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Tribal Maternal, Infant, and Early Childhood Home Visiting

Program Information

Popular name

Tribal MIECHV, Tribal Home Visiting, Tribal Research Center for Early Childhood Development and Systems (TRCECS)

Program Number

93.872

Program objective

The Tribal Maternal, Infant, and Early Childhood Home Visiting Program (Tribal MIECHV) is administered by The Administration for Children and Families (ACF) Office of Early Childhood Development (ECD), in collaboration with the Health Resources and Services Administration (HRSA). Assistance is available to: 1) eligible Tribes (or consortia of Tribes), 2) Tribal Organizations, and 3) Urban Indian Organizations, to strengthen and improve maternal and child health programs, improve service coordination for at-risk communities, and identify and provide comprehensive evidence-based home visiting services to families who reside in at-risk communities through implementing evidence-based home visiting. The goals of the Tribal MIECHV program are to: 1) support the development of happy, healthy, and successful American Indian and Alaska Native (AIAN) children and families through a coordinated home visiting strategy that addresses critical maternal and child health, development, early learning, family support, and child abuse and neglect prevention needs; 2) implement high-quality, culturally-relevant, evidence-based home visiting programs in AIAN communities; 3) expand the evidence base around home visiting interventions with Native populations; and 4) support and strengthen cooperation and coordination and promote linkages among various early childhood programs, resulting in coordinated, comprehensive early childhood systems. The ACF, Office of Planning, Research and Evaluation (OPRE), is administering Tribal Research Center for Early Childhood Development and Systems (TRCECS). The TRCECS provides leadership and collaboration to promote excellence in community-based participatory research and evaluation of ACF early childhood initiatives that serve tribal communities. The 2021 American Rescue Plan Act (ARPA) (P.L. 117-2) dedicated funds for entities that are conducting a MIECHV program as of the date of enactment of the legislation and can be used for provision of home visiting services (including virtual visits), and training staff in conducting virtual home visits, and increase the number of at-risk families receiving home visiting services during the pandemic and ensure that current and additional families are able to obtain basic necessities.

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. 2016

    It is estimated that 20 grants will be awarded in FY 2016 under a new competition for $8,870,000 It is estimated the 1 award will be made for the TRCEC under a new competition of which an estimated $250,000 will come from Tibal MIECHV. 19 grants were awarded in FY2016 under the new competition for a total of $8,366,000 and $250,000 of Tribal MIECHV funds were awarded for the TRCEC.

  2. 2017

    In FY2017,19 grants were awarded for $8,870,000. One award was made for the TRCEC in FY2017 for $250,000 and came from Tribal MIECHV.

  3. 2018

    $12,000,000 was awarded in FY2018.

  4. 2019

    $12,092,145 was awarded in FY 2019 for 23 non-competing continuation grants .

  5. 2020

    $12,000,000 was awarded for 23 non-competing continuation grants in FY 2020.

  6. 2021

    In FY21, $12,000,000 was awarded for 23 non-competing continuation grants and $3,724,381 in ARP supplements was awarded to recipients.

  7. 2022

    In FY22, $14,910,449.94 was obligated overall, with 12 million in non-competing continuations plus an additional $775,619.34 in ARP supplements were awarded to current recipients. In addition, $2,134,830.62 was awarded to new recipients through NOFO HHS-2022-ACF-OCC-TH-0074.

  8. 2023

    In FY23, $27,475,000 was awarded due to MIECHV reauthorization and an increase of the Tribal MIECHV set aside from 3% to 6% through NOFO’s HHS-2023-ACF-ECD-TH-0241 and HHS-2023-ACF-ECD-TH-0187 .

  9. 2024

    In FY24, $3,000,000 was awarded to six new grant recipients through NOFO HHS-2024-ACF-ECD-TH-0135.

  10. 2025

    The anticipated number of new Tribal MIECHV awards in FY25 is less than 5.

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.

https://www.acf.hhs.gov/ecd/tribal/tribal-home-visiting