Opportunity Information: Apply for HHS 2023 ACF ECD TH 0187
The Tribal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program: Development and Implementation Grants is a discretionary federal funding opportunity from the U.S. Department of Health and Human Services (HHS), administered by the Administration for Children and Families (ACF) through its Office of Early Childhood Development (ECD). It supports tribal communities in launching and building strong, evidence-based home visiting services for pregnant people and families with young children from birth through kindergarten entry. The awards are structured as 63-month cooperative agreements, meaning recipients can expect an ongoing, active partnership with the federal program office rather than a hands-off grant relationship.
This opportunity is specifically designed for federally recognized Indian tribes (including consortia of tribes), tribal organizations, and urban Indian organizations that do not already have experience implementing evidence-based home visiting models and are not currently operating such a program. In other words, it is meant to help new or early-stage tribal entities move from planning into real service delivery while also putting the necessary data, performance measurement, and quality improvement systems in place. Tribal entities that already have experience running evidence-based home visiting programs are directed to a separate funding announcement focused on implementation and expansion (HHS-2023-ACF-ECD-TH-0241), reinforcing that this NOFO is meant to build foundational capacity.
Funded activities are broad but clearly organized around a development-to-implementation pathway. Recipients are expected to begin by conducting community needs and readiness assessments to understand local priorities, existing resources, service gaps, and the community conditions that affect family well-being. Using that information, grantees then develop the infrastructure required to plan and implement an evidence-based home visiting program. Infrastructure can include staffing and workforce development, governance and program policies, partnership agreements, referral networks, data collection systems, and operational processes that allow a home visiting model to be delivered with fidelity and cultural responsiveness. After that foundation is built, grantees provide high-quality, evidence-based home visiting services to the target population and simultaneously implement performance measurement and continuous quality improvement (CQI) activities to track results and make ongoing program adjustments.
The home visiting approach supported here is intended to improve a wide range of family and child outcomes. The NOFO highlights expected benefits such as better maternal and prenatal health, improved infant health, and stronger child health and developmental outcomes. It also emphasizes prevention and safety goals, including reduced child maltreatment and fewer injuries, along with healthier family environments reflected in reduced crime, domestic violence, and related risks. On the family functioning side, the program aims to strengthen parenting practices linked to positive child development and to improve school readiness as children approach kindergarten. Economic stability and practical access to services are also central goals, including improved family socioeconomic status and stronger coordination of referrals so families are better connected to community resources and supports.
A key theme of the opportunity is systems-building in tribal communities, not just direct services. Alongside providing home visits, grantees are expected to engage in activities that strengthen early childhood systems of support for families with young children. ACF and the Health Resources and Services Administration (HRSA) jointly collaborate on the Tribal Home Visiting program within HHS, and they describe a longer-term vision of a coordinated early childhood home visiting system in tribal communities. That system is expected to have the capacity, infrastructure, and supports necessary to sustain high-quality, evidence-based practice over time and to contribute to the broader evidence base about what works in tribal contexts, including adaptations that maintain effectiveness while honoring local culture and community priorities.
From an administrative standpoint, the opportunity is listed under Funding Opportunity Number HHS-2023-ACF-ECD-TH-0187, categorized as Income Security and Social Services, with CFDA (now Assistance Listing) number 93.872. The agency anticipated making about 16 awards, with an award ceiling of $1,000,000. The original application closing date was May 1, 2023, and electronic submissions were due by 11:59 pm Eastern Time on the deadline date. Overall, the grant is best understood as a multi-year pathway for tribal entities new to evidence-based home visiting to move from assessment and planning into full implementation, while establishing the measurement and continuous improvement capacity needed to deliver consistent, high-quality services and demonstrate outcomes.Apply for HHS 2023 ACF ECD TH 0187
- The Department of Health and Human Services, Administration for Children and Families in the income security and social services sector is offering a public funding opportunity titled "Tribal Maternal, Infant, and Early Childhood Home Visiting Program: Development and Implementation 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 Feb 10, 2023.
- Applicants must submit their applications by May 01, 2023 Electronically submitted applications must be submitted no later than 1159 pm Eastern Standard Time on the listed application due date.. (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 16 candidate(s).
- Eligible applicants include: Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Others (see text field entitled Additional Information on Eligibility for clarification).
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