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Maternal, Infant and Early Childhood Home Visiting Grant

Program Information

Popular name

MIECHV Program

Program Number

93.870

Program objective

The goals of the Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV Program) are to: (1) strengthen and improve the programs and activities carried out under Title V of the Social Security Act; (2) improve coordination of services for at-risk communities; and (3) identify and provide comprehensive services to improve outcomes for eligible families who reside in at-risk communities. The MIECHV Program was created to support voluntary, evidence-based home visiting services for at-risk pregnant people and parents with young children up to kindergarten entry. The MIECHV Program builds upon decades of scientific research that shows home visits conducted by a nurse, social worker, early childhood educator, or other trained professional during pregnancy and in the first years of a child’s life improves the lives of children and families. Home visiting helps prevent child abuse and neglect, supports positive parenting, improves maternal and child health, and promotes child development and school readiness. The investment provides coordinated and comprehensive high-quality voluntary, evidence-based home visiting services with a national reach. The MIECHV Program plays a crucial role in building high-quality, comprehensive statewide early childhood systems to support pregnant people, parents and caregivers, and children from birth to kindergarten entry and ultimately, to improve health and development outcomes.

Program expenditures, by FY (2023 - 2025)

This chart shows obligations for the program by fiscal year. All data for this chart was provided by the administering agency and sourced from SAM.gov, USASpending.gov, and Treasury.gov.

For more information on each of these data sources, please see the About the data page.

Additional program information

  1. 2018

    The MIECHV Program served approximately 150,000 parents and children in 76,000 families, and provided over 930,000 home visits.

  2. 2019

    It is estimated that up to $351,000,000 will be awarded in FY 2019. In

  3. 2020

    the MIECHV Program served over 140,000 parents and children and provided more than 925,000 home visits in over 1,000 communities across 50 states, the District of Columbia, and 5 territories.

  4. 2021

    In FY 2021, the MIECHV Program served over 140,000 parents and children and provided more than 920,000 home visits in over 1,000 communities across 50 states, the District of Columbia, and 5 territories.

  5. 2022

    In FY 2022, the MIECHV Program served approximately 138,000 parents and children and provided more than 840,000 home visits in over 1,000 counties across 50 states, the District of Columbia, and 5 territories.

  6. 2023

    In FY 2022, the MIECHV Program served approximately 138,000 parents and children and provided more than 840,000 home visits in over 1,000 counties across 50 states, the District of Columbia, and 5 territories.

Single Audit Applies (2 CFR Part 200 Subpart F):

For additional information on single audit requirements for this program, review the current Compliance Supplement.

OMB is working with the U.S. Government Accountability Office (GAO) and agency offices of inspectors general to include links to relevant oversight reports. This section will be updated once this information is made available.

All HRSA awards are subject to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements at 45 CFR part 75. HRSA awards are subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available at https://www.hhs.gov/sites/default/files/hhs-grants-policy-statement-october-2024.pdf.

  1. Social Security Act, Title V, § 511(c) (42 U.S.C. § 711(c)), as amended by Section 6101 of the Consolidated Appropriations Act, 2023 (P.L. 117-328).

Program details

Categories & sub-categories

Health

Eligible beneficiaries

  • Public nonprofit institution/organization

Additional resources