Opportunity Information: Apply for HHS 2016 ACF OCC TH 1161

  • The HHS-ACF-OCC in the income security and social services sector is offering a public funding opportunity titled "Tribal Maternal, Infant, and Early Childhood Home Visiting Program: Development and Implementation Grants" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.872.
  • This funding opportunity was created on Jan 22, 2016 and posted on Jan 22, 2016.
  • Applicants must submit their applications by Mar 23, 2016. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $400,000.00 in funding.
  • The number of recipients for this funding is limited to 4 candidate(s).
  • Eligible applicants include: Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education, Others (see text field entitled Additional Information on Eligibility for clarification).
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Opportunity Summary:

The Tribal Maternal, Infant, and Early Childhood Home Visiting Program: Development and Implementation Grants (Tribal MIECHV) is a FY 2016 discretionary funding opportunity from the U.S. Department of Health and Human Services (HHS), administered by the Administration for Children and Families (ACF), Office of Child Care (OCC), in collaboration with the Health Resources and Services Administration (HRSA). The program funds 5-year cooperative agreements designed to help tribal communities build and operate high-quality, evidence-based home visiting services for pregnant people and families with young children from birth through kindergarten entry. The overall intent is twofold: improve outcomes for American Indian and Alaska Native (AIAN) children and families through a coordinated home visiting approach, and strengthen the broader evidence base about what works in tribal home visiting contexts.

This specific FOA is geared toward federally recognized Indian tribes (including consortia), tribal organizations, and urban Indian organizations that do not yet have deep experience with evidence-based home visiting models, performance measurement systems, or rigorous evaluation. In other words, it is meant to help newer or less-resourced tribal home visiting efforts move from early planning into strong implementation with the right infrastructure in place. HHS notes that a separate FY 2016 announcement (Implementation and Expansion Grants, HHS-2016-ACF-OCC-TH-1162) is intended for tribal entities that already have that prior experience and are ready to scale or expand.

The funded work centers on building the groundwork for effective home visiting and then delivering services with quality and fidelity. Home visiting is framed as a strategy to support outcomes such as improved maternal and prenatal health, stronger infant health, and better child health and development. It is also intended to reduce child maltreatment, strengthen parenting practices that support child development, improve school readiness, increase family economic stability, and improve coordination of referrals to community resources and supports. The FOA also highlights community safety-related outcomes, including reductions in injuries, crime, and domestic violence, reflecting the program's broad view of family well-being.

Across the 5-year project period, grantees are expected to complete several connected components. First is a comprehensive community needs and readiness assessment that looks at local characteristics, existing home visiting and support services, and the community's readiness to implement a high-quality program. This assessment is supposed to be coordinated with other relevant needs assessments already happening and should actively involve community stakeholders rather than being done in isolation. Second is collaborative planning to respond to the assessment findings by building the capacity and infrastructure needed to adopt, implement, and sustain home visiting programs that maintain strong fidelity to evidence-based models. Third is the actual delivery of culturally relevant, evidence-based home visiting services to pregnant women, expectant fathers, and parents and other primary caregivers of children from birth to kindergarten entry. The FOA repeatedly emphasizes cultural relevance alongside evidence-based practice, signaling that adaptation and fit to local context matters as long as quality and model integrity remain strong.

Beyond direct service, the grants support system-building work in early childhood. Grantees are expected to strengthen how early childhood programs work together and to develop a network of supports that can wrap around expectant families and families with young children. This reflects a goal of creating a coordinated early childhood home visiting system in tribal communities, not just a standalone program. In practice, that can include formalizing partnerships, improving referral pathways, and aligning services so families experience fewer gaps and duplications.

Measurement, continuous improvement, and evaluation are also core requirements. Grantees are expected to develop and implement performance measurement and continuous quality improvement (CQI) systems so they can track service delivery, outcomes, and implementation quality over time and use data to make ongoing improvements. In addition, grantees must conduct rigorous local evaluations using quality research methods. The evaluation focus is described as developmental, with an anticipated emphasis on formative and descriptive evaluation approaches, especially in the earlier stages. That means the evaluation work is expected to help programs develop, implement, adapt, and enhance culturally and contextually appropriate home visiting models, while still producing findings that are useful both to the grantee community and to the broader field.

The FOA lays out a phased approach by year. Year 1 is primarily for launching the foundation: completing the community needs and readiness assessment and developing an implementation plan while beginning to build capacity, including plans (or updated plans) for performance measurement, CQI, and local evaluation activities. Years 2 through 5 are focused on executing the approved plans: delivering evidence-based home visiting services at high quality, operating performance measurement and CQI processes, strengthening early childhood supports and coordination, and continuing rigorous local evaluation activities as the program matures.

Key administrative details include the funding opportunity number HHS-2016-ACF-OCC-TH-1161 and the use of a cooperative agreement mechanism, which typically means substantial federal involvement in supporting and overseeing the work compared to a standard grant. The CFDA number listed is 93.872. The original and current closing date shown is March 23, 2016. The award ceiling is $400,000, with an expectation of 4 awards. Eligible applicants include federally recognized tribal governments, tribal organizations, certain nonprofit entities with 501(c)(3) status (other than institutions of higher education), and other eligible entities as clarified in the FOA's eligibility section, with the main target remaining tribal and urban Indian organizations positioned to implement home visiting in tribal communities.

Frequently Asked Questions (FAQs)

1) What is the Tribal MIECHV Development and Implementation Grants opportunity?

The Tribal Maternal, Infant, and Early Childhood Home Visiting Program: Development and Implementation Grants (Tribal MIECHV) is a FY 2016 discretionary funding opportunity from the U.S. Department of Health and Human Services (HHS). It is administered by the Administration for Children and Families (ACF), Office of Child Care (OCC), in collaboration with the Health Resources and Services Administration (HRSA). The funding supports tribal communities in building and operating high-quality, evidence-based home visiting services for pregnant people and families with young children.

2) What is the main purpose of these grants?

The overall intent is twofold: (1) improve outcomes for American Indian and Alaska Native (AIAN) children and families through a coordinated home visiting approach, and (2) strengthen the broader evidence base about what works in tribal home visiting contexts.

3) What type of award is this?

This opportunity uses a cooperative agreement mechanism. That typically means substantial federal involvement in supporting and overseeing the work compared to a standard grant.

4) What is the funding opportunity number (FOA number)?

The funding opportunity number is HHS-2016-ACF-OCC-TH-1161.

5) What is the CFDA number for this program?

The CFDA number listed is 93.872.

6) How long is the project period?

Awards are designed as 5-year cooperative agreements.

7) What is the maximum award amount?

The award ceiling listed is $400,000.

8) How many awards are expected?

The FOA indicates an expectation of 4 awards.

9) What was the application closing date for this FY 2016 FOA?

The original and current closing date shown is March 23, 2016.

10) Who is eligible to apply?

Eligible applicants include federally recognized Indian tribes (including consortia), tribal organizations, and urban Indian organizations. The FOA also references certain nonprofit entities with 501(c)(3) status (other than institutions of higher education), and other eligible entities as clarified in the FOA's eligibility section. The main target remains tribal and urban Indian organizations positioned to implement home visiting in tribal communities.

11) Which applicants is this specific FOA primarily intended for?

This FOA is geared toward tribal and urban Indian entities that do not yet have deep experience with evidence-based home visiting models, performance measurement systems, or rigorous evaluation. It is meant to help newer or less-resourced home visiting efforts move from early planning into strong implementation with the right infrastructure in place.

12) Is there a different FY 2016 opportunity for tribes that already have strong experience and want to expand?

Yes. HHS notes that a separate FY 2016 announcement, Implementation and Expansion Grants (HHS-2016-ACF-OCC-TH-1162), is intended for tribal entities that already have prior experience and are ready to scale or expand.

13) What is meant by "home visiting" in this FOA?

Home visiting is described as a strategy to support families by delivering services in a structured, programmatic way to improve outcomes for pregnant people and families with young children from birth through kindergarten entry.

14) Which families and caregivers are intended to be served?

The FOA describes services for pregnant women, expectant fathers, and parents and other primary caregivers of children from birth through kindergarten entry.

15) What outcomes is the program trying to improve?

The FOA highlights outcomes such as improved maternal and prenatal health, stronger infant health, and better child health and development. It also aims to reduce child maltreatment, strengthen parenting practices that support child development, improve school readiness, increase family economic stability, and improve coordination of referrals to community resources and supports. The FOA also includes community safety-related outcomes, including reductions in injuries, crime, and domestic violence.

16) What are the major required components over the 5-year period?

The FOA describes several connected components: (1) a comprehensive community needs and readiness assessment, (2) collaborative planning to build capacity and infrastructure to adopt and sustain home visiting with fidelity, (3) delivery of culturally relevant, evidence-based home visiting services, (4) system-building to strengthen coordination across early childhood programs and supports, and (5) performance measurement, continuous quality improvement (CQI), and rigorous local evaluation.

17) What is the community needs and readiness assessment expected to cover?

It is expected to examine local characteristics, existing home visiting and support services, and the community's readiness to implement a high-quality program. The FOA also indicates it should be coordinated with other relevant needs assessments already happening and should actively involve community stakeholders rather than being conducted in isolation.

18) What does the FOA mean by "collaborative planning"?

Collaborative planning refers to using assessment findings to build the capacity and infrastructure needed to adopt, implement, and sustain home visiting programs, while maintaining strong fidelity to evidence-based models.

19) Do programs need to use evidence-based models, and is cultural relevance allowed?

The FOA emphasizes delivering evidence-based home visiting services while also stressing cultural relevance. It signals that adaptation and fit to local context matters, as long as quality and model integrity (fidelity) remain strong.

20) What does "fidelity" mean in the context of this FOA?

The FOA frames fidelity as maintaining strong alignment with evidence-based model requirements while implementing services, even when considering cultural relevance and contextual fit.

21) What system-building activities are expected beyond direct home visiting services?

Grantees are expected to strengthen how early childhood programs work together and develop a network of supports that can wrap around expectant families and families with young children. This may include formalizing partnerships, improving referral pathways, and aligning services so families experience fewer gaps and duplications.

22) Are performance measurement and continuous quality improvement (CQI) required?

Yes. Grantees are expected to develop and implement performance measurement and CQI systems to track service delivery, outcomes, and implementation quality over time and to use data to make ongoing improvements.

23) Is a local evaluation required? If so, what kind?

Yes. Grantees must conduct rigorous local evaluations using quality research methods. The evaluation focus is described as developmental, with an anticipated emphasis on formative and descriptive evaluation approaches, especially in earlier stages. The evaluation is intended to help programs develop, implement, adapt, and enhance culturally and contextually appropriate models, while producing findings useful to both the community and the broader field.

24) How is the work phased across the five years?

Year 1 is primarily focused on completing the community needs and readiness assessment and developing an implementation plan, while beginning capacity-building and developing (or updating) plans for performance measurement, CQI, and local evaluation. Years 2 through 5 focus on executing approved plans: delivering services at high quality, operating performance measurement and CQI processes, strengthening coordination and supports, and continuing rigorous local evaluation as the program matures.

25) What is expected in Year 1 specifically?

Year 1 emphasizes laying the foundation: completing the community needs and readiness assessment, developing an implementation plan, beginning capacity-building, and developing or updating performance measurement, CQI, and local evaluation plans.

26) What is expected during Years 2 through 5?

Years 2 through 5 emphasize implementation: delivering evidence-based home visiting services with quality, running performance measurement and CQI processes, strengthening early childhood supports and coordination, and conducting ongoing rigorous local evaluation activities.

27) Why does the FOA place emphasis on coordinated early childhood supports?

The FOA reflects a goal of creating a coordinated early childhood home visiting system in tribal communities, not just a standalone program. Strengthening coordination can help families access the right services with fewer gaps and duplications.

28) Which federal agencies/offices are involved in administering and collaborating on this program?

The program is administered by HHS through ACF's Office of Child Care (OCC), in collaboration with HRSA.

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