X1055743

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PURPOSE: AS OF SEPTEMBER 2026, MISSOURI MIECHV/CHILDREN’S TRUST FUND(CTF)SEEK TO IMPLEMENT AND SUPPORT EVIDENCE-BASED HOME VISITING (EBHV) SERVICES FOR PREGNANT WOMEN AND FAMILIES WITH CHILDREN BIRTH TO FIVE YEARS OF AGE IN EIGHTEEN COUNTIES IDENTIFIED AS MOST AT-RISK FOR POOR MATERNAL AND CHILD HEALTH OUTCOMES. FUNDING WILL SECURE AND IMPLEMENT EBHV SERVICES, PROVIDE TRAINING TO MAINTAIN HIGH QUALITY, AND PARTIALLY SUPPORT A COORDINATED REFERRAL INTAKE SYSTEM (CRIS). ADDITIONAL FY26 MATCH FUNDS WILL SUPPORT BID PROCESS(ES) FOR TBD EBHV IN ADDITIONAL ELIGIBLE COUNTIES NOT YET MIECHV-FUNDED. APPROVED EBHV MODELS INCLUDE: EARLY HEAD START HOME BASED OPTION, HEALTHY FAMILIES AMERICA, NURSE FAMILY PARTNERSHIP, AND PARENTS AS TEACHERS. GOALS (G) AND OBJECTIVES (O): G1: THE MO HV SYSTEM WILL OPERATE AS A COORDINATED AND COLLABORATIVE NETWORK WORKING TO ENSURE SEAMLESS SUPPORT AND MEASURABLE IMPACT. G1-O1: KEY STAKEHOLDERS HAVE UNIQUE ROLES AND RESPONSIBILITIES WHILE HONORING THEIR EXPERTISE TO INFORM HV SYSTEM-WIDE STRATEGY AND ACTIONS, AS DEMONSTRATED BY CONTINUATION OF FORMAL AGREEMENTS WITH STATE-LEVEL PARTNERS IN FY26. G1-O2: THROUGH SEPTEMBER 29, 2028, EBHV SERVICES WILL BE DELIVERED WITH STREAMLINED DATA AND REPORTING TO MEET PERFORMANCE MEASURES AND REACH OUTCOMES. G2: CQI STRATEGIES WILL BE UTILIZED WHILE ALSO ENSURING ACCESS TO COMMUNITY RESOURCES AND CONCRETE MATERIALS OF CRITICAL SUPPORT IMPROVING WELL-BEING, HEALTH AND RESILIENCE OUTCOMES. G2-O1: THROUGH SEPTEMBER 29, 2028, INCREASE THE PERCENTAGE OF INFANTS BEING BREASTFEED AT 6 MONTHS TO AT LEAST 30% AMONG FAMILIES ENROLLED. G2- O2: BY SEPTEMBER 29, 2028, INCREASE THE RATE OF COMPLETED (PROVIDED) REFERRALS FOR INTIMATE PARTNER VIOLENCE (IPV) SERVICES TO AT LEAST 45% FOR IDENTIFIED CASES WITHIN HV PROGRAMS. G3: PROVIDERS ARE SUPPORTED, EMPOWERED, AND ADEQUATELY FUNDED TO DELIVER EBHV WITHIN VALUED PROFESSIONAL ROLES EXPANDING MIECHV IN APPROVED AT-RISK COMMUNITIES (COUNTIES) THROUGH CONTRACT PROCESSES AND PROFESSIONAL DEVELOPMENT TO ENSURE HIGH QUALITY SERVICES TO FAMILIES. G3-O1: THROUGH SEPTEMBER 29, 2028, CONTINUATION OF EBHV SERVICES WILL OCCUR IN EIGHTEEN COUNTIES, WITH ADDITIONAL BID PROCESS(ES) TO INITIATE EBHV SERVICES THROUGH FY26 MATCHING FUNDS IN ADDITIONAL ELIGIBLE COUNTIES. G3-O2: THROUGH SEPTEMBER 29, 2028, LIAS WILL GIVE INPUT TO AND PARTICIPATE IN PROFESSIONAL DEVELOPMENT TO DEEPEN HIGH QUALITY SERVICES FOR FAMILIES. APPROACH: MAJOR METHODS/ACTIVITIES: • TOTAL PROPOSED CASELOAD: YEAR ONE: 812 AND YEAR TWO: 940 • MIECHV COUNTIES SERVED: YEAR ONE-ANDREW, BUCHANAN, BUTLER, CARTER, DUNKLIN, RAYTOWN C-2 SCHOOL DISTRICT (JACKSON), MISSISSIPPI, NEW MADRID, PEMISCOT, REYNOLDS, RIPLEY, SHANNON, ST. LOUIS CITY, AND WAYNE. COUNTIES TO BE ADDED AS OF 9/30/2026 BY BID PROCESS AWARDS: SCOTT, WASHINGTON, CASS AND JACKSON COUNTY. ELIGIBLE TBD APPROVED COUNTIES, NOT YET SERVED BY MIECHV, TO BE ADDED WITH ADDITIONAL FY26 MATCH FUNDS IN YEAR TWO. • LIAS: YEAR ONE - SEVEN, WITH A PLANNED, COMPETITIVE RE-BID PROCESS IN SPRING 2027 TO RENEW SERVICES IN THESE TWELVE COUNTIES (MINUS ANDREW AND BUCHANAN) SERVICES BEGINNING FY26 YEAR TWO; ADDITIONAL TBD LIAS PROVIDING EBHV SERVICES IN SCOTT, WASHINGTON, CASS, AND JACKSON (FURTHER EXPANSION) TO BE AWARDED BY A COMPETITIVE BID PROCESS WITH SERVICES BEGINNING IN FY26 YEAR ONE; AND ADDITIONAL CONTRACTS TO BE AWARDED TO TBD LIAS BY COMPETITIVE BID TO PROVIDE EBHV SERVICES IN COUNTIES NOT YET CURRENTLY SERVED BY MIECHV FUNDING TO BEGIN IN FY26 YEAR TWO. PAR TO BE SUBMITTED FOLLOWING AWARDS. • MATCHING FUNDS: MATCH FUNDS SUPPORT EBHV IN ANDREW, BUCHANAN, CASS, JACKSON, SCOTT AND WASHINGTON; AND DESIGNATION OF LIAS TO PROVIDE EBHV SERVICES IN ADDITIONAL IDENTIFIED AT-RISK COUNTIES NOT CURRENTLY SERVED BY MIECHV FUNDING, ALL THROUGH COMPETITIVE BID PROCESS. MATCH FUNDS WILL ALSO PARTIALLY SUPPORT THE MIECHV PORTION OF A COORDINATED REFERRAL AND INTAKE SYSTEM.

Children's Trust Fund Of Missouri

THE MIECHV PROGRAM SUPPORTS PREGNANT WOMEN AND PARENTS WITH YOUNG CHILDREN WHO LIVE IN COMMUNITIES THAT FACE GREATER RISK AND BARRIERS TO ACHIEVE POSITIVE MATERNAL AND CHILD HEALTH OUTCOMES. BUILDING UPON DECADES OF GOLD-STANDARD SCIENTIFIC RESEARCH, THE MIECHV PROGRAM PROVIDES VOLUNTARY, COORDINATED AND COMPREHENSIVE, HIGH-QUALITY EARLY CHILDHOOD HOME VISITING SERVICES TO ELIGIBLE FAMILIES. HOME VISITS BY A NURSE, SOCIAL WORKER, OR OTHER TRAINED PROFESSIONAL DURING PREGNANCY, AND IN THE FIRST YEARS OF LIFE CAN IMPROVE THE LIVES OF CHILDREN AND FAMILIES BY: HELPING TO PREVENT CHILDHOOD AND ADULT CHRONIC DISEASE AND BEHAVIORAL HEALTH CONDITIONS; SUPPORTING FAMILIES TO PREVENT CHILD ABUSE AND NEGLECT; PROMOTING CHILD DEVELOPMENT AND SCHOOL READINESS; AND BOOSTING FAMILIES ECONOMIC SELF-SUFFICIENCY. HRSA ADMINISTERS THIS PROGRAM IN PARTNERSHIP WITH ACF. WITH INCREASES IN APPROPRIATIONS UNDER THE MIECHV PROGRAM FOR FY 2026 AND FY 2027, HRSA STRONGLY ENCOURAGES AWARDEES TO EXPAND HOME VISITING SERVICES TO NEW COMMUNITIES AND/OR ADDITIONAL FAMILIES IN CURRENTLY SERVED COMMUNITIES THROUGH THIS FUNDING OPPORTUNITY.

93.870 - Maternal, Infant and Early Childhood Home Visiting Grant

HRSA Office of Federal Assistance Management (OFAM) [HHS - HRSA]

Maternal and Child Health Bureau (MCHB) [HHS - HRSA]

Missouri United States

State-Wide

HRSA-26-091