFORMANCE PERIOD, PROVIDE EVIDENCE-BASED HOME VISITING SERVICES IN 22 CO COUNTIES SERVING A CASELOAD OF 1,461 FAMILIES. SMARTIE GOAL 2: PROVIDE ADDITIONAL SUPPORT TO HOME VISITORS TO IMPROVE WORKFORCE DEVELOPMENT, RETENTION, AND SATISFACTION OF HOME-VISITING PROFESSIONALS AND LEADERS DURING THE PERFORMANCE PERIOD (SEPTEMBER 30, 2025- SEPTEMBER 29, 2027). ? SMARTIE OBJECTIVE: ENHANCE TRAINING FOR HOME VISITOR PROFESSIONALS THROUGH EIGHT ORIENTATIONS FOCUSED ON STAFF WELL-BEING AND SAFETY THROUGH COLLABORATION WITH INTERNAL AND EXTERNAL PARTNERS BETWEEN SEPTEMBER 30, 2025, AND SEPTEMBER 29, 2027. SMARTIE GOAL 3: IMPROVE FAMILY ENGAGEMENT IN HOME VISITING SERVICES AND ASSESS THE EXPANSION OF SERVICES INTO NEW HIGH-RISK COUNTIES THROUGH AN UPDATED NEEDS ASSESSMENT. ? SMARTIE OBJECTIVE: INCREASE AVERAGE MONTHLY CASELOADS TO 80% BETWEEN SEPTEMBER 30, 2025, AND SEPTEMBER 29, 2027, ACROSS URBAN, RURAL, AND FRONTIER COUNTIES. APPROACH: COLORADO WILL USE EVIDENCE-BASED MODELS HIPPY, NFP, AND PAT, WITH STATE AND LOCAL AGENCIES TO SERVE HIGH-RISK COMMUNITIES IDENTIFIED IN THE 2020 MIECHV NEEDS ASSESSMENT. THE TARGETED COUNTIES INCLUDE ADAMS, ALAMOSA, ARCHULETA, BACA, BENT, BOULDER, CHAFFEE, CHEYENNE, CLEAR CREEK, CONEJOS, COSTILLA, CROWLEY, CUSTER, DELTA, DENVER, DOLORES, DOUGLAS, EAGLE, EL PASO, FREMONT, GARFIELD, GILPIN, GRAND, GUNNISON, HUERFANO, JACKSON, JEFFERSON, KIOWA, LA PLATA, LAKE, LARIMER, LAS ANIMAS, LINCOLN, LOGAN, MESA, MINERAL, MOFFAT, MONTEZUMA, MONTROSE, OTERO, OURAY, PARK, PHILLIPS, PITKIN, PROWERS, PUEBLO, RIO GRANDE, ROUTT, SAGUACHE, SAN JUAN, SAN MIGUEL, SEDGWICK, SUMMIT, TELLER, WASHINGTON, AND WELD. COLORADO AIMS TO SERVE 1,461 FAMILIES IN THE FIRST YEAR AND 1,499 IN THE SECOND YEAR.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - IOWA DESIRES TO PROVIDE EVIDENCE-BASED HOME VISITATION TO 772 VULNERABLE FAMILIES THAT ARE PREGNANT OR HAVE SMALL CHILDREN, RESIDING IN THE MOST AT-RISK COMMUNITIES IN THE STATE. IOWA SUPPORTS THE HOME VISITING WORKFORCE WITH INNOVATIVE STRATEGIES IN ORDER TO RETAIN THE MOST QUALIFIED HOME VISITORS. IOWA WILL CONTINUE ITS TRADITION OF CONTRIBUTING TO THE EVIDENCE-BASE BY PARTICIPATING IN THE COORDINATED STATE EVALUATION FOCUSED ON WORKFORCE SUPPORTS. IOWA HAS A RICH HISTORY OF BI-PARTISAN SUPPORT FOR CHILDREN AND FAMILIES, DEDICATING STATE FUNDS FOR HOME VISITING SERVICES SINCE 1988. IOWA’S INVESTMENTS IN HOME VISITING HAVE HISTORICALLY BEEN IN LOCALLY DEVELOPED MODELS THAT LACK AN EVIDENCE-BASE. PURPOSE: PROVIDING HIGH QUALITY, EVIDENCE-BASED HOME VISITING IN 24 IOWA COUNTIES TO 772 FAMILIES. GOALS & OBJECTIVES: THE PROJECT SUPPORTS SIX GOALS AND 16 OBJECTIVES. GOAL 1: FOCUS ON AT-RISK AND HIGH NEEDS CHILDREN AND THEIR FAMILIES. *EXPAND ACCESS TO HOME VISITING IN TARGETED COMMUNITIES AND REACH FULL-SERVICE CAPACITY. *STRENGTHEN REFERRAL NETWORKS WITH HOSPITALS, WIC, HEALTHCARE PROVIDERS, AND CHILDCARE SERVICES. GOAL 2: SUPPORT CONTINUOUS QUALITY IMPROVEMENT ACTIVITIES THAT ADDRESS COMMUNITY-IDENTIFIED BARRIER(S), *DESIGNATE A CQI LEAD PER PROGRAM, ENSURING 80% PARTICIPATION IN CHECK-INS. *UTILIZE DATA TO IDENTIFY AND IMPLEMENT CQI PROJECTS ALIGNED WITH HRSA REQUIREMENTS. GOAL 3: STRENGTHEN LEADERSHIP, COLLABORATION AND COORDINATION OF EARLY CHILDHOOD PARTNERS FOR THE INTEGRATION OF A COMPREHENSIVE EARLY CARE, HEALTH AND EDUCATION SYSTEM, *COORDINATE MIECHV EFFORTS WITH EARLY CHILDHOOD SERVICE PROVIDERS. *ALIGN PROFESSIONAL DEVELOPMENT WITH KEY PARTNERS, INCLUDING EARLY EDUCATION ORGANIZATIONS. *MAINTAIN A LOCAL INTAKE SYSTEM FOR REFERRALS AND FAMILY SUPPORT PROGRAM COORDINATION. GOAL 4: SUPPORT INFORMED DECISION-MAKING FOR PROGRAM DEVELOPMENT, PUBLIC POLICY, AND FISCAL MANAGEMENT AT THE STATE AND LOCAL LEVELS THROUGH THE USE OF RESULTS ACCOUNTABILITY DATA. *ASSIST FAMILY SUPPORT PROFESSIONALS IN ACCURATE DATA COLLECTION FOR PERFORMANCE IMPROVEMENT. *ENSURE FULL-SERVICE CASELOADS AND ADHERENCE TO HOME VISIT REQUIREMENTS. GOAL 5: ENSURE IOWA'S HOME VISITING PROFESSIONALS POSSESS THE CORE COMPETENCIES REQUIRED TO BE EFFECTIVE IN THEIR POSITIONS. *SUPPORT CERTIFICATION FOR FAMILY SUPPORT PROFESSIONALS THROUGH TRAINING INITIATIVES. *ENHANCE STAFF SKILLS IN MENTAL HEALTH SUPPORT. *PROMOTE COMPETITIVE WAGES TO ATTRACT AND RETAIN QUALIFIED PROFESSIONALS, RECOMMENDING A $18/HR STARTING WAGE. GOAL 6: PROVIDE THE OPPORTUNITY FOR IOWA’S AT-RISK FAMILIES TO BE PARTNERS IN PLANNING AND IMPLEMENTING HOME VISITING SERVICES. THE GOALS WILL BE ACCOMPLISHED THROUGH A VARIETY OF OBJECTIVES AND ACTIVITIES. *ENCOURAGE FAMILY PARTICIPATION IN EVALUATIONS AND MAINTAIN A PARENT ADVISORY COUNCIL WITH AT LEAST 50% PAST OR CURRENT PROGRAM PARTICIPANTS. APPROACH: IOWA SUPPORTS HEALTHY FAMILIES AMERICA, NURSE FAMILY PARTNERSHIP AND PARENTS AS TEACHERS HOME VISITING MODELS. TARGETED COMMUNITIES INCLUDE APPANOOSE, BLACK HAWK, CASS, CERRO GORDO, CLINTON, DES MOINES, FREMONT, HENRY, JEFFERSON, LEE, MAHASKA, MARSHALL, MONROE, MONTGOMERY, MUSCATINE, PAGE, POLK, POTTAWATTAMIE, SCOTT, TAMA, TAYLOR, WAPELLO, WEBSTER AND WOODBURY. FAMILIES THAT MEET ONE OR MORE OF THE MIECHV ELIGIBILITY CRITERIA WILL BE THE TARGET FOR THESE SERVICES. IOWA WILL HAVE A CASELOAD CAPACITY OF 772 FAMILIES EACH YEAR OF THIS PROJECT. IOWA WILL SUPPORT 9 LIA’S UNDER THIS PROJECT. IOWA MIECHV WILL UTILIZE FEDERAL AND STATE MATCHING FUNDS TO EXPAND EVIDENCE-BASED HOME VISITING INTO THREE NEW COUNTIES, SERVING AN ADDITIONAL 60 ELIGIBLE FAMILIES. STATE EARLY CHILDHOOD IOWA FUNDS THAT SUPPORT EVIDENCE-BASED PARENTS AS TEACHERS HAVE BEEN COMMITTED AS MATCH TO SUPPORT THIS GRANT APPLICATION.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES HOME VISITING UNIT 320 S. WALNUT ST., LANSING, MI 48933 | TIFFANY KOSTELEC | 517.242.7905| KOSTELECT@MICHIGAN.GOV | WWW.MICHIGAN.GOV/HOMEVISITING | GRANT FUNDS REQUESTED: $10,619,295 PURPOSE: THE MICHIGAN HOME VISITING INITIATIVE (MHVI) IS DESIGNED TO INTEGRATE THE HOME VISITING SYSTEM WITHIN THE COMPREHENSIVE EARLY CHILDHOOD SYSTEM; AND CREATE AN EVIDENCE-BASED, DATA-DRIVEN SYSTEM THAT WILL IMPROVE THE WELL-BEING OF FAMILIES AND CHILDREN IN COMMUNITIES FACING DECADES OF DISINVESTMENT, ULTIMATELY REDUCING HEALTH DISPARITIES. GOALS AND OBJECTIVES: GOALS AND KEY OBJECTIVES FOR THIS PROJECT ARE: • ALL COMPONENTS OF THE HV SYSTEM WILL BE FAMILY CENTERED AND GUIDED BY PARENT PARTNERSHIP AND VOICE. O CONSUMER VOICE IN SELECTING PROGRAM IMPROVEMENT PROJECTS. • ENSURE FAMILIES RECEIVE HIGH QUALITY, EQUITABLE SERVICES THAT MEET MODEL STANDARDS. O DEVELOP A PROCESS TO COLLECT WORKFORCE DATA TO USE IN EQUITY AND STRATEGIC PLANNING. O RECEIVE TRAINING ON A MENTAL HEALTH APP. • ALL MDHHS-HVU LIAS WILL IMPLEMENT POLICIES THAT STRENGTHEN SUPPORT FOR FAMILIES. O LIAS WILL UNDERSTAND THE URGENT MATERNAL WARNING SIGNS CAMPAIGN. O LIAS WILL PARTICIPATE IN SELF-ADVOCACY SKILL BUILDING TRAINING. METHODOLOGY: CONTINUE IMPLEMENTATION OF HV PROGRAMS IN COMMUNITIES THAT CONTRIBUTE TO A FAMILY’S EXPERIENCE OF RISK. OUTREACH/ENROLLMENT IS CONDUCTED TO FAMILIES WHO ARE IDENTIFIED AS HAVING PRIORITY IN THE MIECHV LEGISLATION INCLUDING: FAMILIES WITH CHILDREN AT RISK FOR MALTREATMENT, FAMILIES WHO HAVE A HISTORY OF SUBSTANCE USE, FAMILIES WHO EXPERIENCE LOW INCOME, AND FAMILIES WITH CHILDREN WITH DELAYS OR DISABILITIES. PRIORITY POPULATIONS FOR MIECHV COMMUNITIES WERE IDENTIFIED THROUGH THE 2020 STATEWIDE NEEDS ASSESSMENT. 1,580 IS THE TOTAL NUMBER OF FAMILIES SERVED UNDER THIS BASE GRANT. 1,411 FAMILIES WILL BE SERVED IN YEAR 1 AND 169 FAMILIES WILL BE SERVED IN YEAR 2. COMMUNITIES SERVED AND PROPOSED SERVICE CAPACITY ARE: 1. INGHAM, AND SAGINAW COUNTIES: EHS MODEL – WITH A PROPOSED CAPACITY OF 40 FAMILIES IN FY26; CURRENT CASELOAD OF MIECHV SLOTS IS 40. 2. GENESEE COUNTY: PAT MODEL – WITH A PROPOSED CAPACITY OF 129 FAMILIES IN FY26. 3. KALAMAZOO, KENT, MUSKEGON, SAGINAW, AND WAYNE COUNTIES: HFA MODEL – WITH A PROPOSED CAPACITY OF 481 FAMILIES IN FY25. CURRENT CASELOAD OF MIECHV SLOTS IS: 490. 4. BERRIEN, CALHOUN, GENESEE, INGHAM, KENT, OAKLAND, SAGINAW, AND WAYNE: NFP MODEL – WITH A PROPOSED CAPACITY OF 930 FAMILIES IN FY25. CURRENT CASELOAD OF MIECHV SLOTS IS: 1,125. MICHIGAN SUPPORTS LOCAL HOME VISITING LEADERSHIP GROUPS THAT COORDINATE AND BUILD RELATIONSHIPS TO ENSURE APPROPRIATE LINKAGES AND REFERRAL NETWORKS FOR FAMILIES. MICHIGAN ALSO ALIGNS ACTIVITIES AT THE STATE LEVEL THROUGH MULTIPLE EARLY CHILDHOOD AND HOME VISITING PARTNERSHIPS.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - NEBRASKA DEPT. OF HEALTH & HUMAN SERVICES, PO BOX 95026, LINCOLN, NE 68509-5026, DIRECTOR: JENNIFER SEVERE-OFORAH, O: 402-471-2091, F: 402-471-7049, JENNIFER.SEVERE-OFORAH@NEBRASKA.GOV; WWW.DHHS.NE.GOV/HOMEVISITING; REQUESTING $1,669,091 BASE & $725,893 MATCH; THE PURPOSE OF THE N-MIECHV PROGRAM IS THE PREVENTION OF CHILD MALTREATMENT, TOXIC STRESS, & POOR LIFE COURSE OUTCOMES THROUGH VOLUNTARY, EVIDENCE-BASED HOME VISITING SERVICES IN PRIORITY COUNTIES IDENTIFIED THROUGH NEEDS ASSESSMENT, BY LOCAL IMPLEMENTING AGENCIES SPECIFICALLY TARGETING AT-RISK POPULATIONS. N-MIECHV WILL USE THE MATCH OPPORTUNITY TO FURTHER EXPAND THE NETWORK CAPACITY BY UTILIZING THE HOME VISITOR PERSONNEL COST METHOD & BRAIDING FEDERAL MIECHV FUNDING WITH TANF & STATE GENERAL FUNDS. FY2024 GOALS & OBJECTIVES: 1. BY 09/29/2026, N-MIECHV WILL ASSURE DOCUMENTATION OF HIGH-FIDELITY DELIVERY OF VOLUNTARY, EVIDENCE-BASED HOME VISITING UP TO A CAPACITY OF 766 ELIGIBLE FAMILIES IN 27 IDENTIFIED PRIORITY COUNTIES. OBJ. 1.1: BY 9/29/25, THE NEWER LIAS WILL RECEIVE ADDITIONAL FUNDS FOR EXPANSION OF SERVICE CAPACITY. OBJ. 1.2: BY 9/29/26, N-MIECHV WILL PROVIDE INTENSIVE & TARGETED TECHNICAL ASSISTANCE TO INDIVIDUAL PROGRAM SITES TO ASSURE QUALITY DELIVERY OF SERVICES IN THE SECOND YEAR OF IMPLEMENTATION. OBJ. 1.3: BY 9/29/26, N-MIECHV WILL ASSURE LIAS DEMONSTRATE FIDELITY, ACCURACY, & COMPLETION OF THE DATA TO PRODUCE POSITIVE RESULTS ON THE FEDERAL BENCHMARKS. OBJ. 1.4: BY 9/29/26, ALL LIAS WILL EITHER MAINTAIN ACCREDITATION IN GOOD STANDING OR BEGIN TO WORK TOWARD ACCREDITATION WITH THE HEALTHY FAMILIES AMERICA MODEL. 2. BY 09/29/2026 INCREASE ENROLLMENT OF MIECHV PROGRAMS IMPLEMENTING EFFECTIVE, VOLUNTARY, EVIDENCE-BASED HOME VISITING SERVICES. OBJ. 2.1: BY 09/29/25, N-MIECHV WILL EXPAND CAPACITY BY 59 FAMILIES IN 7 PRIORITY COUNTIES. OBJ. 2.2: BY 09/29/25, EVERY NETWORK PROGRAM WILL HAVE THE CHILD WELFARE PROTOCOL PLAN APPROVED. 3. BY 09/29/26 N-MIECHV WILL ENHANCE A WELL-TRAINED & COMPETENT WORKFORCE. OBJ. 3.1: 09/29/2025 N-MIECHV WILL PLAN WITH THE LIAS FOR APPROPRIATE & RELEVANT PROFESSIONAL DEVELOPMENT ACTIVITIES THROUGH THE 2025 NETWORK SUMMIT. OBJ. 3.2: BY 06/30/25, N-MIECHV WILL DEVELOP & ENCOURAGE PROFESSIONAL GROWTH BY REQUESTING PRESENTATIONS FOR THE SUMMIT BY HOME VISITING STAFF. OBJ. 3.3: BY 09/29/26, N-MIECHV WILL POLL NETWORK STAFF FOR ADDITIONAL TRAINING INTERESTS & OFFER AT LEAST ONE NEW PROFESSIONAL DEVELOPMENT OPPORTUNITY TO THE NETWORK EACH YEAR OF THE PERIOD OF PERFORMANCE. 4. BY 09/29/2025, N-MIECHV WILL ENGAGE WITH CROSS-SECTOR SYSTEMS-LEVEL COLLABORATIONS TO PROMOTE SUSTAINABILITY OF EVIDENCE-BASED HOME VISITING FOR AT-RISK FAMILIES, & OTHER SYSTEMS APPROACHES TO IMPROVING FAMILY & LIFE COURSE OUTCOMES. OBJ. 4.1: BY 9/29/26, N-MIECHV WILL ACTIVELY PARTICIPATE IN STATE-LEVEL COMMUNITY COLLABORATIVE MEETINGS TO PROMOTE & ADVOCATE FOR EVIDENCE-BASED HOME VISITING AS A CHILD MALTREATMENT PREVENTION PROGRAM & IMPROVEMENT OF LIFESPAN OUTCOMES FOR PARTICIPATING FAMILIES. OBJ. 4.2: BY 9/29/26, N-MIECHV WILL ACTIVELY PARTICIPATE ON THE NATIONAL ASTHVI GROUP. OBJ. 4.3: BY 9/29/26, N-MIECHV WILL COLLABORATE WITH THE MANAGED CARE ORGANIZATIONS (MEDICAID PROVIDERS) TO PROMOTE POSITIVE LIFE COURSE OUTCOMES FOR THE MATERNAL & INFANT POPULATIONS BY THE IMPLEMENTATION OF QUALITY, EVIDENCE-BASED HOME VISITING PROGRAMS. APPROACH: N-MIECHV IMPLEMENTS THE HEALTHY FAMILIES AMERICA MODEL OF EVIDENCE-BASED HOME VISITING TO 27 PRIORITY COUNTIES IN NEBRASKA. THE PROPOSED CASELOAD OF FAMILY SLOTS INCREASES FROM 707 TO 766 FOR 9/30/24-9/29/26.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - NEW HAMPSHIRE MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING (MIECHV) GRANT PROGRAM INTRODUCTION: NEW HAMPSHIRE WILL SERVE PREGNANT WOMEN AND FAMILIES IN ALL NEW HAMPSHIRE COUNTIES USING THE HEALTHY FAMILIES AMERICA (HFA) MODEL AND THE CHILD WELFARE PROTOCOLS (CWP). THIS PROJECT PERIOD WILL CONTINUE THE EXPANSION NEW HAMPSHIRE BEGAN IN LATE 2022, PARTNERING WITH THE DIVISION FOR CHILDREN, YOUTH AND FAMILIES (DCYF) IN IMPLEMENTING ITS FAMILY FIRST PREVENTION SERVICES ACT (FFPSA) PREVENTION PLAN, FUNDING HFA NEW HAMPSHIRE, EXPANDING HOME VISITING SERVICES TO A BROADER RANGE OF FAMILIES REFERRED BY DCYF TO INCLUDE CHILDREN UP TO AGE TWO. DURING THE PROJECT PERIOD, NEW HAMPSHIRE MIECHV WILL FOCUS ON IMPLEMENTATION WITH FIDELITY, REDUCING MISSING DATA THROUGH TRAINING AND TECHNICAL ASSISTANCE, AND STAFF RETENTION THROUGH ENSURING ADEQUATE TRAINING, REASONABLE CASELOAD EXPECTATIONS AND BUILDING COMMUNITY COLLABORATION ACROSS MIECHV SITES. PURPOSE: THE PURPOSE OF THIS PROJECT IS TO IMPLEMENT VOLUNTARY, EVIDENCE-BASED HOME VISITING SERVICES THROUGH THE HFA MODEL AND COORDINATE COMPREHENSIVE HIGH-QUALITY SERVICES TO ELIGIBLE FAMILIES. HFA HAS REMAINED NEW HAMPSHIRE’S MODEL OF CHOICE FOR TRADITIONAL REFERRALS IMPLEMENTING A NURSE ENHANCEMENT ACROSS EACH SITE. FOR FAMILIES REFERRED BY THE DCYF, NEW HAMPSHIRE IMPLEMENTS THE CWP ENHANCEMENT DUE TO HFA’S PROVEN OUTCOMES IN IMPROVING MATERNAL AND CHILD HEALTH, CHILD DEVELOPMENT, FAMILY ECONOMIC SELF-SUFFICIENCY, AND REDUCING CHILD MALTREATMENT. GOALS AND OBJECTIVES: GOAL 1: NEW HAMPSHIRE LOCAL IMPLEMENTING AGENCIES (LIA’S) WILL APPLY THE HFA HOME VISITING MODEL WITH FIDELITY, SERVING THE HRSA DEFINED PRIORITY POPULATIONS. OBJECTIVE 1.1 NEW HAMPSHIRE MIECHV WILL SUPPORT THE LIAS IN DEMONSTRATING FIDELITY TO THE HFA MODEL THROUGH PROMOTING FAMILIARITY WITH BEST PRACTICE STANDARDS AND HFA TOOLS. OBJECTIVE 1.2 NEW HAMPSHIRE MIECHV WILL PROVIDE SERVICES TO FAMILIES ACROSS THE STATE WITH A FOCUS ON ENROLLING MEMBERS OF PRIORITY POPULATIONS IDENTIFIED BY HRSA. GOAL 2: DEVELOP AND IMPLEMENT LEADERSHIP OPPORTUNITIES FOR DIRECT-SERVICE STAFF TO SUPPORT WORKFORCE RETENTION AT THE LIA LEVEL. OBJECTIVE 2.1 DIRECT SERVICE STAFF WILL HAVE A VARIETY OF LEADERSHIP OPPORTUNITIES. OBJECTIVE 2.2 DIRECT SERVICE STAFF WILL FACILITATE AFFINITY GROUPS OF SHARED INTERESTS AND PEER SUPPORT NETWORKS. OBJECTIVE 2.3 DIRECT SERVICE STAFF WILL CO-FACILITATE ONBOARDING SESSIONS FOR NEW HIRES. GOAL 3: SUSTAIN PROGRAM ENROLLMENT AT OR ABOVE 85% OF HRSA DEFINED CAPACITY. OBJECTIVE 3.1 CAPACITY WILL BE MONITORED MONTHLY BY NEW HAMPSHIRE MIECHV. OBJECTIVE 3.2 NEW HAMPSHIRE MIECHV & LIAS WILL COLLABORATE WITH COMMUNITY PARTNERS TO PROMOTE HOME VISITING. GOAL 4: NEW HAMPSHIRE MIECHV WILL ESTABLISH A STATEWIDE PARTICIPANT ADVISORY BOARD. OBJECTIVE 4.1 IDENTIFY PARENT LEADERS TO PARTICIPATE IN THE ADVISORY BOARD. OBJECTIVE 4.2 NEW HAMPSHIRE MIECHV WILL PROVIDE LEADERSHIP TRAINING FOR PARENTS WHO ARE INTERESTED IN PARTICIPATING ON THE STATEWIDE COMMUNITY ADVISORY BOARD (CAB). OBJECTIVE 4.3 CAB WILL MEET WITH A MINIMUM OF SIX PARENT LEADERS AND THREE COMMUNITY MEMBERS. APPROACH: NEW HAMPSHIRE LIAS WILL IMPLEMENT THE HEALTHY FAMILIES AMERICA MODEL WITH FIDELITY TO HRSA PRIORITY POPULATIONS IN ALL NEW HAMPSHIRE COUNTIES, AS IDENTIFIED IN THE 2020 STATEWIDE NEEDS ASSESSMENT UPDATE. NEW HAMPSHIRE PLANS TO FOCUS ON INCREASING ENROLLMENT AND RETENTION OF CHILD-WELFARE REFERRED FAMILIES AND WOMAN, INFANTS AND CHILDREN PROGRAM (WIC) PARTICIPANTS THROUGH STATE-LEVEL COLLABORATION. NEW HAMPSHIRE MIECHV’S PROPOSED CASELOAD IS PLANNED TO INCREASE FROM 314 IN YEAR ONE TO 392 IN YEAR TWO OF THE PROJECT PERIOD. NEW HAMPSHIRE MIECHV PLANS TO USE STATE GENERAL FUNDS FOR THE NON-FEDERAL MATCH AND SERVE ALL CITIES AND TOWNS THROUGH SIX LIAS LOCATED ACROSS 11 SITES. THE MATCHING FUNDS WILL BE ADDED TO LIA CONTRACTS TO SUPPORT REACHING UNDERSERVED POPULATIONS IN EACH CATCHMENT AREA AS IDENTIFIED BY THE GAP ANALYSIS.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT ABSTRACT FOR THE USVI MIECHV PROGRAM ADDRESS: 3241 ESTATE CONTANT 3RD FL ST. THOMAS, VI 00802 PROJECT DIRECTOR: JANIS VALMOND CONTACT NUMBER: 340-777-8804 EMAIL ADDRESS: JANIS.VALMOND@DOH.VI.GOV WEBSITE: WWW.DOH.VI.GOV 1. PROJECT ABSTRACT A. STANDARD OMB-APPROVED PROJECT ABSTRACT SUMMARY FORM THE VIRGIN ISLANDS MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING (VI MIECHV) PROGRAM AIMS TO ENHANCE ACCESS TO QUALITY HEALTHCARE, PROMOTE HEALTH EQUITY FOR MATERNAL AND CHILD HEALTH, AND STRENGTHEN WORKFORCE CAPACITY FOR HOME VISITING. THIS INITIATIVE WILL INCREASE FAMILY ENROLLMENT IN EVIDENCE-BASED HOME VISITING MODELS, EXPAND COMMUNITY HEALTH OUTREACH TO UNDERSERVED AREAS THROUGH THE EXPANSION OF SERVICES OF NURSE FAMILY PARTNERSHIP (NFP) TO ST. CROIX. THE PROGRAM WILL IMPLEMENT HEALTH EQUITY INITIATIVES BY IMPLEMENTING STAFF TRAINING ON TOPICS RELATED TO HEALTH EQUITY AND CULTURE SENSITIVITY. THE PROGRAM ADDRESSES MATERNAL AND CHILD HEALTH DISPARITIES AND SOCIOECONOMIC CHALLENGES BY PROVIDING COMPREHENSIVE SUPPORT SERVICES AND IMPROVING HEALTHCARE ACCESS. PROBLEM: THE VI FACES SIGNIFICANT MATERNAL AND CHILD HEALTH DISPARITIES, INCLUDING HIGH RATES OF PRETERM BIRTHS AND LOW BIRTH WEIGHT, PARTICULARLY IN LOW-INCOME COMMUNITIES. THERE IS ALSO A NEED TO ADDRESS SOCIOECONOMIC CHALLENGES SUCH AS POVERTY, SUBSTANCE ABUSE, AND MENTAL HEALTH ISSUES THAT AFFECT MANY FAMILIES. PURPOSE: THE PURPOSE OF THE VI MIECHV PROGRAM IS TO IMPROVE MATERNAL AND CHILD HEALTH OUTCOMES, ENHANCE SERVICE DELIVERY, AND ENSURE HEALTH EQUITY TO MOTHERS AND BABIES ACROSS THE TERRITORY OF ST. THOMAS, ST. JOHN AND ST. CROIX BY IMPLEMENTING EVIDENCE-BASED HOME VISITING MODELS AND COMPREHENSIVE SUPPORT SERVICES. GOALS AND OBJECTIVES: 1. ENHANCE ACCESS TO QUALITY HEALTHCARE AND INCREASE THE NUMBER OF FAMILIES ENROLLED IN NURSE FAMILY PARTNERSHIP (NFP) & HEALTHY FAMILIES AMERICA (HFA) PROGRAMS TO MEET THE TARGET POPULATION OF 100 FAMILY’S TERRITORY WIDE. OBJECTIVES: 1.1 COLLABORATE WITH TWO NEW HEALTHCARE PROVIDERS TO BOOST REFERRAL RATES. 1.2 CONDUCT AT LEAST THREE COMMUNITY HEALTH OUTREACHES INDEPENDENTLY AND/OR IN CONJUNCTION WITH COMMUNITY PARTNERS ANNUALLY. OBJECTIVES: 2.1 ENSURE ALL MIECHV STAFF COMPLETE HEALTH EQUITY TRAINING WITHIN SIX MONTHS OF EMPLOYMENT. OBJECTIVES: 3. STRENGTHEN WORKFORCE CAPACITY: RECRUIT AND TRAIN ADDITIONAL HOME VISITORS SPECIALIZING IN EARLY CHILDHOOD DEVELOPMENT WITHIN THE NEXT YEAR. 3.1 OFFER COMPETITIVE COMPENSATION PACKAGES TO ATTRACT NEW RECRUITS. 3.2 OFFER PROFESSIONAL DEVELOPMENT OPPORTUNITIES TO 100% OF THE STAFF ANNUALLY. APPROACH: LIST THE FOLLOWING: ELIGIBLE EVIDENCE-BASED MODELS AND PROMISING APPROACHES SUPPORT WITH MIECHV AWARD FUNDS. • NURSE FAMILY PARTNERSHIP (NFP) AND HEALTHY FAMILIES AMERICA (HFA) ARE THE TWO VOLUNTARY EVIDENCE-BASED MODELS THAT WILL BE UTILIZED USING THE NEW AWARD FUNDS. NFP WILL SERVE THE FIRST-TIME MOTHERS AND THEIR CHILDREN, PROVIDING HOME VISITING SERVICES DURING PREGNANCY AND CONTINUING THROUGH THE CHILD’S FIRST TWO YEARS OF LIFE. HEALTHY FAMILIES AMERICA (HFA) TARGETS PARENTS FACING CHALLENGES SUCH AS SINGLE PARENTHOOD, LOW INCOME, CHILDHOOD HISTORY OF ABUSE AND OTHER ADVERSE CHILD EXPERIENCES. HOME VISITING SERVICES ARE INITIATED DURING PREGNANCY OR AFTER BIRTH BEFORE THE CHILD TURNS THREE MONTHS OF AGE AND CONTINUE UNTIL THE CHILD IS THREE YEARS OLD. COMMUNITIES IDENTIFIED IN YOUR STATEWIDE NEEDS ASSESSMENT THAT YOU INTEND TO SERVE AND ANY SPECIFIC TARGET POPULATION GROUPS (S) TO BE SERVED WITHIN THOSE COMMUNITIES. • THE PROGRAM PRIMARILY SERVES LOW-INCOME FAMILIES, TEEN MOTHERS, AND FAMILIES WITH A HISTORY OF SUBSTANCE ABUSE, MENTAL HEALTH ISSUES, OR OTHER RISK FACTORS THAT MAY IMPACT MATERNAL AND CHILD HEALTH OUTCOMES IN ST. THOMAS, ST. JOHN AND ST. CROIX. TOTAL PROPOSED CASELOAD OF MIECHV FAMILY SLOTS (SEE APPENDIX B FOR A DEFINITION OF CASELOAD OF MIECHV FAMILY SLOTS) FOR EACH FEDERAL FISCAL YEAR WITHIN PERI

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) 334-4961 EMAIL ADDRESS: TARYN.YATES@DHW.IDAHO.GOV WEBSITE: HTTPS://HEALTHANDWELFARE.IDAHO.GOV/SERVICES-PROGRAMS/CHILDREN-FAMILIES/ABOUT-HOME-VISITING FUNDS REQUESTED: $3,956,227 ANNOTATION: THE IDAHO MIECHV PROGRAM SERVES 27 OF 44 COUNTIES IN THE STATE WITH PLANS TO EXPAND TO 41 BY SEPTEMBER 2025. SERVICES ARE IMPLEMENTED THROUGH EACH OF THE SEVEN PUBLIC HEALTH DISTRICTS ACROSS THE STATE AND WILL SOON BE ACCOMPANIED BY TWO ADDITIONAL PROGRAMS, INCLUDING A TRIBAL PROGRAM, TO MEET THE GROWING NEED IN THE STATE. THE IDAHO MIECHV PROGRAM AIMS TO OFFER HIGH QUALITY SERVICES TO AS MANY FAMILIES AS POSSIBLE WHILE MAINTAINING A STABLE AND SKILLED WORKFORCE. WITH LIMITED SERVICES AVAILABLE TO YOUNG FAMILIES, HOME VISITING IS A CRITICAL SERVICE TO MEET THE NEEDS OF IDAHO’S FAMILIES. PROBLEM: IDAHO IS A RURAL AND HISTORICALLY UNDERSERVED AREA. THERE IS A LACK OF ADEQUATE HEALTHCARE, MENTAL HEALTHCARE, AND EARLY CHILDHOOD SERVICES IN MOST REGIONS OF THE STATE. HOME VISITING MEETS FAMILIES WHERE THEY ARE AND SERVES NOT ONLY AS A DIRECT SUPPORT, BUT AS A CONNECTION TO THE RESOURCES THAT DO EXIST IN THEIR COMMUNITIES. PURPOSE: HOME VISITING PROGRAMS AIM TO SUPPORT FAMILIES IN AT-RISK COMMUNITIES, ADVANCE HEALTH EQUITY BY LEVERAGING INDIVIDUAL FAMILY STRENGTHS, IDENTIFY AND ADDRESS THE SOCIAL DETERMINANTS OF HEALTH, AND ENSURE CHILDREN AND FAMILIES HAVE EQUAL OPPORTUNITY TO REACH THEIR FULLEST POTENTIAL. GOALS AND OBJECTIVES: IDAHO MIECHV AIMS TO IMPLEMENT VOLUNTARY, EVIDENCE-BASED HOME VISITING PROGRAMS THAT SERVE FAMILIES IN AT-RISK COMMUNITIES TO IMPROVE OUTCOMES, ENSURE HIGH-QUALITY HOME VISITING SERVICES, AND COLLABORATE WITH STATE AND LOCAL PARTNERS TO COORDINATE EARLY CHILDHOOD SYSTEMS AND HIGH-QUALITY SERVICES. IDAHO MIECHV 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) BUILDING A COLLABORATIVE OF HOME VISITING PROGRAMS STATEWIDE 5) IMPLEMENTING A SUSTAINABLE MEDICAID BILLING PROCESS APPROACH: IDAHO MIECHV HAS ESTABLISHED CONTRACTS WITH LIAS TO DELIVER EBHV SERVICES IN AT-RISK COMMUNITIES USING THE NURSE-FAMILY PARTNERSHIP (NFP) AND PARENTS AS TEACHERS (PAT) MODELS. THE AT-RISK COMMUNITIES IN IDAHO FUNDED BY IDAHO MIECHV 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, WASHINGTON, AND 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. THE TOTAL PROPOSED CASELOAD OF FAMILY SLOTS IS 528 FOR FY2024 AND FY2025. 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 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: 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: 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: 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: 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: 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 - REQUESTING $1,669,091 BASE & $1,140,234 MATCH. THE PURPOSE OF THE N-MIECHV PROGRAM IS THE PREVENTION OF CHILD MALTREATMENT, TOXIC STRESS, & POOR LIFE COURSE OUTCOMES THROUGH VOLUNTARY, EVIDENCE-BASED HOME VISITING SERVICES IN PRIORITY COUNTIES IDENTIFIED THROUGH NEEDS ASSESSMENT, BY LOCAL IMPLEMENTING AGENCIES SPECIFICALLY TARGETING AT-RISK POPULATIONS. N-MIECHV WILL USE THE MATCH OPPORTUNITY TO ENHANCE NETWORK CAPACITY BY UTILIZING THE HOME VISITOR PERSONNEL COST METHOD & BRAIDING FEDERAL MIECHV FUNDING WITH TANF & STATE GENERAL FUNDS. FY2025 GOALS & OBJECTIVES: 1. BY 09/29/2027, N-MIECHV WILL ASSURE DOCUMENTATION OF HIGH-FIDELITY DELIVERY OF VOLUNTARY, EVIDENCE-BASED HOME VISITING TO FAMILIES THAT ARE AT GREATER RISK OF POOR LIFESPAN HEALTH OUTCOMES DUE TO POVERTY, TEEN PARENTS, INVOLVEMENT IN CHILD WELFARE, EXPOSURE TO RELATIONSHIP VIOLENCE, EXPOSURE TO SUBSTANCE OR TOBACCO USE, PARENTS WITH LOW STUDENT ACHIEVEMENT OR DEVELOPMENTAL DISABILITIES, OR HAVE ONE OR BOTH PARENTS IN THE MILITARY WITH MULTIPLE DEPLOYMENTS. OBJ. 1.1: BY 09/29/26, EVERY NETWORK PROGRAM WILL HAVE THE CHILD WELFARE PROTOCOL PLAN APPROVED OR MAINTAIN PART OF THEIR ENROLLMENT TARGET WITH CHILD WELFARE-REFERRED FAMILIES. OBJ. 1.2: BY 9/29/27, N-MIECHV WILL PROVIDE INTENSIVE & TARGETED TECHNICAL ASSISTANCE TO INDIVIDUAL PROGRAM SITES TO ASSURE QUALITY DELIVERY OF SERVICES. OBJ. 1.3: BY 9/29/27, N-MIECHV WILL ASSURE LIAS DEMONSTRATE FIDELITY, ACCURACY, & COMPLETION OF THE DATA TO PRODUCE POSITIVE RESULTS ON THE FEDERAL BENCHMARKS. OBJ. 1.4: BY 9/29/27, ALL LIAS WILL EITHER MAINTAIN ACCREDITATION IN GOOD STANDING OR ACHIEVE SATISFACTORY FIDELITY ASSESSMENTS (NEW PROGRAMS) WITH THE HEALTHY FAMILIES AMERICA NATIONAL MODEL. 2. BY 09/29/2027, N-MIECHV WILL DEMONSTRATE A SIGNIFICANT INCREASE OF CAPACITY FROM 704 TO 947 IN 30 OF 31 IDENTIFIED PRIORITY COUNTIES STATEWIDE, COMPLETING THE EXPANSION PROJECT. OBJ. 2.1: BY 9/29/26, N-MIECHV WILL REACH THE ANTICIPATED ENROLLMENT CAPACITY PROJECTED LAST YEAR BY RESOLUTION OF STAFFING PRIORITIES AND THE EXPANSION OF SEVERAL PROGRAM SITES, INCREASING NUMBERS FROM 704 TO 832. OBJ. 2.2: BY 09/29/27, N-MIECHV WILL EXPAND CAPACITY IN THREE PREVIOUSLY UNSERVED PRIORITY COUNTIES, BY IMPLEMENTING A NEW PROGRAM WITH SOUTHWEST NEBRASKA DISTRICT PUBLIC HEALTH DEPARTMENT AND EXPANDING SERVICES WITH NEBRASKA CHILDREN’S HOME SOCIETY INTO SAUNDERS COUNTY. OBJ. 2.3: BY 09/29/27, N-MIECHV WILL COMPLETE THE EXPANSION PROJECT BY INCREASING CAPACITY IN THE SUBAWARDS FROM 832 TO 947. 3. BY 09/29/27 N-MIECHV WILL ENHANCE A WELL-TRAINED & COMPETENT WORKFORCE. OBJ. 3.1: BY 09/29/27, N-MIECHV WILL POLL NETWORK STAFF FOR ADDITIONAL TRAINING INTERESTS & OFFER AT LEAST ONE NEW PROFESSIONAL DEVELOPMENT OPPORTUNITY TO THE NETWORK EACH YEAR OF THE PERIOD OF PERFORMANCE. OBJ. 3.2: BY 09/27/27, N-MIECHV WILL CONTRACT WITH THE UNL NEBRASKA CENTER FOR REFLECTIVE STRATEGIES FOR ON-GOING REFLECTIVE SUPERVISION TRAINING OPPORTUNITIES FOR NEW SUPERVISORS. 4. BY 09/29/2027, N-MIECHV WILL ENGAGE CROSS-SECTOR SYSTEMS-LEVEL COLLABORATIONS TO PROMOTE SUSTAINABILITY OF EVIDENCE-BASED HOME VISITING FOR AT-RISK FAMILIES, TO IMPROVE FAMILY & LIFE COURSE OUTCOMES. OBJ. 4.1: BY 9/29/27, N-MIECHV WILL CONTRIBUTE FUNDING TO A COORDINATED INTAKE PROJECT IN DOUGLAS COUNTY, WITH SEVERAL DIFFERENT HOME VISITING RESOURCES AVAILABLE TO INCREASE BOTH COLLABORATION AND REFERRALS INTO LOCAL N-MIECHV-FUNDED PROGRAMS. OBJ. 4.2: BY 9/29/27, N-MIECHV WILL ACTIVELY PARTICIPATE ON THE NATIONAL ASTHVI GROUP AND/OR WITH THE MATERNAL CHILD HEALTH BUREAU DESIGNATED ORGANIZATION FOR LEADERSHIP DEVELOPMENT AND COLLABORATION ACROSS MATERNAL CHILD HEALTH PROGRAMS, BUILDING CAPACITY OF MCH LEADERS THROUGH COORDINATED AND COLLABORATIVE SUPPORT TO ACHIEVE THE LONG-TERM GOAL TO IMPROVE NATIONAL MCH HEALTH OUTCOMES AND REDUCE ASSOCIATED DISPARITIES BY BETTER SERVING SPECIFIC POPULATIONS AND AWARDEES.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - THE MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING (MIECHV) PROGRAM AIMS TO IMPROVE ACCESS TO QUALITY HEALTHCARE FOR MOTHERS AND CHILDREN, SUPPORT POSITIVE MATERNAL AND CHILD HEALTH OUTCOMES, AND STRENGTHEN THE HOME VISITING WORKFORCE. THIS INITIATIVE WILL INCREASE FAMILY PARTICIPATION IN EVIDENCE-BASED HOME VISITING MODELS AND BROADEN COMMUNITY HEALTH OUTREACH IN UNDERSERVED AREAS THROUGH THE EXPANSION OF SERVICES OFFERED BY THE NURSE-FAMILY PARTNERSHIP (NFP). THE PROGRAM WILL SUPPORT INITIATIVES THAT ENHANCE RESPECTFUL AND EFFECTIVE CARE BY TRAINING STAFF TO BETTER UNDERSTAND AND RESPOND TO THE DIVERSE NEEDS OF THE INDIVIDUALS WE SERVE. WE WILL ADDRESS THE CHALLENGES MANY FAMILIES FACE INCLUDING LIMITED HEALTHCARE ACCESS, ECONOMIC HARDSHIPS, AND BARRIERS TO WELLNESS BY OFFERING COMPREHENSIVE SUPPORT SERVICES DESIGNED TO PROMOTE HEALTHIER OUTCOMES FOR MOTHERS AND CHILDREN. PROBLEM: OUR COMMUNITY CONTINUES TO EXPERIENCE SIGNIFICANT CHALLENGES IN MATERNAL AND CHILD HEALTH. THESE INCLUDE ELEVATED RATES OF PRETERM BIRTHS AND LOW BIRTH WEIGHTS, PARTICULARLY AMONG FAMILIES WITH LOWER INCOMES. WE ALSO AIM TO RESPOND TO RELATED CONCERNS SUCH AS POVERTY, SUBSTANCE USE, AND MENTAL HEALTH CONDITIONS THAT AFFECT MANY HOUSEHOLDS. PURPOSE: TO IMPROVE MATERNAL AND CHILD HEALTH OUTCOMES, ENHANCE SERVICE DELIVERY, AND ENSURE ALL MOTHERS AND CHILDREN RECEIVE CONSISTENT, HIGH-QUALITY SUPPORT BY IMPLEMENTING TWO EVIDENCE-BASED HOME VISITING MODELS—NURSE-FAMILY PARTNERSHIP (NFP) AND HEALTHY FAMILIES AMERICA (HFA)—ALONG WITH WRAPAROUND FAMILY SUPPORT SERVICES. GOALS AND OBJECTIVES: GOAL: IMPROVE ACCESS TO QUALITY HEALTHCARE AND INCREASE ENROLLMENT IN THE NFP AND HFA PROGRAMS TO SERVE 104 FAMILIES BY 2026. OBJECTIVES: PARTNER WITH TWO ADDITIONAL HEALTHCARE PROVIDERS TO INCREASE REFERRALS. CONDUCT AT LEAST THREE INDEPENDENT OR COLLABORATIVE COMMUNITY OUTREACH EVENTS ANNUALLY. PROVIDE ALL STAFF WITH TRAINING IN CULTURAL SENSITIVITY AND INCLUSIVE CARE PRACTICES WITHIN SIX MONTHS OF HIRING. EXPAND WORKFORCE CAPACITY BY RECRUITING AND TRAINING NEW HOME VISITORS WITHIN THE NEXT YEAR. OFFER COMPETITIVE COMPENSATION AND ANNUAL PROFESSIONAL DEVELOPMENT TO ATTRACT AND RETAIN QUALIFIED STAFF. APPROACH: THE PROGRAM WILL UTILIZE ELIGIBLE, EVIDENCE-BASED HOME VISITING MODELS, INCLUDING NFP AND HFA. THE NFP MODEL SUPPORTS FIRST-TIME MOTHERS AND THEIR CHILDREN, OFFERING SERVICES FROM PREGNANCY THROUGH THE CHILD’S SECOND BIRTHDAY. THE HFA MODEL SERVES FAMILIES EXPERIENCING CHALLENGES SUCH AS SINGLE PARENTHOOD, FINANCIAL HARDSHIP, AND HISTORIES OF TRAUMA OR ABUSE. HFA SERVICES BEGIN DURING PREGNANCY OR SHORTLY AFTER BIRTH (BEFORE THE CHILD IS THREE MONTHS OLD) AND CONTINUE UNTIL THE CHILD TURNS THREE. COMMUNITIES IDENTIFIED THROUGH THE STATEWIDE NEEDS ASSESSMENT INCLUDES LOW-INCOME FAMILIES, TEEN MOTHERS, AND THOSE AFFECTED BY SUBSTANCE USE, MENTAL HEALTH CHALLENGES, OR OTHER RISK FACTORS WILL BE PRIORITIZED. THE PROPOSED CASELOAD INCLUDES 104 FAMILY SLOTS IN FY26 AND 120 IN FY27. MATCHING FUNDS WILL SUPPORT THE EXPANSION OF SERVICES THROUGH THE HIRING OF ADDITIONAL STAFF AND INCREASED ENROLLMENT CAPACITY. THESE FUNDS WILL ALSO BE USED TO PROVIDE ESSENTIAL FAMILY SUPPORT SUPPLIES AND HOST FAMILY ENGAGEMENT ACTIVITIES. STAFF DEVELOPMENT WILL BE PRIORITIZED THROUGH TRAINING PROGRAMS TO ENHANCE HOME VISITING EXPERTISE, INCLUDING MODEL-SPECIFIC TRAINING, CPR/AED/FIRST AID CERTIFICATION, AND LACTATION SUPPORT TRAINING. MATCHING FUNDS WILL FURTHER BE USED TO MAINTAIN CONTRACTS WITH BOTH NFP AND HFA. THE PROGRAM INTENDS TO UTILIZE THE FULL UNOBLIGATED MATCHING WAIVER OF $199,999 TO SUPPORT THESE EFFORTS.