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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Frequently Asked Questions (FAQs)
1) What is the Tribal MIECHV Development and Implementation Grants opportunity?
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). 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.
2) Which federal agencies and offices are involved?
The program is administered by the Administration for Children and Families (ACF) through its Office of Early Childhood Development (ECD) within HHS. ACF and the Health Resources and Services Administration (HRSA) jointly collaborate on the Tribal Home Visiting program within HHS.
3) What is the Funding Opportunity Number for this NOFO?
The Funding Opportunity Number is HHS-2023-ACF-ECD-TH-0187.
4) What is the Assistance Listing (CFDA) number?
The Assistance Listing (formerly CFDA) number is 93.872.
5) What type of grant award is this?
Awards are structured as 63-month cooperative agreements. This means recipients should expect an ongoing, active partnership with the federal program office rather than a hands-off grant relationship.
6) Who is eligible to apply?
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.
7) Who is this opportunity not intended for?
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). This NOFO is meant to build foundational capacity for new or early-stage applicants.
8) What is the main purpose of these Development and Implementation Grants?
The purpose is to help eligible tribal entities move from planning into real service delivery while also establishing the data, performance measurement, and continuous quality improvement (CQI) systems needed to deliver consistent, high-quality services and demonstrate outcomes.
9) What population is served by programs funded under this opportunity?
Funded programs provide home visiting services to pregnant people and families with young children from birth through kindergarten entry.
10) What is meant by an “evidence-based home visiting” program in this context?
The opportunity emphasizes launching and building services using evidence-based home visiting models and delivering the model with fidelity while also being culturally responsive to local tribal community priorities and context.
11) What is the overall approach grantees are expected to follow?
Funded activities are organized around a development-to-implementation pathway. Grantees are expected to: (1) conduct community needs and readiness assessments; (2) develop the infrastructure needed to implement an evidence-based home visiting program; (3) provide high-quality home visiting services; and (4) implement performance measurement and CQI to track results and make ongoing program adjustments.
12) What kinds of assessments are recipients expected to conduct early on?
Recipients are expected to conduct community needs and readiness assessments to understand local priorities, existing resources, service gaps, and community conditions that affect family well-being.
13) What kinds of infrastructure can grant funds help build?
Infrastructure development can include staffing and workforce development, governance and program policies, partnership agreements, referral networks, data collection systems, and operational processes needed to deliver the chosen home visiting model with fidelity and cultural responsiveness.
14) Are grantees expected to deliver direct services, or is this only for planning?
It is intended to move beyond planning. After building foundational infrastructure, grantees are expected to provide high-quality, evidence-based home visiting services to the target population.
15) What performance measurement and improvement activities are required?
Grantees are expected to implement performance measurement and continuous quality improvement (CQI) activities alongside service delivery. The goal is to track results and make ongoing program adjustments.
16) What outcomes is the program intended to improve?
The NOFO highlights improvements across maternal and child health and family well-being, including better maternal and prenatal health, improved infant health, stronger child health and developmental outcomes, improved school readiness, stronger parenting practices linked to positive child development, and improved family socioeconomic status.
17) What prevention and safety goals are emphasized?
The program emphasizes prevention and safety outcomes such as reduced child maltreatment and fewer injuries. It also highlights healthier family environments, including reduced crime, domestic violence, and related risks.
18) How does this opportunity support connections to community resources?
Stronger coordination of referrals is a central goal, so families are better connected to community resources and supports.
19) Is this grant focused only on direct home visits?
No. A key theme is systems-building in tribal communities. Alongside providing home visits, grantees are expected to strengthen early childhood systems of support for families with young children.
20) What is the long-term vision described for tribal home visiting?
ACF and HRSA describe a longer-term vision of a coordinated early childhood home visiting system in tribal communities. This includes building capacity, infrastructure, and supports to sustain high-quality, evidence-based practice over time and contributing to the broader evidence base about what works in tribal contexts, including adaptations that maintain effectiveness while honoring local culture and community priorities.
21) How many awards were anticipated?
The agency anticipated making about 16 awards.
22) What is the maximum award amount?
The award ceiling is $1,000,000.
23) How long is the project period?
The awards are structured as 63-month cooperative agreements.
24) What is the program category for this funding opportunity?
The opportunity is categorized as Income Security and Social Services.
25) When was the application due?
The original application closing date was May 1, 2023. Electronic submissions were due by 11:59 pm Eastern Time on the deadline date.
26) What does the cooperative agreement structure imply for grantees?
It implies an ongoing, active partnership with the federal program office during the period of performance, rather than a hands-off relationship.
27) How does this NOFO relate to the separate implementation and expansion announcement?
This NOFO is designed for tribal entities that are new or early-stage in evidence-based home visiting and need to build foundational capacity. Tribal entities with existing experience operating evidence-based home visiting programs are directed to the separate implementation and expansion announcement (HHS-2023-ACF-ECD-TH-0241).
28) What are examples of operational elements needed to deliver services “with fidelity”?
The NOFO points to operational processes and systems such as governance and program policies, staffing and workforce development, partnership agreements, referral networks, and data collection systems as part of the infrastructure needed to deliver a home visiting model with fidelity and cultural responsiveness.
29) What is the core “pathway” applicants should be prepared to carry out over the project period?
Applicants should be prepared to move from assessing community needs and readiness, to building the infrastructure for an evidence-based home visiting program, to delivering home visiting services, while also establishing and running performance measurement and CQI systems for ongoing learning and improvement.
30) What is the simplest way to describe this grant in one sentence?
It is a multi-year pathway for tribal entities that are new to evidence-based home visiting to move from assessment and planning into full implementation, while building the measurement and continuous improvement capacity to deliver high-quality services and demonstrate outcomes.
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