Opportunity Information: Apply for HHS 2016 ACF OCC TH 1162

  • The HHS-ACF-OCC in the income security and social services sector is offering a public funding opportunity titled "Tribal Maternal, Infant, and Early Childhood Home Visiting Program: Implementation and Expansion Grants" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.872.
  • This funding opportunity was created on Jan 22, 2016 and posted on Jan 22, 2016.
  • Applicants must submit their applications by Mar 23, 2016. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $1,000,000.00 in funding.
  • The number of recipients for this funding is limited to 20 candidate(s).
  • Eligible applicants include: Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education, Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for HHS 2016 ACF OCC TH 1162

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Opportunity Summary:

The Tribal Maternal, Infant, and Early Childhood Home Visiting Program (Tribal MIECHV) Implementation and Expansion Grants is a FY 2016 discretionary funding opportunity from HHS, administered by the Administration for Children and Families (ACF) through the Office of Child Care (OCC). Awards are structured as 5-year cooperative agreements, meaning grantees should expect an ongoing working relationship with ACF that includes federal involvement in key elements such as evaluation activities and project oversight. The program is designed to help tribal communities sustain, strengthen, and expand established, evidence-based home visiting services that are already operating in American Indian and Alaska Native (AI/AN) communities, rather than starting from scratch.

At its core, the FOA targets tribal entities that can demonstrate a track record of running high-quality, culturally relevant, evidence-based home visiting programs and the related systems that make those programs effective at scale. That includes having experience with performance measurement and continuous quality improvement (CQI), building and coordinating early childhood systems, and participating in or conducting rigorous evaluation. The intent is to build on the capacity tribal communities have developed since 2010 through the broader federal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) initiative, which ACF implements in collaboration with the Health Resources and Services Administration (HRSA). For tribes or tribal organizations without that background, ACF notes that a separate FOA (HHS-2016-ACF-OCC-TH-1161) is meant for development and initial implementation, while this opportunity (HHS-2016-ACF-OCC-TH-1162) is specifically for implementation at a mature level and expansion.

The goals of the Tribal MIECHV program emphasize both outcomes for families and broader systems change. On the family side, the program aims to support healthy pregnancies, strong early child development, early learning, and family well-being, while also addressing child abuse and neglect prevention. On the program side, it focuses on delivering evidence-based home visiting that is culturally grounded and appropriate for AI/AN communities, while also expanding the national evidence base about what works in Native home visiting, including how models can be adapted without losing quality. Another major emphasis is coordination: grantees are expected to strengthen linkages among programs serving pregnant women, expectant fathers, and families with young children so that communities move toward more integrated early childhood systems rather than disconnected services.

Eligible applicants include federally recognized Indian tribes (including consortia), tribal organizations, and urban Indian organizations. The eligibility list also references certain nonprofit applicants (including 501(c)(3) organizations) and other entities as described in the FOA’s additional eligibility guidance, but the clear focus is on tribal-serving and tribally connected organizations that can demonstrate existing implementation capacity. The funding opportunity anticipated up to 20 awards, with an award ceiling of $1,000,000. The application closing date listed was March 23, 2016, and the CFDA number associated with the program is 93.872.

Funded activities span the full set of functions needed to run and grow a strong home visiting program over a 5-year period. Grantees are expected to conduct or update a community needs and readiness assessment that looks at local characteristics, the quality and capacity of existing home visiting services, and how ready the community is to implement and sustain a quality program. This assessment is expected to align with other relevant needs assessments already occurring and to involve community stakeholders, reinforcing the expectation that the work is community-driven and coordinated rather than duplicative. Based on identified needs, grantees then carry out collaborative planning to sustain and/or expand local infrastructure and capacity, including maintaining fidelity to evidence-based models while ensuring cultural relevance in delivery.

Direct service delivery remains central to the FOA. Grantees provide culturally appropriate, evidence-based home visiting services to pregnant women, expectant fathers, and parents or primary caregivers of children from birth through kindergarten entry. In parallel, grantees undertake work to strengthen local early childhood systems, specifically by improving how early childhood programs and supports work together and by building networks of support for expectant families and families with young children. This systems-building element is meant to improve referrals, coordination, and the overall effectiveness of community services beyond the home visiting program itself.

Accountability and learning are treated as required pillars, not optional add-ons. Grantees must implement performance measurement systems to track progress on legislatively required benchmark areas and use the resulting data for continuous quality improvement. In addition, every grantee must participate in rigorous evaluation in one of two ways. Option A is participation in a multi-site implementation evaluation overseen by ACF, designed in close collaboration with participating grantees and tribal communities, to study factors that support quality implementation and adaptation in tribal settings and how implementation relates to both near-term and longer-term outcomes. Option B is conducting a rigorous local evaluation that examines the efficacy of an evidence-based or promising home visiting model (or model components) on outcomes that matter to tribal communities. Even if a grantee selects the local evaluation option, they are encouraged to join the multi-site evaluation where feasible, which signals ACF’s interest in generating both locally meaningful findings and cross-site lessons that strengthen the broader evidence base for Native home visiting.

The FOA also lays out a phased expectation for the 5-year project period. Year 1 is positioned as a stabilization and planning year in which grantees are expected to maintain existing home visiting services while they update needs and readiness assessments, strengthen organizational and community infrastructure, and develop an implementation plan for sustaining and/or expanding services. This includes developing or updating plans for performance measurement and CQI and establishing how evaluation requirements will be met. Years 2 through 5 focus on executing the approved plans: sustaining and/or expanding evidence-based home visiting services, fully operating performance measurement and CQI processes, deepening early childhood system coordination, and actively conducting or participating in rigorous evaluation activities that contribute to knowledge about effective implementation and adaptation in AI/AN communities.

Frequently Asked Questions (FAQs)

What is the Tribal MIECHV Implementation and Expansion Grants opportunity?

The Tribal Maternal, Infant, and Early Childhood Home Visiting Program (Tribal MIECHV) Implementation and Expansion Grants is a FY 2016 discretionary funding opportunity from the U.S. Department of Health and Human Services (HHS). It is administered by the Administration for Children and Families (ACF) through the Office of Child Care (OCC).

What is the purpose of this funding opportunity?

The opportunity is intended to help tribal communities sustain, strengthen, and expand established, evidence-based home visiting services already operating in American Indian and Alaska Native (AI/AN) communities. It is focused on mature implementation and expansion rather than starting a new program from scratch.

Is this grant meant for new home visiting programs or existing ones?

This FOA is designed for tribal entities that already operate established, evidence-based home visiting services and have demonstrated implementation capacity. ACF indicates that a separate FOA (HHS-2016-ACF-OCC-TH-1161) is intended for development and initial implementation, while this opportunity (HHS-2016-ACF-OCC-TH-1162) is for implementation at a mature level and expansion.

What type of award is provided under this FOA?

Awards are structured as 5-year cooperative agreements. This means grantees should expect an ongoing working relationship with ACF that includes federal involvement in key elements such as evaluation activities and project oversight.

What does a cooperative agreement imply for grantees?

Because it is a cooperative agreement, ACF is expected to have substantial involvement in key parts of the project, including oversight and evaluation-related activities, rather than the grantee operating entirely independently.

Which federal agencies are connected to the broader MIECHV initiative?

ACF implements the broader federal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) initiative in collaboration with the Health Resources and Services Administration (HRSA).

Who is eligible to apply?

Eligible applicants include federally recognized Indian tribes (including consortia), tribal organizations, and urban Indian organizations. The eligibility discussion also references certain nonprofit applicants (including 501(c)(3) organizations) and other entities as described in the FOA’s additional eligibility guidance, with a clear focus on tribal-serving and tribally connected organizations that can demonstrate existing implementation capacity.

How many awards were anticipated and what is the maximum award amount?

The funding opportunity anticipated up to 20 awards. The award ceiling is $1,000,000.

What is the application closing date listed for this opportunity?

The application closing date listed was March 23, 2016.

What is the CFDA number associated with this program?

The CFDA number associated with this program is 93.872.

What are the main goals of the Tribal MIECHV program for families?

The program aims to support healthy pregnancies, strong early child development, early learning, and family well-being. It also emphasizes prevention of child abuse and neglect.

What are the main program and systems goals of the FOA?

The FOA focuses on delivering evidence-based home visiting that is culturally grounded and appropriate for AI/AN communities, expanding the national evidence base about Native home visiting (including how models can be adapted without losing quality), and strengthening linkages among programs serving expectant families and families with young children to move toward more integrated early childhood systems.

What types of services are grantees expected to provide?

Grantees are expected to provide culturally appropriate, evidence-based home visiting services to pregnant women, expectant fathers, and parents or primary caregivers of children from birth through kindergarten entry.

What is meant by “evidence-based” and “culturally relevant” in this FOA?

The FOA emphasizes using evidence-based home visiting models while ensuring services are culturally grounded and appropriate for AI/AN communities. It also highlights learning about how models can be adapted for tribal settings without losing quality.

What organizational experience or capacity does the FOA emphasize?

The FOA targets tribal entities that can show a track record of running high-quality home visiting programs and the systems that support them at scale. This includes experience with performance measurement, continuous quality improvement (CQI), early childhood systems building and coordination, and participating in or conducting rigorous evaluation.

What assessment activities are required or expected?

Grantees are expected to conduct or update a community needs and readiness assessment. This assessment examines local characteristics, the quality and capacity of existing home visiting services, and how ready the community is to implement and sustain a quality program.

How should the needs and readiness assessment relate to other community assessments?

The assessment is expected to align with other relevant needs assessments already occurring and involve community stakeholders, reflecting an expectation that the work is coordinated and community-driven rather than duplicative.

What planning activities are expected after the assessment?

Based on identified needs, grantees are expected to engage in collaborative planning to sustain and/or expand local infrastructure and capacity. This includes maintaining fidelity to evidence-based models while ensuring cultural relevance in delivery.

What does the FOA require related to early childhood systems coordination?

Grantees are expected to strengthen local early childhood systems by improving coordination among early childhood programs and supports and by building networks of support for expectant families and families with young children. This is intended to improve referrals, coordination, and overall effectiveness beyond the home visiting program itself.

What are the performance measurement expectations?

Grantees must implement performance measurement systems to track progress on legislatively required benchmark areas and use the resulting data for continuous quality improvement (CQI).

Is evaluation required under this FOA?

Yes. Every grantee must participate in rigorous evaluation in one of two ways: (A) participation in a multi-site implementation evaluation overseen by ACF, or (B) conducting a rigorous local evaluation examining the efficacy of an evidence-based or promising home visiting model (or components) on outcomes that matter to tribal communities.

What is Option A for evaluation?

Option A is participation in a multi-site implementation evaluation overseen by ACF. It is designed in close collaboration with participating grantees and tribal communities to study factors that support quality implementation and adaptation in tribal settings, and how implementation relates to near-term and longer-term outcomes.

What is Option B for evaluation?

Option B is conducting a rigorous local evaluation that examines the efficacy of an evidence-based or promising home visiting model (or model components) on outcomes that matter to tribal communities.

If a grantee chooses the local evaluation option, can they still join the multi-site evaluation?

Yes. Even if a grantee selects the local evaluation option, they are encouraged to join the multi-site evaluation where feasible, reflecting ACF’s interest in both locally meaningful findings and cross-site lessons.

How is the 5-year project period structured?

The FOA describes a phased approach. Year 1 is focused on stabilization and planning while maintaining existing home visiting services. Years 2 through 5 focus on executing the approved plans for sustaining and/or expanding services, operating performance measurement and CQI processes, strengthening early childhood systems coordination, and actively conducting or participating in rigorous evaluation.

What is expected during Year 1?

Year 1 is positioned as a stabilization and planning year. Grantees are expected to maintain existing home visiting services while updating needs and readiness assessments, strengthening organizational and community infrastructure, and developing an implementation plan for sustaining and/or expanding services. Year 1 also includes developing or updating performance measurement and CQI plans and establishing how evaluation requirements will be met.

What is expected during Years 2 through 5?

Years 2 through 5 emphasize carrying out the approved plans: sustaining and/or expanding evidence-based home visiting services, fully operating performance measurement and CQI processes, deepening early childhood system coordination, and actively conducting or participating in rigorous evaluation activities.

Does the FOA emphasize expansion of services, sustainability, or both?

Both. The FOA is framed around sustaining and strengthening established services and expanding evidence-based home visiting where appropriate, supported by infrastructure, coordination, performance measurement, CQI, and evaluation.

What populations are specifically mentioned as being served through home visiting?

The FOA specifically mentions pregnant women, expectant fathers, and parents or primary caregivers of children from birth through kindergarten entry.

What is the role of continuous quality improvement (CQI) in this program?

CQI is a core expectation. Grantees are expected to use performance measurement data to inform continuous quality improvement and support high-quality implementation over the project period.

Why does the FOA emphasize building the evidence base for Native home visiting?

The FOA aims to expand knowledge about what works in tribal home visiting, including understanding implementation in tribal settings and how evidence-based models can be adapted while maintaining quality.

What kinds of coordination or linkages are grantees expected to strengthen?

Grantees are expected to strengthen linkages among programs serving pregnant women, expectant fathers, and families with young children, with the goal of more integrated early childhood systems rather than disconnected services.

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