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Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - FY 2025 PROJECT ABSTRACT TENNESSEE’S MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING PROGRAM FY 2025 FORMULA GRANT ABSTRACT PROJECT TITLE: TENNESSEE’S MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING PROGRAM FY 2025 FORMULA GRANT APPLICANT NAME: TENNESSEE DEPARTMENT OF HEALTH, DIVISION OF FAMILY HEALTH AND WELLNESS ADDRESS: 710 JAMES ROBERTSON PARKWAY, ANDREW JOHNSON TOWER, 8TH FLOOR NASHVILLE, TN 37243 PROJECT DIRECTOR NAME: SARAH SANDERS, SECTION CHIEF, EARLY CHILDHOOD INITIATIVES CONTACT INFORMATION: PHONE: 615-253-4137 EMAIL ADDRESS: SARAH.SANDERS@TN.GOV PURPOSE: THE FY 2025 MIECHV GRANT WILL ENSURE THAT TENNESSEE FAMILIES ARE SERVED WITH HIGH QUALITY HOME VISITING SERVICES PROVIDED BY AN EXPERTLY TRAINED WORKFORCE AND THAT THE EARLY CHILDHOOD SYSTEM IS COMPREHENSIVE AND COORDINATED AND ENSURES THAT FAMILIES ARE ENROLLED IN THE MOST APPROPRIATE SERVICES AS EARLY AS POSSIBLE. GOALS AND OBJECTIVES: GOAL 1: BY SEPTEMBER 29, 2027, ASSURE AVAILABILITY OF HIGH QUALITY EBHV SERVICES IN THIRTY OF THE MOST AT-RISK COUNTIES IN TENNESSEE. GOAL 2: BY SEPTEMBER 29, 2027, STRENGTHEN THE CAPACITY OF TENNESSEE’S HOME VISITING WORKFORCE TO EFFECTIVELY IMPLEMENT HIGH-QUALITY, FAMILY-CENTERED, RESILIENCE-INFORMED, AND CULTURALLY SENSITIVE SERVICES. GOAL 3: BY SEPTEMBER 29, 2027, PROMOTE A COMPREHENSIVE, HIGH-QUALITY EARLY CHILDHOOD SYSTEM IN TENNESSEE THAT BEGINS PRENATALLY OR AT BIRTH. GOAL 4: BY SEPTEMBER 29, 2027, MAINTAIN COORDINATION OF FAMILY SERVING TDH AND OTHER STATE AGENCY PROGRAMS TO INCREASE COORDINATION OF REFERRALS OF FAMILIES INTO EBHV SERVICES. METHODOLOGY: PLANNED PROJECT ACTIVITIES WILL RESULT IN FAMILIES BEING SERVED BY EBHV PROGRAMS IN THIRTY OF THE MOST AT-RISK COMMUNITIES, INCLUDING ONE ADDITIONAL PROJECT THAT SERVES MILITARY FAMILIES LIVING CLOSE TO FORT CAMPBELL ARMY INSTALLATION. TANF (TEMPORARY ASSISTANCE FOR NEEDY FAMILIES) AND STATE FUNDED EBHV PROGRAMS ALSO CONTRIBUTE TO THE CASELOAD, BASED ON THE HRSA DEFINITION OF CASELOAD. MIECHV FUNDS SUPPORT THE IMPLEMENTATION OF TWO EBHV MODELS: HEALTHY FAMILIES AMERICA (HFA) AND PARENTS AS TEACHERS (PAT). THE TOTAL CASELOAD OF FAMILY SLOTS FOR SEPTEMBER 30, 2025 - SEPTEMBER 29, 2026 IS 1,006.75 AND THE TOTAL CASELOAD OF FAMILY SLOTS FOR SEPTEMBER 30, 2026 - SEPTEMBER 29, 2027 IS 1,006.75. TENNESSEE MAINTAINS STRONG PARTNERSHIPS WITH INFANT AND EARLY CHILDHOOD PARTNERS AND STATE AGENCIES INVOLVED IN PERPETUATING A COLLABORATIVE AND COMPREHENSIVE INFANT AND EARLY CHILDHOOD SYSTEM IN TENNESSEE. PARTNERS INCLUDE: THE EARLY SUCCESS COALITION IN MEMPHIS, TN; THE ASSOCIATION FOR INFANT MENTAL HEALTH IN TENNESSEE (AIMHITN); THE DEPARTMENT OF HUMAN SERVICES (TDHS); THE TENNESSEE COMMISSION ON CHILDREN AND YOUTH (TCCY); AND THE TENNESSEE YOUNG CHILD WELLNESS COUNCIL (TNYCWC, UNDER THE AUSPICES OF THE TCCY).

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - I. PROJECT ABSTRACT PROJECT TITLE: COLORADO- HRSA FY 2025 MIECHV PROGRAM: BASE AND MATCHING GRANT AWARDS APPLICANT NAME: COLORADO DEPARTMENT OF EARLY CHILDHOOD PROJECT DIRECTOR: BRITTANY MARTENS, MIECHV PROGRAM MANAGER ADDRESS: COLORADO DEPARTMENT OF EARLY CHILDHOOD 710 S. ASH ST (BUILDING C), DENVER, CO 80220 P| (303) 653-3109 F (303)-866-4453, BRITTANY.MARTENS@STATE.CO.US; HTTPS://CDEC.COLORADO.GOV ANNOTATION: COLORADO MIECHV WILL IMPLEMENT THREE EVIDENCE-BASED HOME VISITING MODELS ACROSS ALL 64 COUNTIES IN COLORADO TO IMPROVE PARENT AND FAMILY OUTCOMES, INCLUDING DECREASES IN PRETERM BIRTH RATES AND CHILD MALTREATMENT INVESTIGATED CASES, INCREASES IN BREASTFEEDING AND PRIMARY CAREGIVER EDUCATION ATTAINMENT, AND IMPROVEMENTS IN OTHER CRUCIAL INDICATORS (AS SET BY HRSA’S MIECHV BENCHMARKS). CO MIECHV WILL CONTINUE TO BUILD STATEWIDE COLLABORATION AND SYSTEMS OF SUPPORT AND REFERRAL NETWORKS FOR HOME-VISITING PROFESSIONALS THROUGH ENHANCED OPPORTUNITIES AT ORIENTATION TRAINING. COLORADO WILL WORK TO EXPAND ACCESS TO ALL 64 COUNTIES THROUGH THE APPROVED UPDATED NEEDS ASSESSMENT AND IMPROVED CENTRALIZED INTAKE SYSTEMS; THIS WORK IS FULLY SUPPORTED THROUGH BOTH BASE AWARD AND MATCHING FUNDS. PROBLEM: COLORADO WILL CONTINUE TO RECRUIT AT-RISK FAMILIES, INCLUDING FAMILIES EXPERIENCING LOW INCOMES, LIVING IN POVERTY, LOW EDUCATIONAL ATTAINMENT, FAMILIES IMPACTED BY DOMESTIC VIOLENCE, FAMILIES AFFECTED BY SUBSTANCE ABUSE, AND FAMILIES FACING STRESSORS THAT PUT THEM AT RISK FOR PREMATURE BIRTH, LOW-BIRTH-WEIGHT INFANTS, INFANT MORTALITY, POOR HEALTH, OR MALTREATMENT. PURPOSE: ENHANCE PARENT AND FAMILY OUTCOMES THROUGH EVIDENCE-BASED HOME VISITING ACROSS 64 COUNTIES, TARGETING PRETERM BIRTH REDUCTION, BREASTFEEDING PROMOTION, CAREGIVER EDUCATION IMPROVEMENT, AND STRENGTHENING SUPPORT NETWORKS FOR PROFESSIONALS WHILE EXPANDING SERVICE ACCESS. GOALS AND OBJECTIVES: SMARTIE GOAL 1: IN EVERY MONTH OF THE PERIOD OF PERFORMANCE (SEPTEMBER 30, 2025 – SEPTEMBER 29, 2027), PROVIDE EVIDENCE-BASED HOME VISITING SERVICES IN 22 COLORADO COUNTIES SERVING A CASELOAD OF 1,461 FAMILIES. ? SMARTIE OBJECTIVE: EVERY MONTH OF THE PERFORMANCE PERIOD, PROVIDE EVIDENCE-BASED HOME VISITING SERVICES IN 22 CO COUNTIES SERVING A CASELOAD OF 1,461 FAMILIES. SMARTIE GOAL 2: PROVIDE ADDITIONAL SUPPORT TO HOME VISITORS TO IMPROVE WORKFORCE DEVELOPMENT, RETENTION, AND SATISFACTION OF HOME-VISITING PROFESSIONALS AND LEADERS DURING THE PERFORMANCE PERIOD (SEPTEMBER 30, 2025- SEPTEMBER 29, 2027). ? SMARTIE OBJECTIVE: ENHANCE TRAINING FOR HOME VISITOR PROFESSIONALS THROUGH EIGHT ORIENTATIONS FOCUSED ON STAFF WELL-BEING AND SAFETY THROUGH COLLABORATION WITH INTERNAL AND EXTERNAL PARTNERS BETWEEN SEPTEMBER 30, 2025, AND SEPTEMBER 29, 2027. SMARTIE GOAL 3: IMPROVE FAMILY ENGAGEMENT IN HOME VISITING SERVICES AND ASSESS THE EXPANSION OF SERVICES INTO NEW HIGH-RISK COUNTIES THROUGH AN UPDATED NEEDS ASSESSMENT. ? SMARTIE OBJECTIVE: INCREASE AVERAGE MONTHLY CASELOADS TO 80% BETWEEN SEPTEMBER 30, 2025, AND SEPTEMBER 29, 2027, ACROSS URBAN, RURAL, AND FRONTIER COUNTIES. APPROACH: COLORADO WILL USE EVIDENCE-BASED MODELS HIPPY, NFP, AND PAT, WITH STATE AND LOCAL AGENCIES TO SERVE HIGH-RISK COMMUNITIES IDENTIFIED IN THE 2020 MIECHV NEEDS ASSESSMENT. THE TARGETED COUNTIES INCLUDE ADAMS, ALAMOSA, ARCHULETA, BACA, BENT, BOULDER, CHAFFEE, CHEYENNE, CLEAR CREEK, CONEJOS, COSTILLA, CROWLEY, CUSTER, DELTA, DENVER, DOLORES, DOUGLAS, EAGLE, EL PASO, FREMONT, GARFIELD, GILPIN, GRAND, GUNNISON, HUERFANO, JACKSON, JEFFERSON, KIOWA, LA PLATA, LAKE, LARIMER, LAS ANIMAS, LINCOLN, LOGAN, MESA, MINERAL, MOFFAT, MONTEZUMA, MONTROSE, OTERO, OURAY, PARK, PHILLIPS, PITKIN, PROWERS, PUEBLO, RIO GRANDE, ROUTT, SAGUACHE, SAN JUAN, SAN MIGUEL, SEDGWICK, SUMMIT, TELLER, WASHINGTON, AND WELD. COLORADO AIMS TO SERVE 1,461 FAMILIES IN THE FIRST YEAR AND 1,499 IN THE SECOND YEAR.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - IOWA DESIRES TO PROVIDE EVIDENCE-BASED HOME VISITATION TO 772 VULNERABLE FAMILIES THAT ARE PREGNANT OR HAVE SMALL CHILDREN, RESIDING IN THE MOST AT-RISK COMMUNITIES IN THE STATE. IOWA SUPPORTS THE HOME VISITING WORKFORCE WITH INNOVATIVE STRATEGIES IN ORDER TO RETAIN THE MOST QUALIFIED HOME VISITORS. IOWA WILL CONTINUE ITS TRADITION OF CONTRIBUTING TO THE EVIDENCE-BASE BY PARTICIPATING IN THE COORDINATED STATE EVALUATION FOCUSED ON WORKFORCE SUPPORTS. IOWA HAS A RICH HISTORY OF BI-PARTISAN SUPPORT FOR CHILDREN AND FAMILIES, DEDICATING STATE FUNDS FOR HOME VISITING SERVICES SINCE 1988. IOWA’S INVESTMENTS IN HOME VISITING HAVE HISTORICALLY BEEN IN LOCALLY DEVELOPED MODELS THAT LACK AN EVIDENCE-BASE. PURPOSE: PROVIDING HIGH QUALITY, EVIDENCE-BASED HOME VISITING IN 24 IOWA COUNTIES TO 772 FAMILIES. GOALS & OBJECTIVES: THE PROJECT SUPPORTS SIX GOALS AND 16 OBJECTIVES. GOAL 1: FOCUS ON AT-RISK AND HIGH NEEDS CHILDREN AND THEIR FAMILIES. *EXPAND ACCESS TO HOME VISITING IN TARGETED COMMUNITIES AND REACH FULL-SERVICE CAPACITY. *STRENGTHEN REFERRAL NETWORKS WITH HOSPITALS, WIC, HEALTHCARE PROVIDERS, AND CHILDCARE SERVICES. GOAL 2: SUPPORT CONTINUOUS QUALITY IMPROVEMENT ACTIVITIES THAT ADDRESS COMMUNITY-IDENTIFIED BARRIER(S), *DESIGNATE A CQI LEAD PER PROGRAM, ENSURING 80% PARTICIPATION IN CHECK-INS. *UTILIZE DATA TO IDENTIFY AND IMPLEMENT CQI PROJECTS ALIGNED WITH HRSA REQUIREMENTS. GOAL 3: STRENGTHEN LEADERSHIP, COLLABORATION AND COORDINATION OF EARLY CHILDHOOD PARTNERS FOR THE INTEGRATION OF A COMPREHENSIVE EARLY CARE, HEALTH AND EDUCATION SYSTEM, *COORDINATE MIECHV EFFORTS WITH EARLY CHILDHOOD SERVICE PROVIDERS. *ALIGN PROFESSIONAL DEVELOPMENT WITH KEY PARTNERS, INCLUDING EARLY EDUCATION ORGANIZATIONS. *MAINTAIN A LOCAL INTAKE SYSTEM FOR REFERRALS AND FAMILY SUPPORT PROGRAM COORDINATION. GOAL 4: SUPPORT INFORMED DECISION-MAKING FOR PROGRAM DEVELOPMENT, PUBLIC POLICY, AND FISCAL MANAGEMENT AT THE STATE AND LOCAL LEVELS THROUGH THE USE OF RESULTS ACCOUNTABILITY DATA. *ASSIST FAMILY SUPPORT PROFESSIONALS IN ACCURATE DATA COLLECTION FOR PERFORMANCE IMPROVEMENT. *ENSURE FULL-SERVICE CASELOADS AND ADHERENCE TO HOME VISIT REQUIREMENTS. GOAL 5: ENSURE IOWA'S HOME VISITING PROFESSIONALS POSSESS THE CORE COMPETENCIES REQUIRED TO BE EFFECTIVE IN THEIR POSITIONS. *SUPPORT CERTIFICATION FOR FAMILY SUPPORT PROFESSIONALS THROUGH TRAINING INITIATIVES. *ENHANCE STAFF SKILLS IN MENTAL HEALTH SUPPORT. *PROMOTE COMPETITIVE WAGES TO ATTRACT AND RETAIN QUALIFIED PROFESSIONALS, RECOMMENDING A $18/HR STARTING WAGE. GOAL 6: PROVIDE THE OPPORTUNITY FOR IOWA’S AT-RISK FAMILIES TO BE PARTNERS IN PLANNING AND IMPLEMENTING HOME VISITING SERVICES. THE GOALS WILL BE ACCOMPLISHED THROUGH A VARIETY OF OBJECTIVES AND ACTIVITIES. *ENCOURAGE FAMILY PARTICIPATION IN EVALUATIONS AND MAINTAIN A PARENT ADVISORY COUNCIL WITH AT LEAST 50% PAST OR CURRENT PROGRAM PARTICIPANTS. APPROACH: IOWA SUPPORTS HEALTHY FAMILIES AMERICA, NURSE FAMILY PARTNERSHIP AND PARENTS AS TEACHERS HOME VISITING MODELS. TARGETED COMMUNITIES INCLUDE APPANOOSE, BLACK HAWK, CASS, CERRO GORDO, CLINTON, DES MOINES, FREMONT, HENRY, JEFFERSON, LEE, MAHASKA, MARSHALL, MONROE, MONTGOMERY, MUSCATINE, PAGE, POLK, POTTAWATTAMIE, SCOTT, TAMA, TAYLOR, WAPELLO, WEBSTER AND WOODBURY. FAMILIES THAT MEET ONE OR MORE OF THE MIECHV ELIGIBILITY CRITERIA WILL BE THE TARGET FOR THESE SERVICES. IOWA WILL HAVE A CASELOAD CAPACITY OF 772 FAMILIES EACH YEAR OF THIS PROJECT. IOWA WILL SUPPORT 9 LIA’S UNDER THIS PROJECT. IOWA MIECHV WILL UTILIZE FEDERAL AND STATE MATCHING FUNDS TO EXPAND EVIDENCE-BASED HOME VISITING INTO THREE NEW COUNTIES, SERVING AN ADDITIONAL 60 ELIGIBLE FAMILIES. STATE EARLY CHILDHOOD IOWA FUNDS THAT SUPPORT EVIDENCE-BASED PARENTS AS TEACHERS HAVE BEEN COMMITTED AS MATCH TO SUPPORT THIS GRANT APPLICATION.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - NEBRASKA DEPT. OF HEALTH & HUMAN SERVICES, PO BOX 95026, LINCOLN, NE 68509-5026, DIRECTOR: JENNIFER SEVERE-OFORAH, O: 402-471-2091, F: 402-471-7049, JENNIFER.SEVERE-OFORAH@NEBRASKA.GOV; WWW.DHHS.NE.GOV/HOMEVISITING; REQUESTING $1,669,091 BASE & $725,893 MATCH; THE PURPOSE OF THE N-MIECHV PROGRAM IS THE PREVENTION OF CHILD MALTREATMENT, TOXIC STRESS, & POOR LIFE COURSE OUTCOMES THROUGH VOLUNTARY, EVIDENCE-BASED HOME VISITING SERVICES IN PRIORITY COUNTIES IDENTIFIED THROUGH NEEDS ASSESSMENT, BY LOCAL IMPLEMENTING AGENCIES SPECIFICALLY TARGETING AT-RISK POPULATIONS. N-MIECHV WILL USE THE MATCH OPPORTUNITY TO FURTHER EXPAND THE NETWORK CAPACITY BY UTILIZING THE HOME VISITOR PERSONNEL COST METHOD & BRAIDING FEDERAL MIECHV FUNDING WITH TANF & STATE GENERAL FUNDS. FY2024 GOALS & OBJECTIVES: 1. BY 09/29/2026, N-MIECHV WILL ASSURE DOCUMENTATION OF HIGH-FIDELITY DELIVERY OF VOLUNTARY, EVIDENCE-BASED HOME VISITING UP TO A CAPACITY OF 766 ELIGIBLE FAMILIES IN 27 IDENTIFIED PRIORITY COUNTIES. OBJ. 1.1: BY 9/29/25, THE NEWER LIAS WILL RECEIVE ADDITIONAL FUNDS FOR EXPANSION OF SERVICE CAPACITY. OBJ. 1.2: BY 9/29/26, N-MIECHV WILL PROVIDE INTENSIVE & TARGETED TECHNICAL ASSISTANCE TO INDIVIDUAL PROGRAM SITES TO ASSURE QUALITY DELIVERY OF SERVICES IN THE SECOND YEAR OF IMPLEMENTATION. OBJ. 1.3: BY 9/29/26, N-MIECHV WILL ASSURE LIAS DEMONSTRATE FIDELITY, ACCURACY, & COMPLETION OF THE DATA TO PRODUCE POSITIVE RESULTS ON THE FEDERAL BENCHMARKS. OBJ. 1.4: BY 9/29/26, ALL LIAS WILL EITHER MAINTAIN ACCREDITATION IN GOOD STANDING OR BEGIN TO WORK TOWARD ACCREDITATION WITH THE HEALTHY FAMILIES AMERICA MODEL. 2. BY 09/29/2026 INCREASE ENROLLMENT OF MIECHV PROGRAMS IMPLEMENTING EFFECTIVE, VOLUNTARY, EVIDENCE-BASED HOME VISITING SERVICES. OBJ. 2.1: BY 09/29/25, N-MIECHV WILL EXPAND CAPACITY BY 59 FAMILIES IN 7 PRIORITY COUNTIES. OBJ. 2.2: BY 09/29/25, EVERY NETWORK PROGRAM WILL HAVE THE CHILD WELFARE PROTOCOL PLAN APPROVED. 3. BY 09/29/26 N-MIECHV WILL ENHANCE A WELL-TRAINED & COMPETENT WORKFORCE. OBJ. 3.1: 09/29/2025 N-MIECHV WILL PLAN WITH THE LIAS FOR APPROPRIATE & RELEVANT PROFESSIONAL DEVELOPMENT ACTIVITIES THROUGH THE 2025 NETWORK SUMMIT. OBJ. 3.2: BY 06/30/25, N-MIECHV WILL DEVELOP & ENCOURAGE PROFESSIONAL GROWTH BY REQUESTING PRESENTATIONS FOR THE SUMMIT BY HOME VISITING STAFF. OBJ. 3.3: BY 09/29/26, N-MIECHV WILL POLL NETWORK STAFF FOR ADDITIONAL TRAINING INTERESTS & OFFER AT LEAST ONE NEW PROFESSIONAL DEVELOPMENT OPPORTUNITY TO THE NETWORK EACH YEAR OF THE PERIOD OF PERFORMANCE. 4. BY 09/29/2025, N-MIECHV WILL ENGAGE WITH CROSS-SECTOR SYSTEMS-LEVEL COLLABORATIONS TO PROMOTE SUSTAINABILITY OF EVIDENCE-BASED HOME VISITING FOR AT-RISK FAMILIES, & OTHER SYSTEMS APPROACHES TO IMPROVING FAMILY & LIFE COURSE OUTCOMES. OBJ. 4.1: BY 9/29/26, N-MIECHV WILL ACTIVELY PARTICIPATE IN STATE-LEVEL COMMUNITY COLLABORATIVE MEETINGS TO PROMOTE & ADVOCATE FOR EVIDENCE-BASED HOME VISITING AS A CHILD MALTREATMENT PREVENTION PROGRAM & IMPROVEMENT OF LIFESPAN OUTCOMES FOR PARTICIPATING FAMILIES. OBJ. 4.2: BY 9/29/26, N-MIECHV WILL ACTIVELY PARTICIPATE ON THE NATIONAL ASTHVI GROUP. OBJ. 4.3: BY 9/29/26, N-MIECHV WILL COLLABORATE WITH THE MANAGED CARE ORGANIZATIONS (MEDICAID PROVIDERS) TO PROMOTE POSITIVE LIFE COURSE OUTCOMES FOR THE MATERNAL & INFANT POPULATIONS BY THE IMPLEMENTATION OF QUALITY, EVIDENCE-BASED HOME VISITING PROGRAMS. APPROACH: N-MIECHV IMPLEMENTS THE HEALTHY FAMILIES AMERICA MODEL OF EVIDENCE-BASED HOME VISITING TO 27 PRIORITY COUNTIES IN NEBRASKA. THE PROPOSED CASELOAD OF FAMILY SLOTS INCREASES FROM 707 TO 766 FOR 9/30/24-9/29/26.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - NEW HAMPSHIRE MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING (MIECHV) GRANT PROGRAM INTRODUCTION: NEW HAMPSHIRE WILL SERVE PREGNANT WOMEN AND FAMILIES IN ALL NEW HAMPSHIRE COUNTIES USING THE HEALTHY FAMILIES AMERICA (HFA) MODEL AND THE CHILD WELFARE PROTOCOLS (CWP). THIS PROJECT PERIOD WILL CONTINUE THE EXPANSION NEW HAMPSHIRE BEGAN IN LATE 2022, PARTNERING WITH THE DIVISION FOR CHILDREN, YOUTH AND FAMILIES (DCYF) IN IMPLEMENTING ITS FAMILY FIRST PREVENTION SERVICES ACT (FFPSA) PREVENTION PLAN, FUNDING HFA NEW HAMPSHIRE, EXPANDING HOME VISITING SERVICES TO A BROADER RANGE OF FAMILIES REFERRED BY DCYF TO INCLUDE CHILDREN UP TO AGE TWO. DURING THE PROJECT PERIOD, NEW HAMPSHIRE MIECHV WILL FOCUS ON IMPLEMENTATION WITH FIDELITY, REDUCING MISSING DATA THROUGH TRAINING AND TECHNICAL ASSISTANCE, AND STAFF RETENTION THROUGH ENSURING ADEQUATE TRAINING, REASONABLE CASELOAD EXPECTATIONS AND BUILDING COMMUNITY COLLABORATION ACROSS MIECHV SITES. PURPOSE: THE PURPOSE OF THIS PROJECT IS TO IMPLEMENT VOLUNTARY, EVIDENCE-BASED HOME VISITING SERVICES THROUGH THE HFA MODEL AND COORDINATE COMPREHENSIVE HIGH-QUALITY SERVICES TO ELIGIBLE FAMILIES. HFA HAS REMAINED NEW HAMPSHIRE’S MODEL OF CHOICE FOR TRADITIONAL REFERRALS IMPLEMENTING A NURSE ENHANCEMENT ACROSS EACH SITE. FOR FAMILIES REFERRED BY THE DCYF, NEW HAMPSHIRE IMPLEMENTS THE CWP ENHANCEMENT DUE TO HFA’S PROVEN OUTCOMES IN IMPROVING MATERNAL AND CHILD HEALTH, CHILD DEVELOPMENT, FAMILY ECONOMIC SELF-SUFFICIENCY, AND REDUCING CHILD MALTREATMENT. GOALS AND OBJECTIVES: GOAL 1: NEW HAMPSHIRE LOCAL IMPLEMENTING AGENCIES (LIA’S) WILL APPLY THE HFA HOME VISITING MODEL WITH FIDELITY, SERVING THE HRSA DEFINED PRIORITY POPULATIONS. OBJECTIVE 1.1 NEW HAMPSHIRE MIECHV WILL SUPPORT THE LIAS IN DEMONSTRATING FIDELITY TO THE HFA MODEL THROUGH PROMOTING FAMILIARITY WITH BEST PRACTICE STANDARDS AND HFA TOOLS. OBJECTIVE 1.2 NEW HAMPSHIRE MIECHV WILL PROVIDE SERVICES TO FAMILIES ACROSS THE STATE WITH A FOCUS ON ENROLLING MEMBERS OF PRIORITY POPULATIONS IDENTIFIED BY HRSA. GOAL 2: DEVELOP AND IMPLEMENT LEADERSHIP OPPORTUNITIES FOR DIRECT-SERVICE STAFF TO SUPPORT WORKFORCE RETENTION AT THE LIA LEVEL. OBJECTIVE 2.1 DIRECT SERVICE STAFF WILL HAVE A VARIETY OF LEADERSHIP OPPORTUNITIES. OBJECTIVE 2.2 DIRECT SERVICE STAFF WILL FACILITATE AFFINITY GROUPS OF SHARED INTERESTS AND PEER SUPPORT NETWORKS. OBJECTIVE 2.3 DIRECT SERVICE STAFF WILL CO-FACILITATE ONBOARDING SESSIONS FOR NEW HIRES. GOAL 3: SUSTAIN PROGRAM ENROLLMENT AT OR ABOVE 85% OF HRSA DEFINED CAPACITY. OBJECTIVE 3.1 CAPACITY WILL BE MONITORED MONTHLY BY NEW HAMPSHIRE MIECHV. OBJECTIVE 3.2 NEW HAMPSHIRE MIECHV & LIAS WILL COLLABORATE WITH COMMUNITY PARTNERS TO PROMOTE HOME VISITING. GOAL 4: NEW HAMPSHIRE MIECHV WILL ESTABLISH A STATEWIDE PARTICIPANT ADVISORY BOARD. OBJECTIVE 4.1 IDENTIFY PARENT LEADERS TO PARTICIPATE IN THE ADVISORY BOARD. OBJECTIVE 4.2 NEW HAMPSHIRE MIECHV WILL PROVIDE LEADERSHIP TRAINING FOR PARENTS WHO ARE INTERESTED IN PARTICIPATING ON THE STATEWIDE COMMUNITY ADVISORY BOARD (CAB). OBJECTIVE 4.3 CAB WILL MEET WITH A MINIMUM OF SIX PARENT LEADERS AND THREE COMMUNITY MEMBERS. APPROACH: NEW HAMPSHIRE LIAS WILL IMPLEMENT THE HEALTHY FAMILIES AMERICA MODEL WITH FIDELITY TO HRSA PRIORITY POPULATIONS IN ALL NEW HAMPSHIRE COUNTIES, AS IDENTIFIED IN THE 2020 STATEWIDE NEEDS ASSESSMENT UPDATE. NEW HAMPSHIRE PLANS TO FOCUS ON INCREASING ENROLLMENT AND RETENTION OF CHILD-WELFARE REFERRED FAMILIES AND WOMAN, INFANTS AND CHILDREN PROGRAM (WIC) PARTICIPANTS THROUGH STATE-LEVEL COLLABORATION. NEW HAMPSHIRE MIECHV’S PROPOSED CASELOAD IS PLANNED TO INCREASE FROM 314 IN YEAR ONE TO 392 IN YEAR TWO OF THE PROJECT PERIOD. NEW HAMPSHIRE MIECHV PLANS TO USE STATE GENERAL FUNDS FOR THE NON-FEDERAL MATCH AND SERVE ALL CITIES AND TOWNS THROUGH SIX LIAS LOCATED ACROSS 11 SITES. THE MATCHING FUNDS WILL BE ADDED TO LIA CONTRACTS TO SUPPORT REACHING UNDERSERVED POPULATIONS IN EACH CATCHMENT AREA AS IDENTIFIED BY THE GAP ANALYSIS.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT ABSTRACT FOR THE USVI MIECHV PROGRAM ADDRESS: 3241 ESTATE CONTANT 3RD FL ST. THOMAS, VI 00802 PROJECT DIRECTOR: JANIS VALMOND CONTACT NUMBER: 340-777-8804 EMAIL ADDRESS: JANIS.VALMOND@DOH.VI.GOV WEBSITE: WWW.DOH.VI.GOV 1. PROJECT ABSTRACT A. STANDARD OMB-APPROVED PROJECT ABSTRACT SUMMARY FORM THE VIRGIN ISLANDS MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING (VI MIECHV) PROGRAM AIMS TO ENHANCE ACCESS TO QUALITY HEALTHCARE, PROMOTE HEALTH EQUITY FOR MATERNAL AND CHILD HEALTH, AND STRENGTHEN WORKFORCE CAPACITY FOR HOME VISITING. THIS INITIATIVE WILL INCREASE FAMILY ENROLLMENT IN EVIDENCE-BASED HOME VISITING MODELS, EXPAND COMMUNITY HEALTH OUTREACH TO UNDERSERVED AREAS THROUGH THE EXPANSION OF SERVICES OF NURSE FAMILY PARTNERSHIP (NFP) TO ST. CROIX. THE PROGRAM WILL IMPLEMENT HEALTH EQUITY INITIATIVES BY IMPLEMENTING STAFF TRAINING ON TOPICS RELATED TO HEALTH EQUITY AND CULTURE SENSITIVITY. THE PROGRAM ADDRESSES MATERNAL AND CHILD HEALTH DISPARITIES AND SOCIOECONOMIC CHALLENGES BY PROVIDING COMPREHENSIVE SUPPORT SERVICES AND IMPROVING HEALTHCARE ACCESS. PROBLEM: THE VI FACES SIGNIFICANT MATERNAL AND CHILD HEALTH DISPARITIES, INCLUDING HIGH RATES OF PRETERM BIRTHS AND LOW BIRTH WEIGHT, PARTICULARLY IN LOW-INCOME COMMUNITIES. THERE IS ALSO A NEED TO ADDRESS SOCIOECONOMIC CHALLENGES SUCH AS POVERTY, SUBSTANCE ABUSE, AND MENTAL HEALTH ISSUES THAT AFFECT MANY FAMILIES. PURPOSE: THE PURPOSE OF THE VI MIECHV PROGRAM IS TO IMPROVE MATERNAL AND CHILD HEALTH OUTCOMES, ENHANCE SERVICE DELIVERY, AND ENSURE HEALTH EQUITY TO MOTHERS AND BABIES ACROSS THE TERRITORY OF ST. THOMAS, ST. JOHN AND ST. CROIX BY IMPLEMENTING EVIDENCE-BASED HOME VISITING MODELS AND COMPREHENSIVE SUPPORT SERVICES. GOALS AND OBJECTIVES: 1. ENHANCE ACCESS TO QUALITY HEALTHCARE AND INCREASE THE NUMBER OF FAMILIES ENROLLED IN NURSE FAMILY PARTNERSHIP (NFP) & HEALTHY FAMILIES AMERICA (HFA) PROGRAMS TO MEET THE TARGET POPULATION OF 100 FAMILY’S TERRITORY WIDE. OBJECTIVES: 1.1 COLLABORATE WITH TWO NEW HEALTHCARE PROVIDERS TO BOOST REFERRAL RATES. 1.2 CONDUCT AT LEAST THREE COMMUNITY HEALTH OUTREACHES INDEPENDENTLY AND/OR IN CONJUNCTION WITH COMMUNITY PARTNERS ANNUALLY. OBJECTIVES: 2.1 ENSURE ALL MIECHV STAFF COMPLETE HEALTH EQUITY TRAINING WITHIN SIX MONTHS OF EMPLOYMENT. OBJECTIVES: 3. STRENGTHEN WORKFORCE CAPACITY: RECRUIT AND TRAIN ADDITIONAL HOME VISITORS SPECIALIZING IN EARLY CHILDHOOD DEVELOPMENT WITHIN THE NEXT YEAR. 3.1 OFFER COMPETITIVE COMPENSATION PACKAGES TO ATTRACT NEW RECRUITS. 3.2 OFFER PROFESSIONAL DEVELOPMENT OPPORTUNITIES TO 100% OF THE STAFF ANNUALLY. APPROACH: LIST THE FOLLOWING: ELIGIBLE EVIDENCE-BASED MODELS AND PROMISING APPROACHES SUPPORT WITH MIECHV AWARD FUNDS. • NURSE FAMILY PARTNERSHIP (NFP) AND HEALTHY FAMILIES AMERICA (HFA) ARE THE TWO VOLUNTARY EVIDENCE-BASED MODELS THAT WILL BE UTILIZED USING THE NEW AWARD FUNDS. NFP WILL SERVE THE FIRST-TIME MOTHERS AND THEIR CHILDREN, PROVIDING HOME VISITING SERVICES DURING PREGNANCY AND CONTINUING THROUGH THE CHILD’S FIRST TWO YEARS OF LIFE. HEALTHY FAMILIES AMERICA (HFA) TARGETS PARENTS FACING CHALLENGES SUCH AS SINGLE PARENTHOOD, LOW INCOME, CHILDHOOD HISTORY OF ABUSE AND OTHER ADVERSE CHILD EXPERIENCES. HOME VISITING SERVICES ARE INITIATED DURING PREGNANCY OR AFTER BIRTH BEFORE THE CHILD TURNS THREE MONTHS OF AGE AND CONTINUE UNTIL THE CHILD IS THREE YEARS OLD. COMMUNITIES IDENTIFIED IN YOUR STATEWIDE NEEDS ASSESSMENT THAT YOU INTEND TO SERVE AND ANY SPECIFIC TARGET POPULATION GROUPS (S) TO BE SERVED WITHIN THOSE COMMUNITIES. • THE PROGRAM PRIMARILY SERVES LOW-INCOME FAMILIES, TEEN MOTHERS, AND FAMILIES WITH A HISTORY OF SUBSTANCE ABUSE, MENTAL HEALTH ISSUES, OR OTHER RISK FACTORS THAT MAY IMPACT MATERNAL AND CHILD HEALTH OUTCOMES IN ST. THOMAS, ST. JOHN AND ST. CROIX. TOTAL PROPOSED CASELOAD OF MIECHV FAMILY SLOTS (SEE APPENDIX B FOR A DEFINITION OF CASELOAD OF MIECHV FAMILY SLOTS) FOR EACH FEDERAL FISCAL YEAR WITHIN PERI

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT ABSTRACT SUMMARY ADDRESS: 450 W. STATE STREET - 4TH FLOOR, BOISE, ID 83702-6056 PROJECT DIRECTOR: TARYN YATES PHONE: (208) 334-4961 EMAIL ADDRESS: TARYN.YATES@DHW.IDAHO.GOV WEBSITE: HTTPS://HEALTHANDWELFARE.IDAHO.GOV/SERVICES-PROGRAMS/CHILDREN-FAMILIES/ABOUT-HOME-VISITING FUNDS REQUESTED: $3,956,227 ANNOTATION: THE IDAHO MIECHV PROGRAM SERVES 27 OF 44 COUNTIES IN THE STATE WITH PLANS TO EXPAND TO 41 BY SEPTEMBER 2025. SERVICES ARE IMPLEMENTED THROUGH EACH OF THE SEVEN PUBLIC HEALTH DISTRICTS ACROSS THE STATE AND WILL SOON BE ACCOMPANIED BY TWO ADDITIONAL PROGRAMS, INCLUDING A TRIBAL PROGRAM, TO MEET THE GROWING NEED IN THE STATE. THE IDAHO MIECHV PROGRAM AIMS TO OFFER HIGH QUALITY SERVICES TO AS MANY FAMILIES AS POSSIBLE WHILE MAINTAINING A STABLE AND SKILLED WORKFORCE. WITH LIMITED SERVICES AVAILABLE TO YOUNG FAMILIES, HOME VISITING IS A CRITICAL SERVICE TO MEET THE NEEDS OF IDAHO’S FAMILIES. PROBLEM: IDAHO IS A RURAL AND HISTORICALLY UNDERSERVED AREA. THERE IS A LACK OF ADEQUATE HEALTHCARE, MENTAL HEALTHCARE, AND EARLY CHILDHOOD SERVICES IN MOST REGIONS OF THE STATE. HOME VISITING MEETS FAMILIES WHERE THEY ARE AND SERVES NOT ONLY AS A DIRECT SUPPORT, BUT AS A CONNECTION TO THE RESOURCES THAT DO EXIST IN THEIR COMMUNITIES. PURPOSE: HOME VISITING PROGRAMS AIM TO SUPPORT FAMILIES IN AT-RISK COMMUNITIES, ADVANCE HEALTH EQUITY BY LEVERAGING INDIVIDUAL FAMILY STRENGTHS, IDENTIFY AND ADDRESS THE SOCIAL DETERMINANTS OF HEALTH, AND ENSURE CHILDREN AND FAMILIES HAVE EQUAL OPPORTUNITY TO REACH THEIR FULLEST POTENTIAL. GOALS AND OBJECTIVES: IDAHO MIECHV AIMS TO IMPLEMENT VOLUNTARY, EVIDENCE-BASED HOME VISITING PROGRAMS THAT SERVE FAMILIES IN AT-RISK COMMUNITIES TO IMPROVE OUTCOMES, ENSURE HIGH-QUALITY HOME VISITING SERVICES, AND COLLABORATE WITH STATE AND LOCAL PARTNERS TO COORDINATE EARLY CHILDHOOD SYSTEMS AND HIGH-QUALITY SERVICES. IDAHO MIECHV WILL ACCOMPLISH THIS BY: 1) DEMONSTRATING OUTCOMES THROUGH PROGRAM EVALUATION AND BENCHMARK REPORTING 2) OFFERING REFLECTIVE CONSULTATION AND TRAINING OPPORTUNITIES TO HOME VISITORS THAT ARE ALIGNED AND COORDINATED WITH THE COMPETENCIES OF INFANT MENTAL HEALTH 3) DEVELOPING AND SUPPORTING CQI PROJECTS 4) BUILDING A COLLABORATIVE OF HOME VISITING PROGRAMS STATEWIDE 5) IMPLEMENTING A SUSTAINABLE MEDICAID BILLING PROCESS APPROACH: IDAHO MIECHV HAS ESTABLISHED CONTRACTS WITH LIAS TO DELIVER EBHV SERVICES IN AT-RISK COMMUNITIES USING THE NURSE-FAMILY PARTNERSHIP (NFP) AND PARENTS AS TEACHERS (PAT) MODELS. THE AT-RISK COMMUNITIES IN IDAHO FUNDED BY IDAHO MIECHV INCLUDE THE FOLLOWING: ADA, ADAMS, BANNOCK, BEAR LAKE, BENEWAH, BINGHAM, BOISE, BONNER, BONNEVILLE, BOUNDARY, CANYON, CARIBOU, CASSIA, CLARK, CLEARWATER, CUSTER, ELMORE, FRANKLIN, FREMONT, GEM, GOODING, IDAHO, JEFFERSON, JEROME, KOOTENAI, LATAH, LEMHI, LEWIS, LINCOLN, MADISON, MINIDOKA, NEZ PERCE, ONEIDA, OWYHEE, PAYETTE, POWER, SHOSHONE, TETON, TWIN FALLS, VALLEY, WASHINGTON, AND COUNTIES, AS WELL AS THE COUNTIES THAT ENCOMPASS THE COEUR D’ ALENE, NEZ PERCE, AND SHOSHONE-BANNOCK TRIBAL RESERVATIONS. THE 2024 NEEDS ASSESSMENT AMENDMENT IDENTIFIED ALL 44 IDAHO COUNTIES AS COMMUNITIES IN NEED OF SERVICES. OF THOSE 44 COUNTIES, A TOTAL OF 41 WILL BE SERVED WITH MIECHV FUNDS. THE TOTAL PROPOSED CASELOAD OF FAMILY SLOTS IS 528 FOR FY2024 AND FY2025. KEY ACTIVITIES TO ENSURE APPROPRIATE NETWORKING AND SUPPORT INCLUDE: REGULARLY COORDINATING AND CONVENING WITH STATE AND COMMUNITY PARTNERS TO GUIDE PLANNING AND IMPLEMENTATION; EVALUATION OF PROGRAM ACTIVITIES, OUTCOMES, AND IMPLEMENTATION; AND SUBRECIPIENT MONITORING VIA CHECK-IN CALLS, REPORTS, DATA ANALYSIS, AND BIENNIAL SITE VISITS.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT TITLE: TENNESSEE’S MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING PROGRAM FY 2024 FORMULA GRANT APPLICANT NAME: TENNESSEE DEPARTMENT OF HEALTH, DIVISION OF FAMILY HEALTH AND WELLNESS ADDRESS: 710 JAMES ROBERTSON PARKWAY, ANDREW JOHNSON TOWER, 8TH FLOOR NASHVILLE, TN 37243 PROJECT DIRECTOR NAME: SARAH SANDERS, SECTION CHIEF, EARLY CHILDHOOD INITIATIVES CONTACT INFORMATION: PHONE: 615-253-4137 EMAIL ADDRESS: SARAH.SANDERS@TN.GOV PURPOSE: THE FY 2024 MIECHV GRANT WILL ENSURE THAT TENNESSEE FAMILIES ARE SERVED WITH HIGH QUALITY HOME VISITING SERVICES PROVIDED BY AN EXPERTLY TRAINED WORKFORCE AND THAT THE EARLY CHILDHOOD SYSTEM IS COMPREHENSIVE AND COORDINATED AND ENSURES THAT FAMILIES ARE ENROLLED IN THE MOST APPROPRIATE SERVICES AS EARLY AS POSSIBLE. GOALS AND OBJECTIVES: GOAL 1: BY SEPTEMBER 29, 2026, ASSURE AVAILABILITY OF HIGH QUALITY EBHV SERVICES IN THIRTY-ONE OF THE MOST AT-RISK COUNTIES IN TENNESSEE. GOAL 2: BY SEPTEMBER 29, 2026, STRENGTHEN THE CAPACITY OF TENNESSEE’S HOME VISITING WORKFORCE TO EFFECTIVELY IMPLEMENT HIGH-QUALITY, FAMILY-CENTERED, RESILIENCE-INFORMED, AND CULTURALLY SENSITIVE SERVICES. GOAL 3: BY SEPTEMBER 29, 2026, PROMOTE A COMPREHENSIVE, HIGH-QUALITY EARLY CHILDHOOD SYSTEM IN TENNESSEE THAT BEGINS PRENATALLY OR AT BIRTH. GOAL 4: BY SEPTEMBER 29, 2026, MAINTAIN COORDINATION OF FAMILY SERVING TDH AND OTHER STATE AGENCY PROGRAMS TO INCREASE COORDINATION OF REFERRALS OF FAMILIES INTO EBHV SERVICES. METHODOLOGY: PLANNED PROJECT ACTIVITIES WILL RESULT IN FAMILIES BEING SERVED BY EBHV PROGRAMS IN THIRTY-ONE OF THE MOST AT-RISK COMMUNITIES, INCLUDING ONE ADDITIONAL PROJECT THAT SERVES MILITARY FAMILIES LIVING CLOSE TO FORT CAMPBELL ARMY INSTALLATION. TANF (TEMPORARY ASSISTANCE FOR NEEDY FAMILIES) AND STATE FUNDED EBHV PROGRAMS ALSO CONTRIBUTE TO THE CASELOAD, BASED ON THE HRSA DEFINITION OF CASELOAD. MIECHV FUNDS SUPPORT THE IMPLEMENTATION OF TWO EBHV MODELS: HEALTHY FAMILIES AMERICA (HFA) AND PARENTS AS TEACHERS (PAT). THE TOTAL CASELOAD OF FAMILY SLOTS FOR SEPTEMBER 30, 2024 - SEPTEMBER 29, 2025 IS 1,073 AND THE TOTAL CASELOAD OF FAMILY SLOTS FOR SEPTEMBER 30, 2025 - SEPTEMBER 29, 2026 IS 1,074. TENNESSEE MAINTAINS STRONG PARTNERSHIPS WITH INFANT AND EARLY CHILDHOOD PARTNERS AND STATE AGENCIES INVOLVED IN PERPETUATING A COLLABORATIVE AND COMPREHENSIVE INFANT AND EARLY CHILDHOOD SYSTEM IN TENNESSEE. PARTNERS INCLUDE: THE EARLY SUCCESS COALITION IN MEMPHIS, TN; THE ASSOCIATION FOR INFANT MENTAL HEALTH IN TENNESSEE (AIMHITN); THE DEPARTMENT OF HUMAN SERVICES (TDHS); THE TENNESSEE COMMISSION ON CHILDREN AND YOUTH (TCCY); AND THE TENNESSEE YOUNG CHILD WELLNESS COUNCIL (TNYCWC, UNDER THE AUSPICES OF THE TCCY).

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT TITLE: MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING (MIECHV) PROGRAM IN KENTUCKY APPLICANT NAME: KENTUCKY CABINET FOR HEALTH AND FAMILY SERVICES 275 EAST MAIN STREET, FRANKFORT, KY 40601-2321 PROJECT DIRECTOR INFORMATION: CHRISTINE SAWALHA, (502) 564-3363. CHRISTINE.SAWALHA@KY.GOV ANNOTATION: THE KENTUCKY HEALTH ACCESS NURTURING DEVELOPMENT SERVICES (HANDS) MIECHV PROGRAM PROVIDES EVIDENCE-BASED HOME VISITING SERVICES THROUGH THE HANDS MODEL, SUPPORTING FAMILIES FROM PREGNANCY THROUGH EARLY CHILDHOOD. THE PROGRAM ENHANCES MATERNAL AND CHILD HEALTH AND STRENGTHENS FAMILY RESILIENCE. BY ADDRESSING HEALTHCARE ACCESS GAPS AND SOCIAL DISPARITIES, MIECHV ENSURES THAT AT-RISK FAMILIES RECEIVE ESSENTIAL SUPPORT. PROBLEM: KENTUCKY FAMILIES FACE SIGNIFICANT CHALLENGES, INCLUDING ECONOMIC INSTABILITY, HEALTHCARE BARRIERS, AND HIGH RATES OF MATERNAL DEPRESSION, TOBACCO USE, AND CHILD INJURIES. THESE DISPARITIES CONTRIBUTE TO POOR MATERNAL AND CHILD HEALTH OUTCOMES, HIGHLIGHTING THE NEED FOR EVIDENCE-BASED EARLY INTERVENTION SERVICES. PURPOSE: THE KENTUCKY HANDS MIECHV PROGRAM DELIVERS VOLUNTARY HOME VISITING SERVICES TO IMPROVE MATERNAL AND CHILD HEALTH, CHILD SAFETY, AND EARLY DEVELOPMENT. THE PROGRAM PRIORITIZES AT-RISK FAMILIES, ENSURING ACCESS TO COMPREHENSIVE SUPPORT. MATCHING FUNDS WILL EXPAND SERVICE CAPACITY, STRENGTHEN WORKFORCE TRAINING, AND ENHANCE REFERRAL COORDINATION WITH HEALTHCARE AND SOCIAL SERVICES. GOAL(S) AND OBJECTIVES: GOAL A: DELIVER HIGH-QUALITY, EVIDENCE-BASED HOME VISITING SERVICES • REDUCE AT LEAST 15% OF CORRECTIVE ACTION PLANS (CAPS) ISSUED TO LIAS BY SEPTEMBER 29, 2027, THROUGH ENHANCED OVERSIGHT AND QUALITY IMPROVEMENT. • INCREASE FAMILY PARTICIPATION IN HOME VISITING SERVICES BY 5%. GOAL B: IMPROVE MATERNAL AND CHILD HEALTH, CHILD SAFETY, AND FAMILY SUPPORT • INCREASE MATERNAL DEPRESSION SCREENINGS, FOLLOW-UP CARE, AND TOBACCO CESSATION REFERRALS. • REDUCE CHILD INJURIES, MALTREATMENT CASES, AND EMERGENCY DEPARTMENT VISITS AMONG HANDS FAMILIES BY 2%. • STRENGTHEN REFERRALS BY INCREASING COMPLETED REFERRALS BY 5%. GOAL C: STRENGTHEN COORDINATION WITH EARLY CHILDHOOD SYSTEMS • INCREASE HANDS REFERRALS BY 5% THROUGH IMPROVED STATEWIDE PARTNERSHIP. • INCREASE HEALTHCARE PROVIDER REFERRALS BY AT LEAST 250 FAMILIES. GOAL D: FOSTER WORKFORCE DEVELOPMENT • REDUCE TRAINING DEFICIENCIES IDENTIFIED IN PLANS FOR GROWTH OR CAPS BY 10%. • IMPROVE STAFF RETENTION RATES BY 5% THROUGH PROFESSIONAL DEVELOPMENT. APPROACH: MIECHV IMPLEMENTS THE HANDS MODEL, USING EVIDENCE-BASED INTERVENTIONS TO SUPPORT AT-RISK FAMILIES. HOME VISITORS PROVIDE EARLY INTERVENTION AND PARENT EDUCATION TO IMPROVE HEALTH, SAFETY, AND CHILD DEVELOPMENT OUTCOMES. • CASELOAD: MAINTAIN A CASELOAD OF 4,161 MIECHV FAMILY SLOTS IN YEAR 1 AND 4,372 IN YEAR 2. • MIECHV COMMUNITIES SERVED: SERVICES WILL BE PROVIDED IN 120 MIECHV-FUNDED COUNTIES, EXPANDING TO MEET HIGH-NEED AREAS. • LOCAL IMPLEMENTING AGENCIES (LIAS): FUND 58 LIAS/LOCAL SITES TO ENSURE STATEWIDE ACCESS. • MATCHING FUNDS: SUPPORT WORKFORCE TRAINING, INCREASE SERVICE DELIVERY CAPACITY, AND IMPROVE COORDINATION WITH COMMUNITY ORGANIZATIONS. IF NOT APPLIED, SERVICES WILL BE MAINTAINED WITHIN CURRENT FUNDING WHILE IDENTIFYING FUTURE FUNDING SOURCES. KENTUCKY MIECHV IS COMMITTED TO IMPROVING MATERNAL AND CHILD HEALTH, STRENGTHENING FAMILIES, AND FOSTERING COMMUNITY RESILIENCE THROUGH HIGH-QUALITY HOME VISITING SERVICES.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT TITLE: MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING PROGRAM IN KENTUCKY APPLICANT NAME: KENTUCKY CABINET FOR HEALTH AND FAMILY SERVICES ADDRESS: 275 EAST MAIN STREET, FRANKFORT, KY 40601-2321 PROJECT DIRECTOR INFORMATION: CHRISTINE SAWALHA, (502) 564-3363. EMAIL: CHRISTINE.SAWALHA@KY.GOV ANNOTATION: KENTUCKY'S MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING (MIECHV) PROGRAM AIMS TO PROVIDE EVIDENCE-BASED HOME VISITATION SERVICES THROUGH THE HEALTH ACCESS NURTURING DEVELOPMENT SERVICES (HANDS) MODEL, SUPPORTING FAMILIES DURING PREGNANCY AND EARLY CHILDHOOD. BY ADDRESSING COMMUNITY NEEDS IDENTIFIED THROUGH A NEEDS ASSESSMENT, THE PROJECT SEEKS TO ENHANCE MATERNAL AND CHILD HEALTH OUTCOMES, PROMOTE FAMILY RESILIENCE, AND FOSTER HEALTH EQUITY WITHIN THE SERVICE DELIVERY SYSTEM. PROBLEM: THE PROJECT ADDRESSES THE NEEDS OF OVERBURDENED PARENTS AND COMMUNITIES FACING CHALLENGES SUCH AS INADEQUATE ACCESS TO HEALTHCARE SERVICES, ECONOMIC INSTABILITY, AND SOCIAL DISPARITIES IMPACTING MATERNAL AND CHILD HEALTH OUTCOMES. PURPOSE: THE PURPOSE OF THE PROJECT IS TO ESTABLISH A STATEWIDE SYSTEM OF HIGH-QUALITY, EVIDENCE-BASED HOME VISITATION SERVICES THROUGH THE HANDS MODEL, PROMOTING THE HEALTH, SAFETY, AND DEVELOPMENT OF MOTHERS, INFANTS, AND YOUNG CHILDREN. GOAL(S) AND OBJECTIVES: GOAL A: AT-RISK COMMUNITIES HAVE HIGH-QUALITY EQUITABLE ACCESS TO HEALTH SERVICES. • STRATEGIC OBJECTIVE A-1.1: IMPROVE MATERNAL AND CHILD HEALTH OUTCOMES FOR AT-RISK COMMUNITIES. BY SEPT. 29, 2026. • STRATEGIC OBJECTIVE A-1.2: PROMOTE HEALTHY, SOCIAL, AND EMOTIONAL DEVELOPMENT OF MIECHV/ HANDS CHILDREN BY SEP. 29, 2026. GOAL B: ENHANCED FAMILY RESILIENCE. • STRATEGIC OBJECTIVE B-1.1: STRENGTHEN SOCIAL SUPPORT NETWORKS AND PARENTING SKILLS BY SEP. 29, 2026. • STRATEGIC OBJECTIVE B-1.2: IMPROVE ECONOMIC STABILITY OF AT-RISK FAMILIES. GOAL C: PROMOTE HEALTH EQUITY AND WORKFORCE DEVELOPMENT. • STRATEGIC OBJECTIVE C-1.1: FOSTER CULTURAL COMPETENCY AND WORKFORCE PROCESSES BY SEP. 29, 2026. • STRATEGIC OBJECTIVE C-1.2: FACILITATE ACCESS TO COMMUNITY RESOURCES AND IMPROVE AWARENESS BY SEP. 29, 2026. GOAL D: STRENGTHEN WORKFORCE DEVELOPMENT AND CAPACITY. • STRATEGIC OBJECTIVE D-1.1: ENHANCE THE WORKFORCE THROUGH IMPROVED COMMUNICATION AND TRAINING BY SEP 29, 2026. • STRATEGIC OBJECTIVE D-1.2: STRENGTHEN LEADERSHIP, PARTNERSHIP, AND STEWARDSHIP BY SEP. 29, 2026. APPROACH: HANDS MODEL FOR HOME VISITATION SERVICES. TARGET POPULATION: AT-RISK FAMILIES IDENTIFIED THROUGH SCREENING—PROPOSED CASELOAD: 4,841 FAMILIES PER YEAR, 120 COUNTIES WILL BE SERVED THROUGHOUT KENTUCKY. METHODOLOGY: UTILIZATION OF THE HANDS MODEL FOR HOME VISITATION, COLLABORATION WITH EARLY CHILDHOOD COMPREHENSIVE SYSTEMS INITIATIVES, AND MAINTAINING A CASELOAD OF 4,841 FAMILIES PER YEAR TO PROMOTE THE HEALTH AND WELL-BEING OF MOTHERS, INFANTS, AND YOUNG CHILDREN.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT TITLE: OREGON MATERNAL INFANT AND EARLY CHILDHOOD HOME VISITING PROGRAM APPLICANT: OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION ADDRESS: 800 NE OREGON STREET, SUITE 825, PORTLAND, OREGON, 97232 PROJECT DIRECTOR: DREW STRAYER DREW.STRAYER@OHA.OREGON.GOV CONTACT: PHONE: 503-949-8132 WEB SITE: WWW.HEALTHOREGON.ORG/HOMEVISITING GRANT REQUESTS: BASE OF $8,927,312 AND MATCHING FUNDS $725,893. ANNOTATION: THE OREGON MIECHV PROGRAM WILL SUSTAIN THE ENROLLMENT CAPACITY OF EVIDENCE BASED HOME VISITING AVAILABLE TO ELIGIBLE FAMILIES IN AT-RISK COMMUNITIES IDENTIFIED THROUGH STATE AND LOCAL NEEDS ASSESSMENTS. SUSTAINABILITY IS REINFORCED THROUGH COLLABORATIVE EFFORTS WITH STATE PARTNER AGENCIES TO INTEGRATE HOME VISITING AS A SERVICE STRATEGY WITHIN A COMPREHENSIVE EARLY CHILDHOOD SYSTEM. EFFORTS INCLUDE SUPPORT FOR LOCAL SYSTEM ALIGNMENT, DEVELOPMENT AND CAPACITY, WORKFORCE DEVELOPMENT AND PROFESSIONAL SUPPORTS, TECHNOLOGY IMPROVEMENTS AND ROBUST IMPLEMENTATION OF CONTINUOUS QUALITY IMPROVEMENT (CQI) THAT LEAD TO IMPROVED OUTCOMES FOR ELIGIBLE FAMILIES. PROBLEM: OREGON HAS INADEQUATE HOME VISITING SERVICE CAPACITY AND COORDINATION TO MEET THE STATE DEMAND. THE STATEWIDE NEEDS ASSESSMENT FOUND THAT AMONG THE EIGHT (8) HOME VISITING MODELS AVAILABLE IN OREGON, ONLY 8% OF ELIGIBLE FAMILIES ARE RECEIVING A HOME VISITING SERVICE. IN ADDITION, TRAINING AND SUPPORTS ARE INSUFFICIENT FOR PREPARING THE WORKFORCE TO EFFECTIVELY WORK WITH COMPLEX FAMILY CIRCUMSTANCES. PURPOSE: THE OREGON MIECHV PROGRAM SEEKS TO SUSTAIN EXPANSION OF HIGH-QUALITY, VOLUNTARY, EVIDENCE BASED HOME VISITING, AND TO ENHANCE THE CAPACITY AND CAPABILITIES OF THE HOME VISITING PROFESSIONAL PRACTICE. GOALS AND OBJECTIVES: THE OREGON MIECHV PROGRAM WILL SUSTAIN ENROLLMENT CAPACITY FOR EVIDENCE BASED HOME VISITING AND IMPROVE OUTCOMES THROUGH WORKFORCE SUPPORTS AS WELL AS STAKEHOLDER AND PARENT PARTNERSHIPS. THE OBJECTIVES INCLUDE: 1. SUSTAIN AND EVALUATE OPPORTUNITIES TO BUILD ADDITIONAL CAPACITY OF HIGH-QUALITY, EVIDENCE BASED HOME VISITING SERVICES WITH ATTENTION TO AT-RISK COMMUNITIES IDENTIFIED THROUGH A STATE NEEDS ASSESSMENT. 2. EFFECTIVELY SUPPORT AND STRENGTHEN THE ACTIVITIES OF TITLE V. 3. EFFECTIVELY INTEGRATE EVIDENCE BASED HOME VISITING WITHIN THE COMPREHENSIVE EARLY CHILDHOOD AND HEALTH SYSTEMS TO IMPROVE COORDINATION OF SERVICES AND PROFESSIONAL SUPPORTS IN THE AT-RISK COMMUNITIES TO IMPROVE OUTCOMES FOR ELIGIBLE FAMILIES. METHODOLOGY: GRANT FUNDS WILL SUPPORT THREE (3) EVIDENCE BASED HOME VISITING MODELS, EARLY HEAD START – HOME BASED (EHS), HEALTHY FAMILIES OREGON (HFO) AND NURSE-FAMILY PARTNERSHIP (NFP), IN AT-RISK COMMUNITIES IDENTIFIED THROUGH A STATE NEEDS ASSESSMENT INCLUDING BAKER, CLATSOP, CROOK, JACKSON, KLAMATH, LANE, LINCOLN, MALHEUR, MARION, MORROW, MULTNOMAH, UMATILLA AND YAMHILL COUNTIES. THE PROGRAM PROPOSES TO SUSTAIN AND EXPAND ENROLLMENT OF THE THREE MODELS ACROSS THE STATE WHILE BUILDING A REGIONAL HOME VISITING SYSTEM INFRASTRUCTURE THROUGH FY26. FUNDING SUSTAINS SUPPORT FOR COMMUNITY-BASED SYSTEM ALIGNMENT ACTIVITIES THAT UNITE HOME VISITING AS A NETWORK OF SERVICE, INCORPORATED AND LINKED TO CHILD AND FAMILY SERVICES AND SUPPORTS INCLUDED IN A COMPREHENSIVE EARLY CHILDHOOD SYSTEM. STAKEHOLDER AND PARENT PARTNERS WILL COLLABORATE ON THE DEVELOPMENT, IMPLEMENTATION AND ASSESSMENT OF GRANT ACTIVITIES TO SUPPORT TRANSFORMATION IN EARLY LEARNING AND HEALTH AND ASSURE THE INTEGRATION OF A HIGH-QUALITY, EQUITABLE AND COMPREHENSIVE EARLY CHILDHOOD SYSTEM. CASELOAD GOALS: EHS (125), HFO (300) NFP (415) FOR A TOTAL OF 840 CLIENTS SERVED FOR FY24 & FY25. THIS INCLUDES 21 DISTINCT LOCAL IMPLEMENTING SITES WITHIN 13 COUNTIES.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PURPOSE: KANSAS AIMS TO EXPAND AND STRENGTHEN ITS MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING (MIECHV) PROGRAM TO REDUCE INFANT MORTALITY, PREVENT CHILD ABUSE AND NEGLECT, SUPPORT STRONG FAMILIES, AND PROMOTE SAFE, NURTURING ENVIRONMENTS FOR CHILD DEVELOPMENT AND SCHOOL READINESS. THE PROJECT WILL SERVE PREGNANT WOMEN AND FAMILIES WITH CHILDREN FROM BIRTH TO KINDERGARTEN ENTRY IN HIGH-RISK COMMUNITIES THROUGH EVIDENCE-BASED HOME VISITING MODELS, INCLUDING PARENTS AS TEACHERS AND HEALTHY FAMILIES AMERICA. SERVICES WILL BE DELIVERED BY TRAINED PROFESSIONALS WHO COORDINATE CARE ACROSS THE EARLY CHILDHOOD AND MATERNAL AND CHILD HEALTH SYSTEMS. ADDITIONAL FUNDING WILL SUPPORT INCREASING LOCAL IMPLEMENTING AGENCY (LIA) AWARDS TO RETAIN THE EXISTING WORKFORCE AND EXPAND SERVICES INTO NEW AT-RISK COUNTIES. STATE MATCHING FUNDS BE USED TO SUPPORT THE DELIVERY OF EVIDENCE-BASED HOME VISITING SERVICES. GOALS AND OBJECTIVES: KANSAS’ MIECHV PROJECT IS GUIDED BY THE FOLLOWING GOALS: • INCREASE ACCESS TO EVIDENCE-BASED HOME VISITING. • IMPROVE THE QUALITY OF SERVICES. • EXPAND MIECHV SERVICES TO NEW AT-RISK COMMUNITIES. • LEVERAGE NEEDS ASSESSMENT DATA AND FORMAL EVALUATION OF THE LEAD AGENCY MODEL TO INFORM REGIONAL EXPANSION EFFORTS. • IMPROVE HOME VISITING WORKFORCE WELLBEING AND RETENTION. • ENHANCE ADMINISTRATIVE AND INFRASTRUCTURE SYSTEMS. • DEEPEN HOME VISITING INTEGRATION WITHIN THE BROADER EARLY CHILDHOOD SYSTEM. OBJECTIVES ALIGNED TO THESE GOALS INCLUDE: • IMPLEMENT EVIDENCE-BASED HOME VISITING IN NEW AT-RISK COUNTIES. • ENGAGE IN CONTINUOUS QUALITY IMPROVEMENT AND CHANGE EVALUATION WITH ESTABLISHED LIAS. • LEVERAGE DATA AND COMMUNITY INPUT TO DRIVE STRATEGIC EXPANSION. • PROVIDE HOME VISITORS WITH ENHANCED WELLBEING SUPPORT AND INCENTIVES. • INCREASE COLLABORATION WITH OTHER EARLY CHILDHOOD PROGRAMS AND HOME VISITING LEADERS BOTH WITHIN THE KDHE AND THROUGHOUT THE STATE. APPROACH: KANSAS WILL CONTINUE DELIVERING TWO EVIDENCE BASED HOME VISING MODELS, HEALTHY FAMILIES AMERICA (HFA) AND PARENTS AS TEACHERS (PAT), THROUGH THE WORK OF OUR EXISTING FOUR LIAS. THE MAXIMUM CAPACITY OF EXISTING LIAS IN YEAR 1 AND YEAR 2 WILL BE 556. WE WILL BE SERVING THE FOLLOWING COMMUNITIES: • GREENBUSH – SOUTHEAST KANSAS HUB. COUNTIES SERVED: CHEROKEE, LABETTE, MONTGOMERY, NEOSHO, WILSON, WOODSON, ALLEN, BOURBON, CRAWFORD, MIAMI, CHAUTAUQUA, ELK, COWLEY, AND LINN. MODEL: PAT. MAXIMUM CAPACITY: 284 • KCK PUBLIC SCHOOLS, USD 500. COUNTIES SERVED: WYANDOTTE. MODEL: PAT. MAXIMUM CAPACITY: 71. • TURNER, USD 202. COUNTIES SERVED: WYANDOTTE. MODEL: PAT. MAXIMUM CAPACITY: 67. • UNITED GOVERNMENT PUBLIC HEALTH DEPARTMENT. COUNTIES SERVED: WYANDOTTE. MODEL: HFA. MAXIMUM CAPACITY: 134. WE ARE MOVING FORWARD WITH EXPANSION EFFORTS IN SOUTHEAST KANSAS TO INCLUDE GREENWOOD, COFFEY AND ANDERSON COUNTIES IN YEAR 1. EFFORTS TO ESTABLISH A NEW LIA IN YEAR 1 WILL FOCUS ON SOUTHWEST KANSAS. THIS GROWTH MAY REQUIRE ADJUSTMENTS TO CAPACITY NUMBERS IN THOSE AREAS IN YEAR 2. MATCHING FUNDS: KANSAS USES STATE MATCH FUNDING FROM THE KANSAS CHILDREN’S CABINET AND TRUST FUND TO SUPPORT EVIDENCE-BASED HOME VISITING SERVICES THROUGH THE PARENTS AS TEACHERS MODEL. THESE STATE INVESTMENTS, DRAWN FROM TOBACCO SETTLEMENT FUNDS, HAVE SUPPORTED KANSAS HOME VISITING FOR OVER TWO DECADES. ALTHOUGH MATCH FUNDS ARE ADMINISTERED THROUGH A DIFFERENT AGENCY, HISTORICAL DATA CAN BE USED TO ESTIMATE THE NUMBER OF PARTICIPANTS SERVED. KANSAS HAS CONSISTENTLY MET ITS MATCH REQUIREMENT AND ANTICIPATES CONTINUED SUPPORT TO EXPAND SERVICE REACH.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PURPOSE: ALASKA MIECHV WILL UTILIZE BOTH BASE AND MATCHING MIECHV FUNDS TO IMPROVE MATERNAL AND CHILD HEALTH, EARLY CHILDHOOD DEVELOPMENT, AND FAMILY WELL-BEING FOR PREGNANT WOMEN AND PARENTS OF CHILDREN UP TO KINDERGARTEN ENTRY, PARTICULARLY THOSE IN COMMUNITIES AT HIGH RISK FOR POOR HEALTH OUTCOMES. THE PROGRAM WILL PROVIDE COORDINATED, COMPREHENSIVE, AND VOLUNTARY EARLY CHILDHOOD HOME VISITING SERVICES TO ELIGIBLE FAMILIES ACROSS ALASKA. TO FURTHER STRENGTHEN THIS INITIATIVE, ALASKA MIECHV WILL CONTINUE IMPLEMENTING THE NURSE-FAMILY PARTNERSHIP MODEL AND WILL INTRODUCE THE PARENTS AS TEACHERS MODEL TO EXPAND AND ENHANCE SERVICE DELIVERY. MATCHING FUNDS WILL BE USED TO IMPROVE PROGRAM REACH, INCREASE SERVICE QUALITY, AND ENHANCE STAFF TRAINING. GOALS AND OBJECTIVES: THE GOALS ARE TO PROVIDE HIGH-QUALITY AND EVIDENCE-BASED HOME VISITATION SERVICES TO MIECHV ELIGIBLE FAMILIES IN THE PROPOSED SERVICES AREAS, CONTINUE AN EVALUATION PROCESS TO COLLECT ADDITIONAL DATA FOR PROGRAM IMPROVEMENT AND EFFECTIVENESS, INTEGRATE HOME VISITING INTO A COMPREHENSIVE, HIGH-QUALITY SYSTEM OF SERVICES FOR THE EARLY CHILDHOOD POPULATION, AND STRIVE FOR PROJECT SUSTAINABILITY. OBJECTIVES: 1. TO CONTINUE TO PROVIDE HIGH-QUALITY NURSE HOME VISITING SERVICES TO AT-RISK, PREGNANT INDIVIDUALS AND THEIR CHILDREN WITHIN THE MUNICIPALITY OF ANCHORAGE AND MATANUSKA-SUSITNA BOROUGH. 2. GOAL: BY 9/29/2026, THE ALASKA MIECHV PROGRAM WILL FULLY IMPLEMENT AT LEAST ONE NEW PARENTS AS TEACHER LIA. 3. CONTINUE THE EVALUATION PROCESS OF THE ALASKA MIECHV PROGRAM TO COLLECT ADDITIONAL DATA TO UTILIZE FOR PROGRAM IMPROVEMENT AND EFFECTIVENESS. 4. ALASKA WILL CONTINUE TO INTEGRATE HOME VISITING INTO A COMPREHENSIVE, HIGH-QUALITY SYSTEM OF SERVICES FOR THE EARLY CHILDHOOD POPULATION. 5. ALASKA WILL STRIVE FOR SUSTAINABILITY OF THE MIECHV PROGRAM, WHICH IS NOT DEPENDENT ON FEDERAL FUNDING AND CREATE ADVOCACY FOR THESE SERVICES. APPROACH: THE ALASKA MIECHV PROGRAM PROPOSES TO USE TWO EVIDENCE-BASED MODELS: PARENTS AS TEACHERS AND NURSE-FAMILY PARTNERSHIP FOR ALL MIECHV ELIGIBLE FAMILIES, MEANING ALL WIC AND MEDICAID ELIGIBLE FAMILIES. SERVICE AREAS INCLUDE THE MUNICIPALITY OF ANCHORAGE AND THE MATANUSKA-SUSITNA BOROUGH. AT LEAST ONE NEW SERVICE AREA IS TO BE DETERMINED IN THE SPRING OF 2025, BASED ON A COMPETITIVE PROPOSAL PROCESS, AND IDENTIFIED COMMUNITY NEED, IN ALIGNMENT WITH THE ALASKA 2020 MIECHV NEEDS ASSESSMENT. THE TOTAL SERVICE CAPACITY OF THE CURRENT PROGRAM IS 200 FAMILIES AT ANY GIVEN TIME. THERE WILL BE AN ADDITIONAL 48 SLOTS EXPECTED TO OPEN WITH THE EXPANSION OF A NEW PARENTS AS TEACHERS PROGRAM. IN ADDITION TO EXPANSION, THE PROPOSED MATCHING FUNDS WILL BE UTILIZED FOR WORKFORCE DEVELOPMENT AND RETENTION.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PURPOSE: MAINE’S MIECHV PROGRAM PROVIDES EFFECTIVE DELIVERY AND ONGOING IMPROVEMENT OF MAINE’S STATEWIDE HOME VISITING SERVICES WITH FIDELITY TO THE PARENTS AS TEACHERS (PAT) EVIDENCE-BASED MODEL, AS PART OF A COORDINATED STATEWIDE EARLY CHILDHOOD SYSTEM. THE GOAL OF THIS PROJECT IS TO IMPLEMENT A COMPREHENSIVE AND INCLUSIVE STATEWIDE SYSTEM TO IMPROVE THE PHYSICAL AND RELATIONAL HEALTH AND WELL-BEING OF MAINE’S MOST VULNERABLE CHILDREN AND FAMILIES. MAINE WILL USE MATCHING FUNDS TO RETAIN FAMILY VISITING STAFF. GOAL(S) AND OBJECTIVES GOAL 1. IMPROVE MATERNAL, INFANT, CHILD AND FAMILY PHYSICAL AND RELATIONAL HEALTH AND WELLBEING FOR PARTICIPATING FAMILIES. OBJECTIVE 1.A. ENGAGE ELIGIBLE FAMILIES WITH PAT EVIDENCE-BASED HOME VISITING SERVICES BY MAINTAINING MAINE FAMILIES ENROLLMENT LEVELS AS A PERCENTAGE OF CAPACITY. OBJECTIVE 1. B. RETAIN VULNERABLE FAMILIES WITH PAT BY MAINTAINING OR INCREASING RETENTION OF ELIGIBLE FAMILIES. OBJECTIVE 1.C. EXPLORE OPPORTUNITIES FOR PROGRAM PARTICIPANTS TO AUTHENTICALLY ENGAGE IN ADVISORY AND COLLABORATIVE ROLES. GOAL 2. MAINTAIN AND CONTINUOUSLY IMPROVE STATEWIDE DELIVERY OF EVIDENCE-BASED PAT SERVICES BY MAINE FAMILIES WITH FIDELITY AND HIGH QUALITY. OBJECTIVE 2.A. SUPPORT CONTINUED FIDELITY AND QUALITY OF PAT DELIVERY BY MAINTAINING AND STRENGTHENING STATE-LEVEL SYSTEMS OF SUPPORTS FOR LOCAL IMPLEMENTING AGENCIES (LIAS) INCLUDING: PERFORMANCE-BASED CONTRACTING, OVERSIGHT, TRAININGS, POLICIES, DATA SYSTEMS, TECHNICAL ASSISTANCE, CONTINUOUS QUALITY IMPROVEMENT (CQI) MONITORING, SUPPORTED THROUGH STATE-LEVEL CQI PROCESS. OBJECTIVE 2.B. SUPPORT LIA’S ABILITY TO MAINTAIN MAXIMUM STAFFING CAPACITY BY EXPLORING ADDITIONAL SYSTEM-WIDE STRATEGIES AND MONITOR THE IMPACT OF NEW HIRING QUALIFICATIONS FOR MAINE FAMILIES STAFF. GOAL 3. DEVELOP AND IMPROVE POPULATION HEALTH PRACTICES. OBJECTIVE 3.A. COMPLETE A WORKFORCE SURVEY TO COMPARE WITH PARTICIPANT DATA. OBJECTIVE 3.B. MAINTAIN COMMUNITY RESPONSIVENESS COMMITTEE. OBJECTIVE 3.C. IDENTIFY FUNDING SUPPORT TO IDENTIFY HEALTH DISPARITIES IN MIECHV PERFORMANCE MEASURE DATA AND FAMILY ENGAGEMENT. • APPROACH: BRIEFLY DESCRIBE THE MAJOR METHODS AND ACTIVITIES USED TO ATTAIN YOUR GOAL(S) AND OBJECTIVES. PLEASE INCLUDE • PARENTS AS TEACHERS WILL BE IMPLEMENTED BY 11 LIAS • ALL MAINE COMMUNITIES WILL BE SERVED WITH THIS GRANT. • THE PROPOSED CASELOAD FOR THE FY 2025 AWARD PERIOD, IS 1,149 FOR EACH YEAR OF THE PERFORMANCE PERIOD. • MAINE WILL BE APPLYING FOR MATCHING FUNDS AND THEY WILL BE USED TO RETAIN STAFF. THE SOURCE FOR THE MATCHING FUNDS IS STATE GENERAL FUNDS SPLIT BETWEEN MAINE CDC AND THE OFFICE OF CHILD AND FAMILY SERVICES.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - REQUESTING $1,669,091 BASE & $1,140,234 MATCH. THE PURPOSE OF THE N-MIECHV PROGRAM IS THE PREVENTION OF CHILD MALTREATMENT, TOXIC STRESS, & POOR LIFE COURSE OUTCOMES THROUGH VOLUNTARY, EVIDENCE-BASED HOME VISITING SERVICES IN PRIORITY COUNTIES IDENTIFIED THROUGH NEEDS ASSESSMENT, BY LOCAL IMPLEMENTING AGENCIES SPECIFICALLY TARGETING AT-RISK POPULATIONS. N-MIECHV WILL USE THE MATCH OPPORTUNITY TO ENHANCE NETWORK CAPACITY BY UTILIZING THE HOME VISITOR PERSONNEL COST METHOD & BRAIDING FEDERAL MIECHV FUNDING WITH TANF & STATE GENERAL FUNDS. FY2025 GOALS & OBJECTIVES: 1. BY 09/29/2027, N-MIECHV WILL ASSURE DOCUMENTATION OF HIGH-FIDELITY DELIVERY OF VOLUNTARY, EVIDENCE-BASED HOME VISITING TO FAMILIES THAT ARE AT GREATER RISK OF POOR LIFESPAN HEALTH OUTCOMES DUE TO POVERTY, TEEN PARENTS, INVOLVEMENT IN CHILD WELFARE, EXPOSURE TO RELATIONSHIP VIOLENCE, EXPOSURE TO SUBSTANCE OR TOBACCO USE, PARENTS WITH LOW STUDENT ACHIEVEMENT OR DEVELOPMENTAL DISABILITIES, OR HAVE ONE OR BOTH PARENTS IN THE MILITARY WITH MULTIPLE DEPLOYMENTS. OBJ. 1.1: BY 09/29/26, EVERY NETWORK PROGRAM WILL HAVE THE CHILD WELFARE PROTOCOL PLAN APPROVED OR MAINTAIN PART OF THEIR ENROLLMENT TARGET WITH CHILD WELFARE-REFERRED FAMILIES. OBJ. 1.2: BY 9/29/27, N-MIECHV WILL PROVIDE INTENSIVE & TARGETED TECHNICAL ASSISTANCE TO INDIVIDUAL PROGRAM SITES TO ASSURE QUALITY DELIVERY OF SERVICES. OBJ. 1.3: BY 9/29/27, N-MIECHV WILL ASSURE LIAS DEMONSTRATE FIDELITY, ACCURACY, & COMPLETION OF THE DATA TO PRODUCE POSITIVE RESULTS ON THE FEDERAL BENCHMARKS. OBJ. 1.4: BY 9/29/27, ALL LIAS WILL EITHER MAINTAIN ACCREDITATION IN GOOD STANDING OR ACHIEVE SATISFACTORY FIDELITY ASSESSMENTS (NEW PROGRAMS) WITH THE HEALTHY FAMILIES AMERICA NATIONAL MODEL. 2. BY 09/29/2027, N-MIECHV WILL DEMONSTRATE A SIGNIFICANT INCREASE OF CAPACITY FROM 704 TO 947 IN 30 OF 31 IDENTIFIED PRIORITY COUNTIES STATEWIDE, COMPLETING THE EXPANSION PROJECT. OBJ. 2.1: BY 9/29/26, N-MIECHV WILL REACH THE ANTICIPATED ENROLLMENT CAPACITY PROJECTED LAST YEAR BY RESOLUTION OF STAFFING PRIORITIES AND THE EXPANSION OF SEVERAL PROGRAM SITES, INCREASING NUMBERS FROM 704 TO 832. OBJ. 2.2: BY 09/29/27, N-MIECHV WILL EXPAND CAPACITY IN THREE PREVIOUSLY UNSERVED PRIORITY COUNTIES, BY IMPLEMENTING A NEW PROGRAM WITH SOUTHWEST NEBRASKA DISTRICT PUBLIC HEALTH DEPARTMENT AND EXPANDING SERVICES WITH NEBRASKA CHILDREN’S HOME SOCIETY INTO SAUNDERS COUNTY. OBJ. 2.3: BY 09/29/27, N-MIECHV WILL COMPLETE THE EXPANSION PROJECT BY INCREASING CAPACITY IN THE SUBAWARDS FROM 832 TO 947. 3. BY 09/29/27 N-MIECHV WILL ENHANCE A WELL-TRAINED & COMPETENT WORKFORCE. OBJ. 3.1: BY 09/29/27, N-MIECHV WILL POLL NETWORK STAFF FOR ADDITIONAL TRAINING INTERESTS & OFFER AT LEAST ONE NEW PROFESSIONAL DEVELOPMENT OPPORTUNITY TO THE NETWORK EACH YEAR OF THE PERIOD OF PERFORMANCE. OBJ. 3.2: BY 09/27/27, N-MIECHV WILL CONTRACT WITH THE UNL NEBRASKA CENTER FOR REFLECTIVE STRATEGIES FOR ON-GOING REFLECTIVE SUPERVISION TRAINING OPPORTUNITIES FOR NEW SUPERVISORS. 4. BY 09/29/2027, N-MIECHV WILL ENGAGE CROSS-SECTOR SYSTEMS-LEVEL COLLABORATIONS TO PROMOTE SUSTAINABILITY OF EVIDENCE-BASED HOME VISITING FOR AT-RISK FAMILIES, TO IMPROVE FAMILY & LIFE COURSE OUTCOMES. OBJ. 4.1: BY 9/29/27, N-MIECHV WILL CONTRIBUTE FUNDING TO A COORDINATED INTAKE PROJECT IN DOUGLAS COUNTY, WITH SEVERAL DIFFERENT HOME VISITING RESOURCES AVAILABLE TO INCREASE BOTH COLLABORATION AND REFERRALS INTO LOCAL N-MIECHV-FUNDED PROGRAMS. OBJ. 4.2: BY 9/29/27, N-MIECHV WILL ACTIVELY PARTICIPATE ON THE NATIONAL ASTHVI GROUP AND/OR WITH THE MATERNAL CHILD HEALTH BUREAU DESIGNATED ORGANIZATION FOR LEADERSHIP DEVELOPMENT AND COLLABORATION ACROSS MATERNAL CHILD HEALTH PROGRAMS, BUILDING CAPACITY OF MCH LEADERS THROUGH COORDINATED AND COLLABORATIVE SUPPORT TO ACHIEVE THE LONG-TERM GOAL TO IMPROVE NATIONAL MCH HEALTH OUTCOMES AND REDUCE ASSOCIATED DISPARITIES BY BETTER SERVING SPECIFIC POPULATIONS AND AWARDEES.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - THE MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING (MIECHV) PROGRAM AIMS TO IMPROVE ACCESS TO QUALITY HEALTHCARE FOR MOTHERS AND CHILDREN, SUPPORT POSITIVE MATERNAL AND CHILD HEALTH OUTCOMES, AND STRENGTHEN THE HOME VISITING WORKFORCE. THIS INITIATIVE WILL INCREASE FAMILY PARTICIPATION IN EVIDENCE-BASED HOME VISITING MODELS AND BROADEN COMMUNITY HEALTH OUTREACH IN UNDERSERVED AREAS THROUGH THE EXPANSION OF SERVICES OFFERED BY THE NURSE-FAMILY PARTNERSHIP (NFP). THE PROGRAM WILL SUPPORT INITIATIVES THAT ENHANCE RESPECTFUL AND EFFECTIVE CARE BY TRAINING STAFF TO BETTER UNDERSTAND AND RESPOND TO THE DIVERSE NEEDS OF THE INDIVIDUALS WE SERVE. WE WILL ADDRESS THE CHALLENGES MANY FAMILIES FACE INCLUDING LIMITED HEALTHCARE ACCESS, ECONOMIC HARDSHIPS, AND BARRIERS TO WELLNESS BY OFFERING COMPREHENSIVE SUPPORT SERVICES DESIGNED TO PROMOTE HEALTHIER OUTCOMES FOR MOTHERS AND CHILDREN. PROBLEM: OUR COMMUNITY CONTINUES TO EXPERIENCE SIGNIFICANT CHALLENGES IN MATERNAL AND CHILD HEALTH. THESE INCLUDE ELEVATED RATES OF PRETERM BIRTHS AND LOW BIRTH WEIGHTS, PARTICULARLY AMONG FAMILIES WITH LOWER INCOMES. WE ALSO AIM TO RESPOND TO RELATED CONCERNS SUCH AS POVERTY, SUBSTANCE USE, AND MENTAL HEALTH CONDITIONS THAT AFFECT MANY HOUSEHOLDS. PURPOSE: TO IMPROVE MATERNAL AND CHILD HEALTH OUTCOMES, ENHANCE SERVICE DELIVERY, AND ENSURE ALL MOTHERS AND CHILDREN RECEIVE CONSISTENT, HIGH-QUALITY SUPPORT BY IMPLEMENTING TWO EVIDENCE-BASED HOME VISITING MODELS—NURSE-FAMILY PARTNERSHIP (NFP) AND HEALTHY FAMILIES AMERICA (HFA)—ALONG WITH WRAPAROUND FAMILY SUPPORT SERVICES. GOALS AND OBJECTIVES: GOAL: IMPROVE ACCESS TO QUALITY HEALTHCARE AND INCREASE ENROLLMENT IN THE NFP AND HFA PROGRAMS TO SERVE 104 FAMILIES BY 2026. OBJECTIVES: PARTNER WITH TWO ADDITIONAL HEALTHCARE PROVIDERS TO INCREASE REFERRALS. CONDUCT AT LEAST THREE INDEPENDENT OR COLLABORATIVE COMMUNITY OUTREACH EVENTS ANNUALLY. PROVIDE ALL STAFF WITH TRAINING IN CULTURAL SENSITIVITY AND INCLUSIVE CARE PRACTICES WITHIN SIX MONTHS OF HIRING. EXPAND WORKFORCE CAPACITY BY RECRUITING AND TRAINING NEW HOME VISITORS WITHIN THE NEXT YEAR. OFFER COMPETITIVE COMPENSATION AND ANNUAL PROFESSIONAL DEVELOPMENT TO ATTRACT AND RETAIN QUALIFIED STAFF. APPROACH: THE PROGRAM WILL UTILIZE ELIGIBLE, EVIDENCE-BASED HOME VISITING MODELS, INCLUDING NFP AND HFA. THE NFP MODEL SUPPORTS FIRST-TIME MOTHERS AND THEIR CHILDREN, OFFERING SERVICES FROM PREGNANCY THROUGH THE CHILD’S SECOND BIRTHDAY. THE HFA MODEL SERVES FAMILIES EXPERIENCING CHALLENGES SUCH AS SINGLE PARENTHOOD, FINANCIAL HARDSHIP, AND HISTORIES OF TRAUMA OR ABUSE. HFA SERVICES BEGIN DURING PREGNANCY OR SHORTLY AFTER BIRTH (BEFORE THE CHILD IS THREE MONTHS OLD) AND CONTINUE UNTIL THE CHILD TURNS THREE. COMMUNITIES IDENTIFIED THROUGH THE STATEWIDE NEEDS ASSESSMENT INCLUDES LOW-INCOME FAMILIES, TEEN MOTHERS, AND THOSE AFFECTED BY SUBSTANCE USE, MENTAL HEALTH CHALLENGES, OR OTHER RISK FACTORS WILL BE PRIORITIZED. THE PROPOSED CASELOAD INCLUDES 104 FAMILY SLOTS IN FY26 AND 120 IN FY27. MATCHING FUNDS WILL SUPPORT THE EXPANSION OF SERVICES THROUGH THE HIRING OF ADDITIONAL STAFF AND INCREASED ENROLLMENT CAPACITY. THESE FUNDS WILL ALSO BE USED TO PROVIDE ESSENTIAL FAMILY SUPPORT SUPPLIES AND HOST FAMILY ENGAGEMENT ACTIVITIES. STAFF DEVELOPMENT WILL BE PRIORITIZED THROUGH TRAINING PROGRAMS TO ENHANCE HOME VISITING EXPERTISE, INCLUDING MODEL-SPECIFIC TRAINING, CPR/AED/FIRST AID CERTIFICATION, AND LACTATION SUPPORT TRAINING. MATCHING FUNDS WILL FURTHER BE USED TO MAINTAIN CONTRACTS WITH BOTH NFP AND HFA. THE PROGRAM INTENDS TO UTILIZE THE FULL UNOBLIGATED MATCHING WAIVER OF $199,999 TO SUPPORT THESE EFFORTS.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - THE NEW JERSEY (NJ) MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING (MIECHV) PROGRAM, ADMINISTERED BY THE NEW JERSEY DEPARTMENT OF HEALTH (NJ DOH) IN PARTNERSHIP WITH THE NEW JERSEY DEPARTMENT OF CHILDREN AND FAMILIES (DCF), IS DEDICATED TO IMPROVING MATERNAL AND CHILD HEALTH OUTCOMES AND SUPPORTING FAMILIES ACROSS THE STATE. THE NJ MIECHV PROGRAM HAS MADE SIGNIFICANT PROGRESS IN EXPANDING SERVICES, STRENGTHENING ITS WORKFORCE, AND ENHANCING DATA SYSTEMS TO ENSURE THE HIGHEST QUALITY SERVICE DELIVERY. IN FY24, THE PROGRAM EXPANDED SERVICES BY ADDING 281 SLOTS ACROSS FOUR COUNTIES, REACHING 1,811 FAMILIES IN 16 AT-RISK COUNTIES. IN YEAR 2 OF FY25, UTILIZING NON-FEDERAL MATCHING FUNDS, MIECHV WILL EXPAND TO FIVE ADDITIONAL COUNTIES—CAPE MAY, CUMBERLAND, GLOUCESTER, SALEM, AND MONMOUTH—ADDING 288 NEW SLOTS THROUGH THE PARENTS AS TEACHERS (PAT) MODEL VIA FOUR EXISTING LOCAL IMPLEMENTING AGENCIES (LIAS). WITH THIS EXPANSION, NJ MIECHV WILL OFFER A TOTAL OF 2,099 HOME VISITING SLOTS, ACHIEVING FULL COVERAGE ACROSS ALL 21 NJ COUNTIES. TO ACHIEVE THESE EXPANSION GOALS, NJ MIECHV IS CONTINUING TO STRENGTHEN ITS WORKFORCE THROUGH ONGOING PROFESSIONAL DEVELOPMENT AND PARTICIPATION IN COHORTS 1 AND 2 OF THE COORDINATED STATEWIDE EVALUATION (CSE). IN ADDITION, THE PROGRAM REMAINS FOCUSED ON IMPROVING DATA SYSTEMS AND PERFORMANCE MONITORING. RECENT ENHANCEMENTS TO DATA TRACKING AND REPORTING HAVE RESULTED IN A REDUCTION IN DATA MISSINGNESS AND IMPROVED SERVICE DELIVERY OUTCOMES. THESE IMPROVEMENTS ENABLE BETTER ALIGNMENT WITH PERFORMANCE STANDARDS AND SUPPORT DATA-DRIVEN DECISION-MAKING TO OPTIMIZE SERVICE COORDINATION AND CLIENT OUTCOMES. WHILE PROGRESS HAS BEEN SIGNIFICANT, CHALLENGES REMAIN, SUCH AS FLUCTUATIONS IN HOME VISITOR STAFFING AND THE INTEGRATION OF DATA SYSTEMS ACROSS VARIOUS HOME VISITING MODELS. THE PROGRAM IS COMMITTED TO ADDRESSING THESE THROUGH TARGETED RECRUITMENT AND RETENTION STRATEGIES. NJ MIECHV WILL CONTINUE MEETING THE GROWING DEMAND FOR SERVICES AND FOCUS ON CONTINUOUS QUALITY IMPROVEMENT TO ENSURE THAT FAMILIES RECEIVE THE SUPPORT NEEDED FOR POSITIVE MATERNAL AND CHILD HEALTH OUTCOMES. NJ’S GOALS AND OBJECTIVES: GOAL 1: EXPAND ACCESS TO HIGH-QUALITY MIECHV HOME VISITING SERVICES FOR AT-RISK FAMILIES ACROSS NEW JERSEY. OBJECTIVE 1.1: ADD 281 NEW SERVICE SLOTS UTILIZING FOUR EXISTING LIAS. OBJECTIVE 1.2: MONITOR SERVICE DELIVERY IN EXPANDED AREAS AND ENSURE CASELOAD TARGETS ARE MET (85%). OBJECTIVE 1.3: CONDUCT ONGOING MONITORING AND ADJUSTMENTS TO SUPPORT FAMILIES IN NEWLY EXPANDED COUNTIES. GOAL 2: STRENGTHEN AND RETAIN A WELL-TRAINED, COMPETENT HOME VISITING WORKFORCE. OBJECTIVE 2.1: PROVIDE ONGOING PROFESSIONAL DEVELOPMENT AND FOCUSED TRAINING. OBJECTIVE 2.2: ENHANCE WORKFORCE SATISFACTION AND RETENTION THROUGH COORDINATED STATE EVALUATION COHORTS 1 & 2. OBJECTIVE 2.3: RECRUIT AND RETAIN QUALIFIED STAFF WITH A FOCUS ON COMMUNITY ALIGNMENT AND UTILIZING HOME VISITING DASHBOARD DATA. GOAL 3: ENHANCE COORDINATION AND COMMUNICATION ACROSS THE MIECHV SYSTEM. OBJECTIVE 3.1: CONTINUE TO STRENGTHEN INTERAGENCY COLLABORATION AND STREAMLINE MIECHV SERVICE DELIVERY. OBJECTIVE 3.2: ENSURE ADEQUATE INCOMING REFERRALS. OBJECTIVE 3.3: IMPLEMENT INTEGRATED HOME VISITING DATA DASHBOARDS TO MONITOR PARTICIPANT DEMOGRAPHICS AND REFERRALS. GOAL 4: IMPROVE DATA QUALITY AND USE OF APR AND PERFORMANCE METRICS TO ENHANCE MATERNAL AND CHILD HEALTH OUTCOMES. OBJECTIVE 5.1: MONITOR HRSA ANNUAL PERFORMANCE REPORT (APR) AND KEY MATERNAL AND CHILD HEALTH MEASURES. OBJECTIVE 5.2: DISAGGREGATE DATA BY SOCIO-DEMOGRAPHIC FACTORS TO IDENTIFY NEEDS. OBJECTIVE 5.3: UPDATE DATA MISSINGNESS GUIDES TO REDUCE DATA MISSINGNESS. GOAL 5: IMPLEMENT THE FY25 CQI PLAN TO ENHANCE SERVICE DELIVERY AND INCREASE FAMILY INVOLVEMENT. OBJECTIVE 6.1: PARTNER WITH JOHNS HOPKINS UNIVERSITY FOR DATA ANALYSIS AND PROGRAM ASSESSMENT. OBJECTIVE 6.2: COLLABORATE WITH FHI AND SUBJECT MATTER EXPERTS TO BETTER COORDINATE SERVICES.

U.S. National Science Foundation

The primary aim of the Mathematical Sciences Infrastructure Program is to foster the continuing health of the mathematical sciences research community as a whole. In addition, the program complements the Workforce Program in the Mathematical Sciences in its goal to increase the number of well-prepared U.S. based individuals who successfully pursue careers in the mathematical sciences and in other professions in which expertise in the mathematical sciences plays an increasingly important role. The DMS Infrastructure program invites projects that support core research in the mathematical sciences, including: 1) novel projects supporting research infrastructure across the mathematical sciences community; 2) training projects complementing the Workforce Program, and 3) conference, workshop, and travel support requests that include cross-disciplinary activities or have an impact at the national scale. Proposals under this solicitation submitted to DMS Infrastructure must show engagement in developing or enhancing the mathematical sciences research infrastructure in the U.S., including, but not limited to, broadening participation activities; professional development training; or involvement of students and early career researchers. Proposals must explain the regional or national scale impact of the activity that goes substantially beyond the submitting institution or the location of the event. Full proposals (with exception of conference proposals, which are subject to lead-time requirements) must be submitted close to one of the Full Proposal Target Dates. See below for more information about each category of Infrastructure projects. (1) Novel projects that serve to strengthen the research infrastructure: The DMS Infrastructure Program will consider novel projects that support and strengthen the research infrastructure across the mathematical sciences community. These projects most often cut across multiple sub-disciplines supported by DMS or involve interdisciplinary collaborations. The main goal of these projects should be to create a new research infrastructure or substantially enhance or transform an existing infrastructure with regional or national impact that goes substantially beyond the submitting institution or the location of the project. Full proposals must be submitted by the Full Proposal Target Date. (2) Training projects: Training proposals submitted to DMS Infrastructure must not fit into one of the areas covered by solicitations in the Workforce Program in the Mathematical Sciences; they must be submitted by the Full Proposal Target Date; and they must: A. Include a core research component for trainees in mathematical sciences; B. Demonstrate promise for an impact at the regional or national scale that goes substantially beyond the submitting institution or the location of the project; C. Satisfy at least one of the following criteria: i. Serve as models to be replicated,ii. Promote partnerships with non-academic entities, minority-serving institutions, or community colleges, or iii. Include a substantial broadening participation initiative. In addition, all proposals of this type must clearly identify: Goals to be achieved; Specific new activities to be conducted, the way in which these address the goals, and the way in which the activities significantly differ from or enhance common practice; Measurable outcomes for the project; Plans and methods for assessment of progress toward the goals to be achieved, and for evaluation of the success of the activity; Recruitment, selection, and retention plans for participants, including members of underrepresented groups; Sustainability plans to continue the pursuit of the project's goals when funding terminates; and A budget commensurate with the proposed activity. 3) Conferences, Symposia, Working Research Sessions, Travel Support Requests: Principal Investigators should carefully read the program solicitation Conferences and Workshops in the Mathematical Sciences to obtain important information regarding the substance of proposals for conferences, workshops, summer/winter schools, international travel support, and similar activities. Conference/workshop proposals that concern topics within a particular subdiscipline of mathematics or statistics should be submitted to the appropriate DMS disciplinary program(s). These submissions are subject to the lead-time requirements specified by the disciplinary program(s); see the program web pages listed on the DMS home page. Conference/workshop proposals may be submitted to the DMS Infrastructure program only if the intended topical areas span a wide range of the mathematical sciences and are consequently not within the scope of DMS disciplinary programs. The required lead time for submission of such proposals is: 6 months in advance of the meeting date for proposals requesting no more than $50,000 to support a domestic meeting; 9 months in advance of the meeting date for proposals requesting more than $50,000 to support a domestic meeting; 12 months in advance of the meeting date for proposals requesting support for participation in a meeting taking place outside the United States.

NINDS - National Institute of Neurological Disorders and Stroke

Alzheimer’s disease and Alzheimer’s disease-related dementias (AD/ADRD) are public health problems in the United States with stark sex differences in prevalence and incidence. The burden of AD/ADRD calls for a research workforce that has the scientific acumen to address the complex, multifactorial nature of these conditions. Although there is heighten awareness that men experience distinct risks and outcomes in brain aging, research and training focused specifically on men’s brain health remain virtually nonexistent, leaving critical gaps in our scientific understanding and in the preparation of the next generation of investigators. The overarching goal of the Men’s Brain Health and Aging, Resilience & Alzheimer’s Disease Career Development Program is to improve the brain health of men across the adult life course by expanding a national multidisciplinary research education project to understand the synergistic impact of biological, psychosocial, behavioral and geographic factors that lead to decline in brain health. We will recruit four cohorts of 8 early-career investigators for a total of 32 to participate in an 18-month program including structured mentorship, advanced training in longitudinal data science, community engaged approaches, and a novel emphasis on public dissemination of findings with a focus on men’s brain health. Led by faculty from Johns Hopkins University, Duke University, and Boston University, the program will leverage the extensive longitudinal data and infrastructure of the Framingham Heart Study, as well as a suite of longitudinal datasets with which program faculty have deep engagement, including the National Alzheimer’s Coordinating Center, DIAGNOSE CTE, the Health and Retirement Study, and the Athlete Brain Health and Aging Study. The program incudes18 faculty who are nationally recognized leaders in the fields of brain aging, longitudinal methods, and social and behavioral factors. They offer extensive opportunities for education, networking, professional development, and fostering cross-institutional collaborations. Specific aims include: (1) Deploy a comprehensive education program focused on researching men’s brain health using complex, longitudinal data and community-engaged approaches; (2) Build capacity in the scientific workforce by advancing the science of life course research focused on brain health, cognitive aging, and AD/ADRDs among men; and (3) Provide an external evaluation of the outcomes and processes of the Men’s Brain Health and Aging, Resilience & Alzheimer’s Disease Career Development Program. At the end of this training program, scholars will be equipped to address critical gaps in men’s brain health research and advance to the next stage of their careers.

NIDCD - National Institute on Deafness and Other Communication Disorders

Surgeon-scientists play an essential role in driving translational innovation by uniquely bridging the gap between surgical care and research. Despite their crucial contributions, including breakthroughs in organ transplantation and cancer therapies, their numbers are rapidly declining due to the increasing demands of surgical practice and a lack of structured research training programs. To sustain this vital workforce, there is an urgent need to support programs that cultivate the next generation of surgeon-scientists, providing them with the training and mentorship necessary to balance surgical and research careers. Therefore, we have developed the Mentored Operative and Research Experience in Otolaryngology (MORE-Oto) to address the critical shortage of surgeon-scientists dedicated to advancing research in communication disorders. This comprehensive NIDCD R25 program integrates operative and translational scientific experiences tailored to both medical students and Otolaryngology residents at the Medical College of Wisconsin (MCW). The program is designed to bridge the gap between surgical training and translational research by leveraging MCW’s robust scientific resources. The MORE-Oto curriculum offers two distinct components: (1) an 8-week summer research experience for medical students and (2) a dedicated research year for Otolaryngology residents. Medical students will be recruited both locally and nationally and will be matched to one of three research tracks: Hearing & Communication, Head & Neck Cancer, or Airway Health & Olfaction. They will gain exposure to both clinical and research settings under the mentorship of experienced surgeon-scientists. Residents participating in the dedicated research year will engage in intensive research training and clinical mentorship, with operative experience aligned to complement their research focus. The MORE-Oto program capitalizes on MCW’s existing infrastructure, including the Clinical & Translational Science Institute, MCW Graduate School, and the OTOClinomics clinical informatics platform housed within the Department of Otolaryngology. Through these resources, and a broad teaching faculty, MORE-Oto will provide comprehensive training that merges surgical practice with clinical and translational research. The program aims to cultivate a cohort of surgeon-scientists to address critical gaps in Otolaryngology by linking clinical challenges observed in surgical practice to testable research questions and evidence-based solutions. Success will be measured through continuous evaluation of academic productivity, participant acquisition of critical research skills, and long-term career outcomes, ensuring that graduates are well-prepared to sustain dual careers as surgeon-scientists. By integrating these structured research and operative experiences, MORE-Oto aims to revitalize the field of surgeon-scientists in Otolaryngology, fostering innovation and improving outcomes for patients with communication disorders in alignment with NIDCD’s core mission.

NIDA - National Institute on Drug Abuse

Project Summary/Abstract Mortality among people who use drugs remains one of the least understood public health crises in the United States. Many deaths occur outside clinical settings, are never captured by surveillance systems, and reflect preventable causes such as overdose, infection, violence, and untreated chronic illness. This project evaluates whether verbal autopsy in the form of structured and narrative information collected from peers, family, and service providers, can be feasibly and ethically implemented in a critical area and whether artificial intelligence assisted verbal autopsy can improve classification of causes of death compared with established automated systems. As a K24 mechanism, the award will support new training for the principal investigator who will then use this training to execute the research aims and mentor early-stage investigators on artificial intelligence, substance use and HIV research. Aim 1 evaluates the feasibility and acceptability of verbal autopsy interviews among a network of people who use drugs. Aim 2 develops a reproducible workflow for linking verbal autopsy data with fragmented service records and generating deidentified factual statements suitable for artificial intelligence analysis. Aim 3 pilots multiple artificial intelligence models to classify causes of death from narratives and linked records, benchmarked against clinician adjudication and established verbal autopsy algorithms. This work will produce the first detailed mortality profiles for this population and establish an ethically governed framework for artificial intelligence that can be used in research and mentoring. Findings will inform future interventions aimed at preventing avoidable deaths related to substance use.

NHLBI - National Heart Lung and Blood Institute

Interstitial lung disease (ILD) comprises a heterogenous group of parenchymal conditions that commonly result in progressive and irreversible pulmonary fibrosis. Once progressive, survival is poor and treatment options limited. Despite these longstanding observations, diagnostic delays remain common. To improve ILD outcomes, innovative approaches to improve early ILD detection and identify new therapeutic targets are urgently needed. As an R01-funded physician scientist engaged in translational ILD research, my long-term goal is to develop clinically actionable, protein-based biomarkers for patients with fibrotic ILD. My lab has already demonstrated the promise of proteomics-based investigation to inform ILD prognostication and has the expertise and resources necessary to leverage proteomics to efficiently address these existing knowledge gaps. The objective of this K24 application is to augment my mentoring capabilities, expand my trainee pipeline and expand upon exciting preliminary data suggesting that a proteomics-based approach can potentially discriminate ILD from other conditions that cause chronic respiratory symptoms and identify proteins that play a potentially causal role in fibrogenesis. Through this award, I will 1) Derive and validate a proteomic biomarker to predict ILD in those with chronic respiratory symptoms and 2) Identify circulating proteins that play a potentially causal role in ILD progression. In Aim 1 I will utilize a medium-throughput, semi-quantitative proteomic array to measure 192 disease relevant proteins in a 500 patient (200 ILD, 300 non-ILD) discovery cohort presenting with chronic respiratory symptoms who underwent contemporaneous chest imaging performed as part of their clinical evaluation. Using machine learning, I will derive a composite protein classifier that discriminates ILD with high sensitivity. I will then apply this classifier to the prospectively recruited validation cohort to determine test performance characteristics. In Aim 2, I will perform causal mediation analysis to discriminate proteins potentially causal of ILD progression from those that represent an epiphenomenon. I will estimate the total, direct and indirect effect of known prognostic biomarkers of ILD survival (exposure) on transplant-free survival (outcome) through declining lung function (mediator). Proteins with survival association that is completely mediated by intermediary progression are most likely to play a causal role in ILD outcomes. Results will be tested in an independent ILD validation cohort. Through this award I will optimize my mentoring skills, expand my training pipeline, and pursue a new line of research that directly benefits these trainees. This K24 award will position me to effectively train a new generation of translational researchers, helping to ensure a sustainable workforce of ILD physician-scientists.

NIAID - National Institute of Allergy and Infectious Diseases

PROJECT SUMMARY/ABSTRACT Despite marked progress in treatment and prevention, HIV remains a significant public health threat in the US and globally. Innovative strategies are needed to effectively deploy interventions and reduce HIV incidence, which requires a sustained and committed workforce. Dr. Dennis is an infectious disease physician and researcher at the University of North Carolina (UNC) at Chapel Hill, Division of Infectious Diseases. She seeks the protected time of the K24 award to ensure adequate time and effort to provide mentorship in patient- oriented HIV research focused on applied public health strategies. Dr. Dennis has a track record of performing high-quality patient-oriented research supported by independent funding. Her research bridges basic, clinical, and epidemiologic science by using HIV-1 molecular epidemiology and phylogenetics to understand HIV transmission at the population level and to use this information to direct prevention. She has expanded this work to optimize strategies to detect and respond to HIV networks using mixed-methods approaches. The overall goal of this work is to uncover the links between these sub-epidemics - which are overlapping sub- epidemics defined by risk groups, geography, social interaction - to facilitate the design of timely, effective interventions. The research specific aims are 1) Investigate HIV transmission networks using molecular epidemiology and phylodynamics (R01AI135970), 2) Evaluate uptake of HIV treatment and prevention services in public health with social network approaches (supported by R01AI169602), and 3) Pilot a network-based characterization of early syphilis infections to inform strategies to increase the uptake of injectable antiretrovirals for HIV treatment and prevention (supported by K24). With the support of the K24, she will leverage resources at UNC to support mentorship and professional development to strengthen new directions (implementation science, community-engaged research). Dr. Dennis is deeply committed to expanding her mentorship and dedicated to fostering diverse mentees with lived experiences that are critical for sustaining the HIV workforce. Dr. Dennis is Co-Director of the UNC Center for AIDS Research (CFAR) Scientific Working Group which focuses on Ending the HIV Epidemic efforts in North and South Carolina. She has strong institutional support and a multidisciplinary team of advisors, including the UNC CFAR, and is an advisor on the UNC T32 HIV/STI institutional training program. She has collaborated for the past 10 years with NC Division of Public Health and with multiple investigators and trainees at the UNC Gillings School of Public Health. She is active in the UNC Infectious Diseases Fellowship program, providing clinical and research mentorship to numerous ID fellows. Her clinical activity provides practical grounding and relevance in patient-oriented research. The K24 will provide 50% of Dr. Dennis’ salary and additional funds to support mentees’ research. The proposed research is timely and aligned with the National HIV/AIDS Strategy and will support the protected time needed to mentor the next-generation of investigators in HIV patient-oriented research.

Michigan Department of Labor & Economic Opportunity

Michigan Department of Labor & Economic Opportunity administers workforce development grants funding job training, apprenticeships, incumbent worker training, and employer-based training programs in MI.