Maternal, Infant and Early Childhood Home Visiting Grant

MIECHV Program
CFDA 93.870 Active Grant Cooperative Agreement

Open Opportunities (1)

Live Grants.gov opportunities funded under this program — you can apply now.

Program Funding

Annual program obligations reported to SAM.gov.

Latest annual funding (estimated)
$536.2M FY2026
$451.4M
FY24
$489.3M
FY25
$536.2M
FY26*
* estimated

Who has received this funding

Organizations awarded under CFDA 93.870 (USAspending.gov).

Funded Projects

Examples of what this program has supported.

FY2025 MIECHV state and jurisdictional grantees provided over 10.8 million visits from FY 2012 through FY 2024. In FY 2024, awardees reported serving more than 150,000 parents and children in over 1,100 counties across all 50 states, the District of Columbia, and 5 territories. This is more than a 300 percent increase in the number of participants served since FY 2012. The MIECHV Program achieves positive outcomes for families. In FY 2024:

82.3% of children enrolled in the MIECHV Program received daily early language and literacy support from a family member.

80.4% of parents enrolled in the MIECHV Program were screened for depression after enrollment or after giving birth.
FY2026 MIECHV state and jurisdictional grantees provided over 10.8 million visits from FY 2012 through FY 2024. In FY 2024, awardees reported serving more than 150,000 parents and children in over 1,100 counties across all 50 states, the District of Columbia, and 5 territories. This is more than a 300 percent increase in the number of participants served since FY 2012. The MIECHV Program achieves positive outcomes for families. In FY 2024:

82.3% of children enrolled in the MIECHV Program received daily early language and literacy support from a family member.

80.4% of parents enrolled in the MIECHV Program were screened for depression after enrollment or after giving birth.

Program Objective

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.

Eligibility

Eligible Applicants

  • U.S. Territory Government
  • U.S. State Government

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.

Beneficiaries

  • Nonprofit Organization
  • Unrestricted by Individual Type

As directed in statute, awardees must give priority in providing services under the MIECHV program to the following: • Eligible families who reside in communities in need of such services, as identified in the statewide needs assessment required under subsection 511(b)(1)(A); • Low-income eligible families; • Eligible families with pregnant women who have not attained age 21; • Eligible families that have a history of child abuse or neglect or have had interactions with child welfare services; • Eligible families that have a history of substance abuse or need substance abuse treatment; • Eligible families that have users of tobacco products in the home; • Eligible families that are or have children with low student achievement; • Eligible families with children with developmental delays or disabilities; and • Eligible families that include individuals who are serving or formerly served in the Armed Forces, including such families that have members of the Armed Forces who have had multiple deployments outside of the United States.

How to Apply

Award Procedure

Notification is made in writing by a Notice of Award.

Decision Timeline

  • Approval: From 120 to 180 days

Final decisions are made 4 to 6 months after receipt of applications.

Program details & compliance

Description

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.

Mission Categories

Primary: Maternity, Infants, Children

Use of Funds

Allowed Uses

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.

Required Documentation

Applicants should review the individual HRSA funding opportunity guidance issued under this Assistance Listing for any required proof or certifications of education and/or training which must be submitted prior to or simultaneous with submission of an application package. 2 CFR 200, Subpart E - Cost Principles applies to this program.

Matching Requirements

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. Each year, beginning in FY 2025, awards will be made with matching grant funding that was not awarded in prior fiscal year(s), or was returned to the Federal Government from awardees. For interested eligible entities that can meet the additional match ($1 in non-federal funds to receive $3 in federal grant award funding), funding will be distributed according to each awardee’s share of children under age 5 living in families in poverty.

Reporting & Compliance

Audit Required
Yes — Determined at Time of Award
Records Retention
3 years

Applicable 2 CFR 200 Subparts

  • Subpart B — General Provisions
  • Subpart C — Pre-Federal Award Requirements
  • Subpart D — Post-Federal Award Requirements
  • Subpart E — Cost Principles
  • Subpart F — Audit Requirements

Formula

Social Security Act, Title V, §511(c)(4), as amended by Section 6101 of the Consolidated Appropriations Act, 2023 (P.L. 117-328).

Contacts

Eliza Heppner, Acting Associate Administrator for Maternal and Child Health — Implementation Branch Chief, Division of Home Visiting and Early
(301) 443-2170
Division of Home Visiting and Early Childhood Systems Maternal and Child Health Bureau Health Resources and Services Administration, Rockville, MD 20857
Data from SAM.gov Federal Assistance Listings. Source published: 2026-01-06. Spec v2.0. Last synced: 2026-05-30 02:36:53.