Opportunity Information: Apply for HHS 2023 ACF ECD TH 0241
The Tribal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program: Implementation and Expansion Grants is a discretionary funding opportunity from the U.S. Department of Health and Human Services (HHS), Administration for Children and Families (ACF), through its Office of Early Childhood Development. The program offers five-year cooperative agreements designed to help tribal entities sustain and grow established, evidence-based home visiting services in tribal communities. The central focus is on supporting expectant families and families with young children from birth through kindergarten entry, with services that are both high-quality and culturally grounded for American Indian and Alaska Native (AI/AN) communities.
Funding is specifically aimed at organizations that are already operating an evidence-based home visiting program and can show a track record of delivering strong services. Eligible applicants include federally recognized Indian tribes (including consortia of tribes), tribal organizations, and urban Indian organizations. The opportunity is not limited to current Tribal MIECHV recipients; it also welcomes other tribal entities that can demonstrate past and current experience implementing culturally grounded, evidence-based home visiting and that propose to expand services. In practical terms, the grants are meant for programs that have moved beyond the start-up phase and are ready to strengthen infrastructure, improve quality, and broaden reach.
The grants support several interconnected activities. A major component is the continued implementation and expansion of evidence-based home visiting services tailored to tribal contexts, ensuring that services reflect community strengths, cultural practices, and local priorities. Awardees are also expected to operate or enhance performance measurement and continuous quality improvement (CQI) systems, meaning they will track outcomes, use data to identify gaps, and make ongoing adjustments to improve service delivery. Another emphasis is early childhood systems development and coordination, encouraging grantees to strengthen connections among programs that serve AI/AN families (for example, health, early learning, family support, and social services) so families experience a more seamless network of care. Finally, the program includes participation in research and evaluation efforts to build the broader evidence base for home visiting in tribal communities, an area where more community-specific evidence is needed.
Home visiting under this program is intended to advance a wide range of family and child outcomes. These include improved maternal and prenatal health, better infant and child health, and stronger child development outcomes. The program also targets prevention and protective factors, such as reducing child maltreatment and strengthening parenting practices that support healthy development. Longer-term readiness goals include improved school readiness and increased family economic stability. In addition, home visiting is framed as a bridge to community supports, aiming to improve coordination of referrals and connections to resources, while also contributing to reductions in injuries, crime, and domestic violence through preventive, relationship-based family support.
At the program level, the stated goals of Tribal MIECHV are to help AI/AN children and families thrive through a coordinated, high-quality, culturally grounded, evidence-based home visiting strategy. The opportunity also reinforces two system-wide aims: continuing to build rigorous and relevant evidence about what works in tribal home visiting, and strengthening coordination among early childhood programs and systems serving AI/AN families. Because the awards are cooperative agreements, recipients should expect substantial involvement from ACF during the project period, typically through ongoing guidance, collaboration, and federal oversight tied to program goals and performance.
Key administrative details include the funding opportunity number HHS 2023 ACF ECD TH 0241 and CFDA number 93.872, categorized under Income Security and Social Services. The application window opened with a posting date of February 28, 2023, and the original closing date was May 29, 2023, with electronic submissions due by 11:59 PM Eastern Time on the deadline. The maximum award amount listed is $1,500,000, and ACF anticipated making about 28 awards.Apply for HHS 2023 ACF ECD TH 0241
- 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: Implementation and Expansion 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 28, 2023.
- Applicants must submit their applications by May 29, 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 $1,500,000.00 in funding.
- The number of recipients for this funding is limited to 28 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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Tribal MIECHV Implementation and Expansion Grants - FAQs
1) What is the Tribal MIECHV Program: Implementation and Expansion Grants opportunity?
This is a discretionary funding opportunity from the U.S. Department of Health and Human Services (HHS), Administration for Children and Families (ACF), through the Office of Early Childhood Development. It provides five-year cooperative agreements to help tribal entities sustain and expand established, evidence-based home visiting services in tribal communities.
2) What is the main purpose of these grants?
The central purpose is to support expectant families and families with young children (from birth through kindergarten entry) by strengthening and growing high-quality, culturally grounded, evidence-based home visiting services for American Indian and Alaska Native (AI/AN) communities.
3) What type of award is being offered?
The funding is offered as five-year cooperative agreements. Because they are cooperative agreements, recipients should expect substantial involvement from ACF during the project period, including ongoing guidance, collaboration, and federal oversight tied to program goals and performance.
4) Who is eligible to apply?
Eligible applicants include federally recognized Indian tribes (including consortia of tribes), tribal organizations, and urban Indian organizations.
5) Is this opportunity limited to current Tribal MIECHV recipients?
No. The opportunity is not limited to current Tribal MIECHV recipients. It also welcomes other tribal entities that can demonstrate past and current experience implementing culturally grounded, evidence-based home visiting and that propose to expand services.
6) What kinds of organizations is this funding intended for?
Funding is specifically aimed at organizations that are already operating an evidence-based home visiting program and can show a track record of delivering strong services. In practical terms, these grants are meant for programs that have moved beyond the start-up phase and are ready to strengthen infrastructure, improve quality, and broaden reach.
7) What populations should funded home visiting services focus on?
Home visiting services under this program focus on expectant families and families with young children from birth through kindergarten entry, within AI/AN communities.
8) What does "culturally grounded" mean in the context of this opportunity?
Services are expected to be tailored to tribal contexts and reflect community strengths, cultural practices, and local priorities while maintaining an evidence-based approach.
9) What activities can grant funding support?
The grants support several interconnected activities, including:
- Continued implementation and expansion of evidence-based home visiting services tailored to tribal contexts
- Operating or enhancing performance measurement and continuous quality improvement (CQI) systems
- Early childhood systems development and coordination across programs that serve AI/AN families (such as health, early learning, family support, and social services)
- Participation in research and evaluation efforts to build the evidence base for home visiting in tribal communities
10) What is expected related to performance measurement and CQI?
Awardees are expected to operate or enhance systems that track outcomes, use data to identify gaps, and make ongoing adjustments to improve service delivery (continuous quality improvement).
11) What does "early childhood systems development and coordination" involve?
It emphasizes strengthening connections among programs that serve AI/AN families so families experience a more seamless network of care. Examples mentioned include coordinating among health, early learning, family support, and social services programs.
12) Are grantees expected to participate in research and evaluation?
Yes. The program includes participation in research and evaluation efforts to build broader, community-specific evidence about what works in tribal home visiting, recognizing that more evidence is needed for tribal contexts.
13) What outcomes is Tribal MIECHV intended to improve?
Home visiting under this program is intended to advance outcomes such as improved maternal and prenatal health, improved infant and child health, and stronger child development outcomes. It also targets prevention and protective factors, including reducing child maltreatment and strengthening parenting practices that support healthy development.
14) What longer-term goals are associated with this program?
Longer-term readiness goals include improved school readiness and increased family economic stability. The program is also framed as a bridge to community supports through better coordination of referrals and connections to resources.
15) Does the program address community safety and family violence prevention?
Yes. The home visiting model is described as contributing to reductions in injuries, crime, and domestic violence through preventive, relationship-based family support.
16) What are the stated program-level goals of Tribal MIECHV?
The stated goals are to help AI/AN children and families thrive through a coordinated, high-quality, culturally grounded, evidence-based home visiting strategy. The opportunity also reinforces building rigorous and relevant evidence about what works in tribal home visiting and strengthening coordination among early childhood programs and systems serving AI/AN families.
17) What federal agency is offering this grant?
The opportunity is offered by HHS through ACF, specifically through ACF's Office of Early Childhood Development.
18) What is the funding opportunity number and CFDA number?
The funding opportunity number is HHS 2023 ACF ECD TH 0241. The CFDA number is 93.872.
19) What category does this funding fall under?
It is categorized under Income Security and Social Services.
20) What is the maximum award amount?
The maximum award amount listed is $1,500,000.
21) How many awards were anticipated?
ACF anticipated making about 28 awards.
22) When did the application window open and close?
The posting date was February 28, 2023. The original closing date was May 29, 2023.
23) What was the submission deadline time for electronic applications?
Electronic submissions were due by 11:59 PM Eastern Time on the deadline date.
24) What does it mean that the program supports "implementation and expansion"?
It means the funding is designed for programs that are already implementing an evidence-based home visiting model and are ready to sustain services while expanding reach, strengthening infrastructure, and improving quality rather than building a new program from scratch.
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