Opportunity Information: Apply for HRSA 15 102
Apply for HRSA 15 102
- 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 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 Sep 9, 2014 and posted on Sep 2, 2014.
- Applicants must submit their applications by Oct 17, 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 $258,000,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $9,400,000.00 in funding.
- The number of recipients for this funding is limited to 35 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- Eligibility is limited to current MIECHV state and territory grantees. In addition, current MIECHV nonprofit grantees serving the states of Florida, North Dakota, Oklahoma and Wyoming are eligible to apply.
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Opportunity Summary:
The Affordable Care Act Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Competitive Grant program (HRSA-15-102) is a discretionary grant opportunity run by the Health Resources and Services Administration (HRSA) to help states and certain territories that are already performing well under MIECHV continue building and scaling high-quality home visiting as part of a broader early childhood system. The core idea is to fund jurisdictions that have demonstrated significant progress and are positioned to expand effective home visiting services to meet unmet need, while maintaining strong implementation standards and a clear focus on measurable results.
Funding is intended to provide ongoing support for high-quality, evidence-based home visiting programs and to enable incremental expansion of those evidence-based models so more eligible families can enroll and stay engaged over time. A major theme is capacity building tied directly to improved enrollment and retention, rather than launching entirely new or untested approaches at scale. The program also keeps a strong research and evaluation expectation: applicants are expected to ground their proposed activities in relevant empirical literature and to evaluate the work supported by the grant, reinforcing accountability and continuous improvement.
The opportunity places explicit priority on serving high-risk populations identified in the authorizing statute (Social Security Act, Title V, Section 511(d)(4)) and in each applicants statewide needs assessment. Priority populations include families living in communities identified as high-need through the statewide needs assessment, 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 substance use treatment, households where tobacco products are used, families with children experiencing low student achievement, families with children who have developmental delays or disabilities, and military-connected families (currently serving or formerly served), including those experiencing multiple deployments. Applications are expected to show how proposed work will increase service capacity, enrollment, and retention specifically in high-risk communities, including areas already served by state or federal home visiting programs.
Applicants are asked to align their proposals with one or more programmatic emphasis areas. These include improving maternal, child, and family health; expanding evidence-based home visiting programs or systems while maintaining fidelity to the chosen model; developing statewide or multi-state innovations that measurably increase enrollment and retention; strengthening comprehensive early childhood systems across the prenatal-to-age-five continuum; improving outreach to high-risk and hard-to-engage populations; implementing a more family-centered approach to home visiting; expanding outreach to rural or frontier communities; and developing fiscal leveraging strategies to improve long-term sustainability. In practice, the emphasis areas signal that HRSA is looking not only for service growth, but also for smarter systems, stronger engagement strategies, and financial approaches that help programs last beyond a single funding cycle.
A key requirement is fidelity to evidence-based models. Fidelity is defined as adhering to model developer requirements across the full implementation lifecycle, such as recruitment and retention practices, staff training and ongoing professional development, supervision, data systems to track fidelity and service delivery, and referral networks to address family needs. The announcement is clear that changes that affect components tied to outcomes can weaken effectiveness; this kind of drift is not allowed when using funds allocated for evidence-based models. If a state wants to modify a model in ways that change core components, those efforts may be supported only under the rules for "promising approaches," and even then the statute limits spending on promising approaches to no more than 25 percent of the total grant amount in a fiscal year. This effectively means the majority of combined formula and competitive MIECHV funds must support evidence-based models.
In terms of basic award details, HRSA expected to make about 35 awards under this announcement, with an estimated total funding amount of $258,000,000. The listed award ceiling is $9,400,000, with an award floor of $0, and there is no cost-sharing or matching requirement. The opportunity was posted September 2, 2014, with an application closing date of October 17, 2014 (archived November 18, 2014). The CFDA number associated with this program is 93.505.
Eligibility is limited and targeted to existing MIECHV grantees. Specifically, only current MIECHV state and territory grantees are eligible, and there is an additional allowance for current MIECHV nonprofit grantees serving Florida, North Dakota, Oklahoma, and Wyoming to apply. The overall intent is to invest competitive dollars in jurisdictions that have already built MIECHV infrastructure and performance, and to use that foundation to scale evidence-based home visiting with strong implementation quality, sharper outreach, and measurable improvements for families facing the greatest risks.
For applicants needing assistance accessing the full announcement, the listed HRSA Grants Application Center contact is Kathleen Kilbane, RN, MS, FNP, at kkilbane@hrsa.gov, with an office address in Gaithersburg, Maryland.
Frequently Asked Questions (FAQs)
What is the MIECHV Competitive Grant program (HRSA-15-102)?
The Affordable Care Act Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Competitive Grant program (HRSA-15-102) is a discretionary grant opportunity administered by the Health Resources and Services Administration (HRSA). It is designed to help states and certain territories that are already performing well under MIECHV continue building and scaling high-quality home visiting as part of a broader early childhood system.
What is the main purpose of this competitive grant opportunity?
The main purpose is to fund jurisdictions that have demonstrated significant progress under MIECHV and are positioned to expand effective home visiting services to meet unmet need, while maintaining strong implementation standards and a clear focus on measurable results.
What types of activities does the funding support?
Funding is intended to provide ongoing support for high-quality, evidence-based home visiting programs and to enable incremental expansion of those evidence-based models so more eligible families can enroll and remain engaged over time. A major theme is capacity building tied to improved enrollment and retention, rather than launching entirely new or untested approaches at scale.
Does this opportunity emphasize evaluation and research?
Yes. Applicants are expected to ground proposed activities in relevant empirical literature and to evaluate the work supported by the grant. This reinforces accountability and continuous improvement.
Who is eligible to apply?
Eligibility is limited to existing MIECHV grantees. Only current MIECHV state and territory grantees are eligible. In addition, current MIECHV nonprofit grantees serving Florida, North Dakota, Oklahoma, and Wyoming are allowed to apply.
Is this grant intended for brand-new home visiting programs?
No. The overall intent is to invest competitive dollars in jurisdictions that have already built MIECHV infrastructure and performance, and to use that foundation to scale evidence-based home visiting with strong implementation quality, sharper outreach, and measurable improvements.
How many awards were expected to be made, and what was the total funding amount?
HRSA expected to make about 35 awards under this announcement, with an estimated total funding amount of $258,000,000.
What is the maximum award amount (award ceiling)?
The listed award ceiling is $9,400,000.
Is there a minimum award amount (award floor)?
The listed award floor is $0.
Is cost sharing or a matching contribution required?
No. There is no cost-sharing or matching requirement listed for this opportunity.
When was the opportunity posted and when did it close?
The opportunity was posted on September 2, 2014, and the application closing date was October 17, 2014. It was archived on November 18, 2014.
What is the CFDA number for this program?
The CFDA number associated with this program is 93.505.
What populations does the opportunity prioritize serving?
The opportunity explicitly prioritizes high-risk populations identified in the authorizing statute (Social Security Act, Title V, Section 511(d)(4)) and in each applicant's statewide needs assessment. Priority populations include:
- Families living in communities identified as high-need through the statewide needs assessment
- 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 substance use treatment
- Households where tobacco products are used
- Families with children experiencing low student achievement
- Families with children who have developmental delays or disabilities
- Military-connected families (currently serving or formerly served), including those experiencing multiple deployments
How should an applicant address high-risk communities in the proposal?
Applications are expected to show how the proposed work will increase service capacity, enrollment, and retention specifically in high-risk communities, including areas already served by state or federal home visiting programs.
What are the programmatic emphasis areas applicants can align with?
Applicants are asked to align proposals with one or more emphasis areas, including:
- Improving maternal, child, and family health
- Expanding evidence-based home visiting programs or systems while maintaining fidelity to the chosen model
- Developing statewide or multi-state innovations that measurably increase enrollment and retention
- Strengthening comprehensive early childhood systems across the prenatal-to-age-five continuum
- Improving outreach to high-risk and hard-to-engage populations
- Implementing a more family-centered approach to home visiting
- Expanding outreach to rural or frontier communities
- Developing fiscal leveraging strategies to improve long-term sustainability
Is maintaining fidelity to evidence-based home visiting models required?
Yes. A key requirement is fidelity to evidence-based models. Fidelity is defined as adhering to model developer requirements across the full implementation lifecycle.
What does fidelity include in this announcement?
Fidelity includes adhering to model developer requirements related to recruitment and retention practices, staff training and ongoing professional development, supervision, data systems to track fidelity and service delivery, and referral networks to address family needs.
Can a state modify an evidence-based model using these funds?
The announcement indicates that changes affecting components tied to outcomes can weaken effectiveness and that this kind of drift is not allowed when using funds allocated for evidence-based models. If a state wants to modify a model in ways that change core components, those efforts may be supported only under the rules for "promising approaches."
How much of the grant can be spent on "promising approaches"?
The statute limits spending on promising approaches to no more than 25 percent of the total grant amount in a fiscal year. This means the majority of combined formula and competitive MIECHV funds must support evidence-based models.
Is the competitive funding focused more on expansion or on maintaining existing services?
It is intended to support both: ongoing support for high-quality evidence-based home visiting and incremental expansion to meet unmet need. The emphasis is on building capacity in ways that measurably improve enrollment and retention while maintaining strong implementation standards.
Does the opportunity encourage outreach to rural or frontier areas?
Yes. One of the programmatic emphasis areas is expanding outreach to rural or frontier communities.
Does the opportunity include a focus on long-term sustainability?
Yes. One of the emphasis areas is developing fiscal leveraging strategies to improve long-term sustainability.
Who can be contacted for help accessing the full announcement?
Applicants needing assistance accessing the full announcement can contact the HRSA Grants Application Center contact listed: Kathleen Kilbane, RN, MS, FNP, at kkilbane@hrsa.gov. The office address listed is in Gaithersburg, Maryland.
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