Opportunity Information: Apply for HRSA 14 081
Apply for HRSA 14 081
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Affordable Care Act Maternal, Infant and Early Childhood Home Visiting Formula Grant Program Limited Competition" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.505 Affordable Care Act (ACA) Maternal, Infant, and Early Childhood Home Visiting Program.
- This funding opportunity was created on Apr 16, 2014 and posted on Apr 16, 2014.
- Applicants must submit their applications by May 23, 2014. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $106,704,151.00 to eligible and selected applicants.
- The number of recipients for this funding is limited to 52 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- Eligible applicants include the following entities currently funded under the MIECHV program States (excluding Florida, North Dakota, Oklahoma, and Wyoming), Puerto Rico, Guam, the Virgin Islands, the Northern Mariana Islands, and American Samoa, as noted in Appendix C to this funding opportunity announcement. Nonprofit organizations providing services to Florida, Oklahoma, North Dakota, and Wyoming are not eligible for this funding opportunity these nonprofit organizations received grant funds under separate funding opportunity announcements to provide home visiting services in these States (see funding opportunity announcements for HRSA 12 163, HRSA 13 255, or HRSA 14 101). These organizations will receive the corresponding share of funds allocated to Florida, Oklahoma, North Dakota, and Wyoming through federal FY 2014, subject to the availability of funds and satisfactory grant performance.
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Opportunity Summary:
The Affordable Care Act Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Formula Grant Program Limited Competition (HRSA-14-081) is a discretionary grant opportunity from the Health Resources and Services Administration (HRSA), offered in partnership with the Administration for Children and Families (ACF), to keep statewide voluntary home visiting services operating and aligned with a state needs assessment. At its core, the program is meant to support coordinated, high-quality home visiting systems that serve families in at-risk communities, with a strong emphasis on using proven, evidence-based practices while still leaving room for carefully managed innovation.
The program is designed around three main purposes: strengthening and improving the maternal and child health programs and activities carried out under Title V of the Social Security Act; improving coordination across service systems for at-risk communities; and identifying, connecting, and providing comprehensive services that measurably improve outcomes for families living in communities with elevated risk factors. In practical terms, the grant supports states and territories in running organized home visiting efforts (using one or multiple models) that are intended to move the needle on legislatively defined benchmark areas and participant outcomes.
A key requirement is that most funding must be used to deliver services through one or more evidence-based home visiting models. The statute and HRSA guidance also recognize that states may need to test and refine new strategies, so up to 25 percent of funds may be used for “promising approaches†that do not yet meet the formal evidence-based standard. Even with that flexibility, the notice makes clear that HRSA expects model fidelity to be protected. Programs have to demonstrate they are delivering services in conformity with their approved model(s), and HRSA ties that fidelity to having the proper designation and/or approval from the model developer. In other words, it is not enough to say a program is implementing an evidence-based model; it must be authorized and implemented the way the model developer intends, and that designation or approval must be maintained throughout the period of MIECHV funding.
The opportunity also connects MIECHV work to Affordable Care Act implementation, especially outreach and enrollment support that links to specific MIECHV benchmark areas (noted in the announcement as benchmarks 1, 5, and 6). Grantees are expected to help participating families navigate expanded coverage options beginning in 2014, understand ACA consumer protections, make use of clinical preventive services, and access primary care. The notice anticipates that home visitors will not replace formal enrollment assisters, but they should be equipped to connect families to the right enrollment help. That includes coordinating with Title V Maternal and Child Health (MCH) Directors and State Medicaid Directors so home visitors can provide state-specific referral pathways to Navigators (in federally facilitated marketplaces), Non-Navigator Assistance Personnel (in state-based marketplaces or partnership marketplaces), and Certified Application Counselors. These enrollment assisters support consumers with application completion and eligibility determinations, including whether families qualify for premium tax credits, cost-sharing reductions, Medicaid, or CHIP.
In terms of who can apply, eligibility is limited to entities already funded under the MIECHV program, specifically states (with exclusions) and certain territories listed in the announcement’s appendix. Eligible applicants include states excluding Florida, North Dakota, Oklahoma, and Wyoming, plus Puerto Rico, Guam, the U.S. Virgin Islands, the Northern Mariana Islands, and American Samoa, as referenced in Appendix C. The announcement also clarifies that nonprofit organizations providing services to Florida, Oklahoma, North Dakota, and Wyoming are not eligible under this specific competition because those states were addressed through separate HRSA funding opportunity announcements; those organizations would instead receive the relevant share of FY 2014 funds through those separate mechanisms, contingent on funding availability and satisfactory performance.
From a funding and timing perspective, the opportunity (CFDA 93.505) anticipated 52 awards with an estimated total funding amount of $106,704,151. The posting date was April 16, 2014, with an application closing date of May 23, 2014, and the announcement was later archived on July 22, 2014. The listing shows no stated award ceiling or floor, reflecting that this is a formula-based program where allocations are typically determined by statutory or program formula rather than a competitive project budget cap. There is no cost sharing or matching requirement indicated for this opportunity.
Overall, this grant opportunity is about sustaining and strengthening statewide home visiting infrastructure for at-risk communities, prioritizing evidence-based home visiting models delivered with documented fidelity, permitting limited investment in promising approaches, and intentionally tying home visiting work to broader health coverage access goals under the ACA by ensuring families can be connected to qualified enrollment support and ongoing primary and preventive care.
FAQs: ACA Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Formula Grant Program Limited Competition (HRSA-14-081)
What is HRSA-14-081?
HRSA-14-081 is the Affordable Care Act Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Formula Grant Program Limited Competition. It is a discretionary grant opportunity administered by the Health Resources and Services Administration (HRSA) in partnership with the Administration for Children and Families (ACF) to keep statewide voluntary home visiting services operating and aligned with a state needs assessment.
What is the main goal of this grant opportunity?
The main goal is to sustain and strengthen coordinated, high-quality statewide home visiting systems that serve families in at-risk communities. The program prioritizes proven, evidence-based home visiting practices while allowing limited, carefully managed innovation.
What are the three primary purposes of the program?
The program is designed around three purposes: (1) strengthening and improving maternal and child health programs and activities carried out under Title V of the Social Security Act; (2) improving coordination across service systems for at-risk communities; and (3) identifying, connecting, and providing comprehensive services that measurably improve outcomes for families living in communities with elevated risk factors.
What kinds of services or activities does the grant support?
The grant supports states and territories in running organized home visiting efforts using one or multiple home visiting models. These efforts are intended to improve outcomes tied to legislatively defined benchmark areas and participant outcomes, while ensuring services remain aligned with the state needs assessment.
Does the program require evidence-based home visiting models?
Yes. A key requirement is that most of the funding must be used to deliver services through one or more evidence-based home visiting models.
How much funding can be used for approaches that are not yet evidence-based?
Up to 25 percent of program funds may be used for "promising approaches" that do not yet meet the formal evidence-based standard, recognizing that states may need to test and refine new strategies.
What does HRSA mean by protecting model fidelity?
HRSA expects funded programs to implement their approved home visiting model(s) in conformity with how the model developer intends the model to be delivered. This expectation is described as protecting model fidelity.
Is it enough to claim that a program uses an evidence-based model?
No. The announcement indicates it is not enough to simply state that an evidence-based model is being implemented. Programs must demonstrate they are delivering services consistent with the approved model(s), including having the proper designation and/or approval from the model developer.
Do grantees need to maintain model developer approval throughout the grant period?
Yes. The notice indicates that the designation or approval from the model developer must be maintained throughout the period of MIECHV funding.
How does this opportunity connect to the Affordable Care Act (ACA)?
The opportunity explicitly ties MIECHV work to ACA implementation, particularly outreach and enrollment support that links to specific MIECHV benchmark areas identified in the announcement as benchmarks 1, 5, and 6.
What ACA-related support are grantees expected to provide to participating families?
Grantees are expected to help participating families navigate expanded coverage options beginning in 2014, understand ACA consumer protections, make use of clinical preventive services, and access primary care.
Are home visitors expected to act as official health coverage enrollment assisters?
No. The notice anticipates that home visitors will not replace formal enrollment assisters. Instead, home visitors should be equipped to connect families to the right enrollment assistance resources.
Who are the types of enrollment assistance resources mentioned in the announcement?
The announcement references Navigators (in federally facilitated marketplaces), Non-Navigator Assistance Personnel (in state-based marketplaces or partnership marketplaces), and Certified Application Counselors as the types of entities home visitors should be able to refer families to through state-specific pathways.
What kinds of determinations can enrollment assisters help families with?
As described in the notice, these enrollment assisters support consumers with application completion and eligibility determinations, including whether families qualify for premium tax credits, cost-sharing reductions, Medicaid, or CHIP.
What coordination is expected at the state level to support ACA referral pathways?
Grantees are expected to coordinate with Title V Maternal and Child Health (MCH) Directors and State Medicaid Directors so home visitors can provide state-specific referral pathways to qualified enrollment assistance resources.
Who is eligible to apply for HRSA-14-081?
Eligibility is limited to entities already funded under the MIECHV program. Eligible applicants include states (with specific exclusions) and certain territories listed in the announcement appendix (Appendix C).
Which states are excluded from eligibility under this limited competition?
The announcement excludes Florida, North Dakota, Oklahoma, and Wyoming from eligibility under this specific competition.
Which territories are included as eligible applicants?
Eligible territories include Puerto Rico, Guam, the U.S. Virgin Islands, the Northern Mariana Islands, and American Samoa, as referenced in Appendix C.
Can nonprofit organizations apply on behalf of excluded states?
No. The announcement clarifies that nonprofit organizations providing services to Florida, Oklahoma, North Dakota, and Wyoming are not eligible under this specific competition because those states were addressed through separate HRSA funding opportunity announcements.
How would organizations in the excluded states receive FY 2014 MIECHV funds?
According to the announcement, those organizations would instead receive the relevant share of FY 2014 funds through separate mechanisms tied to the other HRSA funding opportunity announcements, contingent on funding availability and satisfactory performance.
What is the CFDA number for this opportunity?
The CFDA number listed for this opportunity is 93.505.
How many awards and how much total funding were anticipated?
The opportunity anticipated 52 awards with an estimated total funding amount of $106,704,151.
What were the key dates for this funding opportunity?
The posting date was April 16, 2014. The application closing date was May 23, 2014. The announcement was later archived on July 22, 2014.
Was there a stated award ceiling or floor?
No. The listing shows no stated award ceiling or floor, consistent with a formula-based program where allocations are typically determined by statutory or program formula rather than a competitive project budget cap.
Is this a formula-based program or a typical competitive grant with set budget caps?
Based on the information provided, it is a formula-based program. The absence of a stated award ceiling or floor is described as reflecting formula-based allocations.
Is cost sharing or matching required?
No. The opportunity indicates there is no cost sharing or matching requirement.
What does "limited competition" mean in the context of this opportunity?
Based on the eligibility description provided, "limited competition" refers to the fact that eligibility is restricted to entities already funded under the MIECHV program, with additional state-specific exclusions and a defined list of eligible territories.
What is the overall focus of this grant opportunity in plain terms?
It focuses on sustaining statewide home visiting infrastructure for at-risk communities, prioritizing evidence-based models delivered with documented fidelity, allowing limited investment in promising approaches (up to 25 percent), and linking home visiting work to health coverage access goals under the ACA by ensuring families can be connected to qualified enrollment support and ongoing primary and preventive care.
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