Opportunity Information: Apply for HRSA 13 215
Apply for HRSA 13 215
- 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 Program Expansion Grants" 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 Jun 4, 2013 and posted on May 31, 2013.
- Applicants must submit their applications by Jul 1, 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 10 candidate(s).
- Eligible applicants include: State governments Others (see text field entitled Additional Information on Eligibility for clarification).
- Eligibility is limited to those states and territories that received a competitive Development grant in FY11 or have not yet received a competitive MIECHV grant. Therefore, the following MIECHV grantees are eligible to apply under this announcement Alaba
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Opportunity Summary:
The Affordable Care Act Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program Expansion Grants (Funding Opportunity Number HRSA-13-215) is a discretionary federal grant competition run by the Health Resources and Services Administration (HRSA), in coordination with the Administration for Children and Families (ACF). The core goal is to help certain states and jurisdictions that have already built strong home visiting infrastructure move from building capacity to scaling up, meaning they are expected to expand proven, evidence-based home visiting services to reach more eligible families and communities. In practice, this opportunity is designed for places that have demonstrated meaningful progress toward a high-quality home visiting program that fits within a broader, high-quality early childhood system, and that can credibly expand without sacrificing program quality.
The funding is specifically aimed at expanding the scale and/or scope of evidence-based home visiting models. Applicants are expected to use grant dollars to increase enrollment and improve retention of the families served, which signals that HRSA is looking not only for more slots but also for stronger engagement strategies so families remain in services long enough to benefit. A major theme throughout the announcement is that expansion should be done responsibly: programs should be grounded in relevant empirical research, and grantees must evaluate the work supported by the grant. The intent is not to invent brand-new, untested approaches, but to extend home visiting programs that have already shown they can improve outcomes, bringing them to a larger share of eligible families or to additional communities with documented need.
For FY 2013, HRSA anticipated making roughly 10 awards (with the narrative also referencing 10 to 12) from an estimated total funding pool of about $68,328,000. These competitive Expansion Grant funds would be awarded on top of a state or jurisdiction's regular FY 2013 MIECHV formula funding, meaning successful applicants would receive additional dollars specifically to accelerate expansion beyond what formula funds alone could support. The opportunity does not require cost sharing or matching.
The legislation guiding the program requires that funded expansion efforts prioritize high-risk populations. The announcement lists specific priority groups, including families living in communities identified through the statewide needs assessment as needing services; low-income families; pregnant women under age 21; families with a history of child abuse or neglect or involvement with child welfare; families affected by substance use or needing treatment; households where tobacco is used; families whose children experience low student achievement; families with children who have developmental delays or disabilities; and military-connected families, including those with members who have had multiple deployments. This priority structure makes clear that HRSA expects applicants to focus expansion where risk is highest and where home visiting is most likely to prevent poor outcomes and connect families to supports.
Beyond population priorities, HRSA and ACF lay out eight programmatic emphasis areas that applicants may address. These include improving maternal, child, and family health; effectively implementing and expanding evidence-based home visiting programs with fidelity to the chosen model; developing statewide or multi-state home visiting programs; building comprehensive early childhood systems spanning prenatal care through age eight; improving outreach to high-risk and hard-to-engage families; strengthening family-centered approaches; expanding reach in rural or frontier areas; and developing fiscal leveraging strategies to support long-term sustainability. Applicants can propose work aligned with one or more of these emphases, which gives some flexibility in how jurisdictions frame their expansion strategy, as long as they remain anchored in evidence-based practice and measurable outcomes.
A key operational requirement embedded in the announcement is fidelity, defined as adhering to the model developer's requirements for implementation. Fidelity is treated as more than simply delivering services; it includes the full set of implementation supports that keep a model effective at scale. The announcement explicitly points to areas such as recruiting and retaining families, training and professional development for staff, supervision structures, management information systems to track service delivery and fidelity-related data, and building integrated resource and referral networks so families can access needed community supports. This reflects the program's expectation that grantees will scale responsibly by investing in infrastructure, workforce, and data systems rather than focusing only on increasing caseloads.
Eligibility is limited. The announcement indicates that only states and territories that received a competitive MIECHV Development Grant in FY 2011, or that have not yet received a competitive MIECHV grant, are eligible to apply under this specific competition. The posting date was May 31, 2013, and the closing date was July 1, 2013, with the opportunity later archived on August 30, 2013. The CFDA number associated with the program is 93.505, and the activity category is Health. For assistance, HRSA directed applicants to the HRSA Call Center (877-464-4772) and CallCenter@HRSA.GOV, and provided an online listing for the full announcement on the HRSA grants site.
FAQs: Affordable Care Act MIECHV Program Expansion Grants (HRSA-13-215)
What is this grant opportunity?
This is the Affordable Care Act Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program Expansion Grants, a discretionary federal grant competition (Funding Opportunity Number HRSA-13-215) administered by the Health Resources and Services Administration (HRSA), in coordination with the Administration for Children and Families (ACF).
What is the main goal of the Expansion Grants?
The main goal is to help certain states and jurisdictions that already have strong home visiting infrastructure move from building capacity to scaling up. In other words, the expectation is expansion of proven, evidence-based home visiting services so they reach more eligible families and communities without sacrificing program quality.
What types of programs are these funds intended to support?
The funding is intended to expand the scale and/or scope of evidence-based home visiting models. The emphasis is on extending programs that have already shown they can improve outcomes, not on creating brand-new, untested approaches.
Is the focus more on adding new families or improving engagement with families already enrolled?
Both. Applicants are expected to increase enrollment and improve retention, signaling that HRSA is looking for both more families served and stronger engagement strategies so families remain in services long enough to benefit.
Does this funding replace regular MIECHV formula funding?
No. Expansion Grant funds are described as being awarded on top of a state or jurisdiction's regular FY 2013 MIECHV formula funding. The intent is to provide additional resources to accelerate expansion beyond what formula funds alone could support.
How many awards were anticipated, and what was the estimated total funding?
For FY 2013, HRSA anticipated making roughly 10 awards (the narrative also references 10 to 12) from an estimated total funding pool of about $68,328,000.
Is cost sharing or matching required?
No. The opportunity does not require cost sharing or matching.
Who is eligible to apply?
Eligibility is limited. Only states and territories that received a competitive MIECHV Development Grant in FY 2011, or that have not yet received a competitive MIECHV grant, are eligible to apply under this specific competition.
What populations must expansion efforts prioritize?
The legislation guiding the program requires that funded expansion efforts prioritize high-risk populations. The announcement lists priority groups such as:
- Families living in communities identified through the statewide needs assessment as needing services
- Low-income families
- Pregnant women under age 21
- Families with a history of child abuse or neglect or involvement with child welfare
- Families affected by substance use or needing treatment
- Households where tobacco is used
- Families whose children experience low student achievement
- Families with children who have developmental delays or disabilities
- Military-connected families, including those with members who have had multiple deployments
What are the programmatic emphasis areas applicants may address?
HRSA and ACF describe eight emphasis areas that applicants may address, including:
- Improving maternal, child, and family health
- Implementing and expanding evidence-based home visiting programs with fidelity to the chosen model
- Developing statewide or multi-state home visiting programs
- Building comprehensive early childhood systems spanning prenatal care through age eight
- Improving outreach to high-risk and hard-to-engage families
- Strengthening family-centered approaches
- Expanding reach in rural or frontier areas
- Developing fiscal leveraging strategies to support long-term sustainability
Do applicants have to choose only one emphasis area?
No. Applicants can propose work aligned with one or more of the emphasis areas, as long as the proposal remains anchored in evidence-based practice and measurable outcomes.
What does "fidelity" mean in this grant, and why does it matter?
Fidelity is defined as adhering to the model developer's requirements for implementation. It is treated as essential for scaling responsibly, meaning expansion should maintain what makes the evidence-based model effective rather than diluting quality as more families are served.
What kinds of implementation supports are highlighted as part of fidelity?
The announcement points to multiple supports tied to effective, high-quality implementation at scale, including recruiting and retaining families, training and professional development for staff, supervision structures, management information systems to track service delivery and fidelity-related data, and integrated resource and referral networks to connect families to community supports.
Is evaluation required?
Yes. A major theme is that expansion should be grounded in relevant empirical research and that grantees must evaluate the work supported by the grant.
What is the funding opportunity number (FON) for this announcement?
The funding opportunity number is HRSA-13-215.
What is the CFDA number and activity category?
The CFDA number is 93.505, and the activity category is Health.
What were the key dates for this opportunity?
The posting date was May 31, 2013. The closing date was July 1, 2013. The opportunity was later archived on August 30, 2013.
Where could applicants get help or ask questions?
HRSA directed applicants to the HRSA Call Center at (877) 464-4772 and CallCenter@HRSA.GOV. The full announcement was listed on the HRSA grants website.
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