Opportunity Information: Apply for HRSA 15 101
Apply for HRSA 15 101
- 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" 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 Sep 2, 2014 and posted on Sep 2, 2014.
- Applicants must submit their applications by Nov 3, 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 $116,597,035.00 to eligible and selected applicants.
- The number of recipients for this funding is limited to 53 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, and Wyoming), District of Columbia, 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, North Dakota, and Wyoming are not eligible for this funding opportunity these nonprofit organizations receive grant funds under separate funding opportunity announcements to provide home visiting services in these states (see funding opportunity announcements for HRSA 12 163 or HRSA 13 255). These organizations will receive the corresponding share of funds allocated to Florida, North Dakota, and Wyoming in FY 2015, subject to the availability of funds, satisfactory MIECHV grant performance, and a decision that continued funding is in the best interest of the Federal Government.
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Opportunity Summary:
The Affordable Care Act Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Formula Grant Program is a federal grant opportunity administered by the Health Resources and Services Administration (HRSA), in coordination with the Administration for Children and Families (ACF). Its core purpose is to fund states and territories to continue and strengthen voluntary home visiting services for families with infants and young children, guided by each jurisdiction's statewide needs assessment. The program is meant to support coordinated, statewide systems of early childhood home visiting that connect families to a broader continuum of health and social services, while emphasizing high-quality implementation and measurable improvements for families living in at-risk communities.
Program funds are aimed at three main outcomes. First, they are intended to strengthen and improve the activities carried out under Title V of the Social Security Act (the Maternal and Child Health Services Block Grant), meaning home visiting should reinforce a state's wider maternal and child health infrastructure and priorities rather than operate as a standalone effort. Second, the program is designed to improve coordination of services for at-risk communities, recognizing that families often interact with multiple systems at once (health care, early education, child welfare, substance use services, and others). Third, it focuses on identifying families in at-risk communities and ensuring they receive comprehensive supports that improve outcomes such as maternal and infant health, child development, safety, and family well-being.
A defining feature of this opportunity is its strong preference for evidence-based home visiting models. By statute, most MIECHV funding must support service delivery using one or more approved evidence-based models. At the same time, the program leaves room for innovation: up to 25 percent of a recipient's annual funding may be used for "promising approaches" that do not yet qualify as evidence-based models, allowing states to test and refine approaches that may later build a stronger evidence base. HRSA also places heavy emphasis on model fidelity. In practical terms, that means funded programs must show they are delivering services in line with the approved model requirements, and they must maintain the formal designation and/or approval from the model developer while receiving MIECHV support. This is intended to ensure that outcomes expected from proven models are more likely to be achieved in real-world implementation.
The opportunity also makes clear that home visiting is expected to be deeply integrated with other state and community systems. Since the program began, states have been required to involve key agencies in planning, implementation, and evaluation. Required partners include leadership from the state Title V agency, the CAPTA (child abuse prevention) lead agency, child welfare leadership when different from CAPTA, the single state agency for substance abuse services, the Child Care and Development Fund (CCDF) administrator, the Head Start State Collaboration Office, and the State Advisory Council on Early Childhood Education and Care referenced in the Head Start Act. Beyond these required partners, HRSA and ACF strongly encourage states to build consensus with agencies responsible for IDEA Part C and Part B Section 619 (early intervention and preschool special education), ESEA Title I or state pre-K programs, and Medicaid/CHIP leadership including the EPSDT program. States are also encouraged to coordinate their application with additional partners such as domestic violence coalitions, mental health agencies, public health agencies (if separate from Title V), crime reduction entities, TANF, SNAP, and injury prevention and control programs. The overall message is that home visiting should function as a coordinated entry point and support system that helps families navigate services rather than duplicating what other programs do.
A notable program expectation tied to the Affordable Care Act is outreach and enrollment support connected to specific performance benchmarks (identified in federal guidance as benchmarks 1, 5, and 6). MIECHV programs are expected to help families enroll in health insurance coverage, make use of clinical preventive services, access primary health care, and understand ACA consumer protections. To do that effectively, state MIECHV project leadership is expected to coordinate closely with Title V Maternal and Child Health directors and state Medicaid directors so that home visitors have accurate, state-specific information and referral pathways. Home visitors should be able to connect families to Navigators, Non-Navigator Assistance Personnel (depending on the type of marketplace in the state), and Certified Application Counselors, all of whom help consumers understand options and complete eligibility and enrollment steps for marketplace coverage, premium tax credits, cost-sharing reductions, Medicaid, and CHIP.
Administratively, this specific funding opportunity was issued as HRSA-15-101 under CFDA 93.505. It was posted September 2, 2014, with an application deadline of November 3, 2014, and an archive date of January 2, 2015. The estimated total funding amount listed is $116,597,035, and the expected number of awards is 53, reflecting broad coverage across eligible states and territories. Award floor and ceiling are listed as $0, which typically indicates that individual award amounts are determined by a formula or allocation method rather than a fixed competitive range stated in the notice.
Eligibility is limited primarily to jurisdictions already participating in the MIECHV program: states (with Florida, North Dakota, and Wyoming excluded from this particular announcement), the District of Columbia, and several territories including Puerto Rico, Guam, the U.S. Virgin Islands, the Northern Mariana Islands, and American Samoa, as specified in the announcement's appendix. Florida, North Dakota, and Wyoming are handled differently because nonprofit organizations deliver MIECHV services there under separate funding opportunity announcements; those organizations are not eligible under this specific notice but may receive their FY2015 shares subject to funding availability, performance, and a federal determination that continued funding serves the government's interest.
In summary, this grant supports statewide, voluntary home visiting services for families with young children, with a clear expectation that states use evidence-based models with strong fidelity, coordinate deeply across health and human service systems, and contribute to improved maternal and child outcomes in at-risk communities. It also explicitly links home visiting work to ACA-related enrollment and access to preventive and primary care, positioning home visitors as practical connectors who can help families move from eligibility to actual coverage and care.
FAQs: Affordable Care Act MIECHV Formula Grant Program (HRSA-15-101 / CFDA 93.505)
What is this grant opportunity?
This is the Affordable Care Act Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Formula Grant Program, a federal funding opportunity administered by the Health Resources and Services Administration (HRSA) in coordination with the Administration for Children and Families (ACF).
What is the core purpose of the MIECHV Formula Grant?
The program funds states and territories to continue and strengthen voluntary home visiting services for families with infants and young children, guided by each jurisdiction's statewide needs assessment. It is intended to support coordinated, statewide early childhood home visiting systems that connect families to a broader continuum of health and social services, with an emphasis on high-quality implementation and measurable improvement for families in at-risk communities.
What kinds of families and communities are the focus?
The program emphasizes identifying and serving families living in at-risk communities and ensuring they receive comprehensive supports that improve outcomes such as maternal and infant health, child development, child safety, and overall family well-being.
How is the funding intended to connect to Title V (Maternal and Child Health Services Block Grant)?
Program funds are intended to strengthen and improve activities carried out under Title V of the Social Security Act. In practical terms, home visiting is expected to reinforce a state's broader maternal and child health infrastructure and priorities rather than operate as a standalone effort.
What are the three main outcomes this funding is aimed at?
The opportunity describes three main aims: (1) strengthening and improving Title V-related maternal and child health activities, (2) improving coordination of services for at-risk communities across systems, and (3) identifying families in at-risk communities and ensuring they receive comprehensive supports that improve outcomes for parents and children.
Is the program required to use evidence-based home visiting models?
Yes. A defining feature is a strong statutory preference for evidence-based home visiting models, and most MIECHV funding must support service delivery using one or more approved evidence-based models.
Can any funds be used for approaches that are not yet evidence-based?
Yes. The program allows innovation through "promising approaches." Up to 25 percent of a recipient's annual funding may be used for promising approaches that do not yet qualify as evidence-based models, allowing states and territories to test and refine strategies that may later build a stronger evidence base.
What does "model fidelity" mean in this opportunity?
Model fidelity means services must be delivered in line with the approved home visiting model requirements. HRSA emphasizes that funded programs need to demonstrate they are implementing the model as intended and must maintain the formal designation and/or approval from the model developer while receiving MIECHV support.
Why is maintaining model developer designation or approval important?
The opportunity frames this requirement as a way to increase the likelihood that expected outcomes from proven models are achieved in real-world implementation, by ensuring programs continue to meet the model's standards while using MIECHV funds.
How is home visiting expected to relate to other state and community systems?
Home visiting is expected to be deeply integrated with other state and community systems. The overall message is that home visiting should function as a coordinated entry point and support system that helps families navigate services, rather than duplicating what other programs do.
Which partners are required to be involved?
Required partners include leadership from: the state Title V agency; the CAPTA (child abuse prevention) lead agency; child welfare leadership (when different from CAPTA); the single state agency for substance abuse services; the Child Care and Development Fund (CCDF) administrator; the Head Start State Collaboration Office; and the State Advisory Council on Early Childhood Education and Care referenced in the Head Start Act.
Which additional partners are strongly encouraged?
HRSA and ACF strongly encourage building consensus with agencies responsible for IDEA Part C and Part B Section 619, ESEA Title I or state pre-K programs, and Medicaid/CHIP leadership including the EPSDT program.
Are there other partners states are encouraged to coordinate with?
Yes. The opportunity encourages coordination with additional partners such as domestic violence coalitions, mental health agencies, public health agencies (if separate from Title V), crime reduction entities, TANF, SNAP, and injury prevention and control programs.
How does the Affordable Care Act (ACA) relate to this home visiting grant?
A notable program expectation is ACA-related outreach and enrollment support tied to specific performance benchmarks referenced in federal guidance as benchmarks 1, 5, and 6. MIECHV programs are expected to help families enroll in health insurance coverage, use clinical preventive services, access primary health care, and understand ACA consumer protections.
What are home visitors expected to do related to health coverage and care access?
Home visitors are expected to help connect families to health insurance enrollment and to care. This includes helping families understand options and connecting them to appropriate enrollment assistance so families can move from eligibility to actual coverage and use of preventive and primary care.
Who should state MIECHV leadership coordinate with to support ACA-related work?
The opportunity expects coordination with Title V Maternal and Child Health directors and state Medicaid directors so home visitors have accurate, state-specific information and clear referral pathways.
What types of enrollment assistance resources should home visitors be able to connect families to?
Home visitors should be able to connect families to Navigators, Non-Navigator Assistance Personnel (depending on the type of marketplace in the state), and Certified Application Counselors who help consumers understand options and complete eligibility and enrollment steps for marketplace coverage, premium tax credits, cost-sharing reductions, Medicaid, and CHIP.
What is the funding opportunity number and CFDA number?
The funding opportunity was issued as HRSA-15-101 under CFDA 93.505.
When was this opportunity posted and when were applications due?
It was posted on September 2, 2014, and the application deadline was November 3, 2014.
Is this opportunity still active?
No. The archive date listed is January 2, 2015.
What was the estimated total funding amount and expected number of awards?
The estimated total program funding amount listed is $116,597,035, and the expected number of awards is 53.
Why do the award floor and ceiling show $0?
The award floor and ceiling are listed as $0, which typically indicates individual award amounts are determined by a formula or allocation method rather than a fixed competitive range stated in the notice.
Who was eligible to apply under this specific announcement?
Eligibility was limited primarily to jurisdictions already participating in MIECHV: states (with Florida, North Dakota, and Wyoming excluded from this particular announcement), the District of Columbia, and specified territories including Puerto Rico, Guam, the U.S. Virgin Islands, the Northern Mariana Islands, and American Samoa (as specified in the announcement's appendix).
Why were Florida, North Dakota, and Wyoming excluded from this particular announcement?
They were handled differently because nonprofit organizations deliver MIECHV services in those states under separate funding opportunity announcements. Those organizations were not eligible under this specific notice, though they may receive their FY2015 shares subject to funding availability, performance, and a federal determination that continued funding serves the government's interest.
Is participation in home visiting services voluntary for families?
Yes. The opportunity describes the services as voluntary home visiting for families with infants and young children.
What is the overall role of home visiting under this program?
Home visiting is positioned as part of a coordinated statewide system: delivering high-quality services aligned to evidence-based models, connecting families to a broader continuum of supports, improving coordination across agencies, and helping families access coverage and care where applicable.
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