Opportunity Information: Apply for HRSA 13 278

  • 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 Jul 29, 2013 and posted on Jul 10, 2013.
  • Applicants must submit their applications by Aug 9, 2013. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The number of recipients for this funding is limited to 53 candidate(s).
  • Eligible applicants include: State governments Others (see text field entitled Additional Information on Eligibility for clarification).
  • Eligible applicants include States (excluding Florida, North Dakota, 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. Florida, North Dakota, and Wyoming are not eligible for this funding opportunity these States have opted not to participate in the MIECHV program. Accordingly, per Social Security Act, Title V, 511(h)(2)(B) (42 U.S.C. 711(h)(2)(B)), funds previously available to these States have been committed to nonprofit organization described in subsection (k)(1)(B) to conduct an early childhood home visitation program in the State. Depending on the availability of federal funds, Florida, North Dakota, and Wyoming may be eligible for funding in FY 2015. Nonprofit organizations providing services to Florida, 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 or HRSA 13 255). These organizations will continue to receive the corresponding share of funds allocated to Florida, North Dakota, and Wyoming through federal FY 2014, subject to the availability of funds and grant performance.
Apply for HRSA 13 278

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Opportunity Summary:

The Affordable Care Act Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Formula Grant Program (Funding Opportunity Number HRSA-13-278; CFDA 93.505) is a federal grant opportunity administered by the Health Resources and Services Administration (HRSA), in partnership with the Administration for Children and Families (ACF), to support statewide, voluntary home visiting services for pregnant people and families with young children living in at-risk communities. The overall purpose is to keep proven, high-quality home visiting services operating and improving over time, while building a more coordinated system of family supports that connects health, early childhood, and social services in a comprehensive way.

At its core, the program is designed to do three things: strengthen and improve the programs and activities carried out under Title V of the Social Security Act (the Maternal and Child Health Services Block Grant framework), improve coordination of services for communities facing elevated risk factors, and identify and deliver comprehensive services that improve outcomes for families in those communities. Home visiting in this context generally means trained professionals (such as nurses, social workers, or early childhood specialists, depending on the model) providing structured, scheduled visits to families to support healthy pregnancies, child development, parenting skills, safety, school readiness, and family self-sufficiency, with a strong focus on measurable outcomes and continuous quality improvement.

A major requirement is that most of the funding must be used to deliver services through one or more evidence-based home visiting models. These are established program models with a research base showing positive impacts. The announcement also preserves room for innovation: up to 25 percent of funds may support "promising approaches" that do not yet meet the evidence-based threshold, allowing states and territories to test and build emerging strategies while still prioritizing interventions with demonstrated effectiveness.

HRSA places a strong emphasis on fidelity to the chosen service delivery models. Recipients are expected to show that local implementing agencies are delivering services in conformity with the approved model requirements, and this is tied to having the appropriate designation and/or approval from the model developer to operate that model. In practical terms, states and territories cannot simply adopt the name of an evidence-based approach; they must maintain the model developer's required certification, licensing, or approval status for as long as they are receiving MIECHV funding, helping ensure the statutory distribution between evidence-based models and promising approaches is actually maintained.

Eligibility is limited primarily to governmental entities: state governments (with specific exclusions), and certain U.S. territories. Eligible applicants include states (excluding Florida, North Dakota, and Wyoming), plus Puerto Rico, Guam, the U.S. Virgin Islands, the Northern Mariana Islands, and American Samoa, as specified in the funding opportunity's appendix. Florida, North Dakota, and Wyoming are excluded because they opted not to participate in the MIECHV program; under the governing statute, the funds that would have gone to those states are instead directed to certain nonprofit organizations to operate home visiting programs there under separate funding opportunities. The notice also indicates that those three states might become eligible in a later fiscal year depending on federal funding availability, but the nonprofit organizations serving those states under separate awards are not eligible to apply under this specific announcement.

Administratively, this is a discretionary grant program in the health funding activity category, with an anticipated 53 awards. The posting date was July 10, 2013, with an application closing date of August 9, 2013 (and an archive date of October 8, 2013). The funding listing shows award floor and ceiling as 0, which typically reflects that award amounts vary by formula or allocation details described in the full announcement rather than a single competitive maximum. There is no cost sharing or matching requirement stated for this opportunity. For applicant support, HRSA directs questions to its call center (877-464-4772) and the email address CallCenter@HRSA.GOV, and provides an official link to the full announcement for complete application and program requirements.

Frequently Asked Questions (FAQs)

What is the name of this grant opportunity?

This opportunity is the Affordable Care Act Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Formula Grant Program.

What is the Funding Opportunity Number (FON) and CFDA number?

The Funding Opportunity Number is HRSA-13-278, and the CFDA number is 93.505.

Which federal agency administers this program?

The program is administered by the Health Resources and Services Administration (HRSA), in partnership with the Administration for Children and Families (ACF).

What is the overall purpose of the MIECHV Formula Grant Program?

The overall purpose is to keep proven, high-quality home visiting services operating and improving over time, while building a more coordinated system of family supports that connects health, early childhood, and social services in a comprehensive way.

Who is served by the program?

The program supports statewide, voluntary home visiting services for pregnant people and families with young children living in at-risk communities.

What does "home visiting" mean in this program?

Home visiting generally refers to trained professionals providing structured, scheduled visits to families. Depending on the model, visitors may include nurses, social workers, or early childhood specialists. The visits are intended to support healthy pregnancies, child development, parenting skills, safety, school readiness, and family self-sufficiency.

What are the main goals of the program?

At its core, the program is designed to: (1) strengthen and improve the programs and activities carried out under Title V of the Social Security Act (Maternal and Child Health Services Block Grant framework), (2) improve coordination of services for communities facing elevated risk factors, and (3) identify and deliver comprehensive services that improve outcomes for families in those communities.

Is participation voluntary for families?

Yes. The services described are voluntary home visiting services.

Are recipients required to use evidence-based home visiting models?

Yes. A major requirement is that most of the funding must be used to deliver services through one or more evidence-based home visiting models (established models supported by research showing positive impacts).

How much funding can be used for non-evidence-based approaches?

Up to 25 percent of funds may support "promising approaches" that do not yet meet the evidence-based threshold, allowing states and territories to test and build emerging strategies while still prioritizing interventions with demonstrated effectiveness.

What does HRSA mean by emphasizing fidelity to the chosen model?

HRSA emphasizes that local implementing agencies are expected to deliver services in conformity with the approved model requirements. This includes maintaining the appropriate designation and/or approval from the model developer to operate the model, helping ensure services are delivered as intended.

Do implementing agencies need certification or approval from the model developer?

Yes. States and territories cannot simply adopt the name of an evidence-based approach; they must maintain the model developer's required certification, licensing, or approval status for as long as they are receiving MIECHV funding.

Why does the opportunity require model developer designation/approval?

The requirement helps ensure the statutory distribution between evidence-based models and promising approaches is actually maintained, and it supports consistent implementation aligned with the model requirements.

Who is eligible to apply?

Eligibility is limited primarily to governmental entities: state governments (with specific exclusions) and certain U.S. territories listed in the announcement.

Which states are eligible, and which are excluded?

States are eligible except for Florida, North Dakota, and Wyoming, which are excluded because they opted not to participate in the MIECHV program.

Which U.S. territories are eligible?

Eligible territories include Puerto Rico, Guam, the U.S. Virgin Islands, the Northern Mariana Islands, and American Samoa, as specified in the funding opportunity's appendix.

Why are Florida, North Dakota, and Wyoming excluded from this announcement?

They are excluded because they opted not to participate in the MIECHV program. Under the governing statute, the funds that would have gone to those states are directed instead to certain nonprofit organizations to operate home visiting programs in those states under separate funding opportunities.

Can nonprofit organizations in Florida, North Dakota, and Wyoming apply under this specific announcement?

No. The notice indicates the nonprofit organizations serving those states under separate awards are not eligible to apply under this specific announcement.

Could Florida, North Dakota, or Wyoming become eligible in the future?

The notice indicates those states might become eligible in a later fiscal year depending on federal funding availability.

Is this a formula grant or a competitive grant?

This is described as the MIECHV Formula Grant Program. The award floor and ceiling are listed as 0, which typically indicates award amounts vary by formula or allocation details described in the full announcement rather than a single competitive maximum.

How many awards were anticipated?

The opportunity indicates an anticipated 53 awards.

What is the funding activity category?

The funding activity category is listed as health.

Is this a discretionary grant program?

Yes. It is identified as a discretionary grant program.

What were the key dates for this opportunity?

The posting date was July 10, 2013. The application closing date was August 9, 2013. The archive date was October 8, 2013.

Is there a stated award minimum or maximum?

The funding listing shows an award floor of 0 and an award ceiling of 0. This commonly reflects that award amounts vary according to formula or allocation rules explained in the full announcement rather than a fixed minimum or maximum.

Is there a cost sharing or matching requirement?

No cost sharing or matching requirement is stated for this opportunity.

What kinds of outcomes does the program focus on?

The description highlights a strong focus on measurable outcomes and continuous quality improvement, with services aimed at areas such as healthy pregnancies, child development, parenting skills, safety, school readiness, and family self-sufficiency.

How does the program relate to Title V of the Social Security Act?

One of the program's core purposes is to strengthen and improve the programs and activities carried out under Title V of the Social Security Act, described as the Maternal and Child Health Services Block Grant framework.

Where can applicants get official help or ask questions?

HRSA directs questions to its call center at 877-464-4772 and by email at CallCenter@HRSA.GOV.

Where can applicants find the complete requirements?

HRSA provides an official link to the full announcement for complete application and program requirements. The full announcement is the authoritative source for details not included in the summary information.

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