Federal grant programs / Department of Health and Human Services

Maternal, Infant and Early Childhood Home Visiting Grant (93.870)

Also known as MIECHV Program

• Awarded, FY 2021 to 2025$2.1 billion
• Grant awards410
• Typical award$3.6 million
• Awarded in FY 2025$460 million
• Size rank156 of 1,823
• Type of assistanceFormula grants

Key findings

• Annual funding rose from $370 million in fiscal 2021 to $460 million in fiscal 2025.
• It is the 156th largest of 1,823 federal grant programs by five-year awards.
• The 20 largest recipients received 57% of the money.
• Awards went to recipients in 56 states and territories.

What the program funds

The goals of the Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV Program) are to: (1) strengthen and improve the programs and activities carried out under Title V of the Social Security Act; (2) improve coordination of services for at-risk communities; and (3) identify and provide comprehensive services to improve outcomes for eligible families who reside in at-risk communities. The MIECHV Program supports voluntary, evidence-based home visiting services for pregnant women and parents with young children up to kindergarten entry. The MIECHV Program builds upon decades of scientific research that shows home visits conducted by a nurse, social worker, or other trained professional during pregnancy and in the first years of a child’s life improves the lives of children and families. Home visiting helps prevent childhood and adult chronic disease and behavioral health conditions, supports families to prevent child abuse and neglect, promotes child development and school readiness, and boosts families’ economic self-sufficiency. Consistent with the program’s authorizing statute MIECHV funds provide grants to 56 states and jurisdictions through base and matching funds. State and jurisdiction grantees conduct statewide needs assessments to identify eligible at-risk communities, reach statutorily-defined priority populations, and choose one or more of the 24 approved evidence-based home visiting models or identify promising approaches that will best meet the specific needs of their states and communities.

From the federal Assistance Listing. Read the full listing on SAM.gov.

Forecast opportunities

• The Home Visiting Research, Improvement, Sustainability and Evaluation Center (HV-RISE)
  Forecast · Expected deadline February 23, 2027 · up to $5.0 million
• Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV)
  Forecast · Expected deadline March 18, 2027 · up to $48.6 million

Rules from the program listing

Who can apply

Eligible entities include those currently funded under the MIECHV Program: 48 states, 2 nonprofit organizations serving Florida, and North Dakota, and 6 territories and jurisdictions serving District of Columbia, Puerto Rico, Guam, the U.S. Virgin Islands, the Commonwealth of the Northern Mariana Islands, and American Samoa. For those states that have elected not to participate in MIECHV, nonprofit organizations with an established record of providing early childhood home visiting programs or initiatives in a state or several states are eligible to apply to carry out programs in those states.

What the money can and cannot pay for

Program supports pregnant women and parents with young children who live in communities that face greater risks and barriers to achieving positive maternal and child health outcomes. Families choose to participate in home visiting programs, and partner with health, social service, and child development professionals to set and achieve goals that improve their health and well-being.

Matching requirements

Statutory Formula: Title V, Part n/a, Subpart 511(c)(4),Public Law 117.328.Social Security Act, Title V, §511(c)(4), as amended by Section 6101 of the Consolidated Appropriations Act, 2023 (P.L. 117-328).Additional Information on Base Grant and Matching Grants: This program makes awards according to requirements outlined in Social Security Act, Title V, §511(c)(4), as amended by Section 6101 of the Consolidated Appropriations Act, 2023 (P.L. 117-328). Grant awards will consist of up to three parts. (1) Base Grants are awarded FY 2023 through FY 2027. Funding amounts are based on a statutory formula that considers each awardee’s share of U.S. children under age 5, while ensuring that any available recipient funding does not fluctuate by more than 10% from the prior year award, as well as a minimum $1 million award. (2) Matching Grants are awarded FY 2024 through FY 2027. Funding amounts are based on a statutory formula that sets a minimum allocation, which increases each fiscal year, and distribution of remaining award funding according to each awardee’s share of children under age 5 living in families in poverty. In order to obtain federal matching grant funding, eligible entities must contribute $1 in non-federal funds to receive $3 in federal grant award funding (25% state/jurisdiction contribution and 75% federal contribution). (3) Unobligated matching funds will be awarded FY 2025 through FY 2027, as funding is available.

Continue reading on SAM.gov

Deadlines

Contact the headquarters or regional location, as appropriate for application deadlines

Award range and average, in the agency's words

FY 23 act. $1,123,516-$27,244,590 ; Average $7,762,871 ; FY 24 act . $1,458,860-$26,402,603; Average $7,928,224; FY 25 est. $2,081,517-$30,217,771; Average $8,767,309 (Cooperative Agreements) FY 23 act . $1,300,000-$4,500,000; Average $2,458,000. FY 24 act . $1,300,000-$4,500,000; Average $2,458,000; FY 25 est. $1,300,000-$4,500,000; Average $2,458,000.

Quoted from the program's federal Assistance Listing. The notice of funding opportunity is the official source for each competition's rules.

Who usually wins

State and local governments received 25% of the money, nonprofits 2.3%.

By state

Each state below has its own page for this program, with its recipients and yearly totals.

Award amounts are federal obligations reported to USAspending.gov for fiscal 2021 to 2025; see how our data works.