Maternal, infant and early childhood homevisiting grant program - purpose washington state will continue to integrate voluntary home visiting services into our statewide early learning and child…

Washington State's Department of Children, Youth, and Families (DCYF) received a $25.6 million Project Grant from the Health Resources and Services Administration (HRSA) Maternal and Child Health Bureau under the Maternal, Infant and Early Childhood Home Visiting Grant Program (CFDA 93.870) to expand voluntary, evidence-based home visiting services for high-risk families. The award, dated September 30, 2025, with a completion date of September 29, 2027, will support 1,207 family slots across Washington State through 18 local implementing agencies. These agencies will deliver services using two evidence-based models: Nurse-Family Partnership (NFP), with maximum caseloads of 25 families per home visitor, and Parents as Teachers (PAT), with maximum caseloads of 18 families per home visitor.

The grant prioritizes families impacted by health disparities, poverty, substance use disorder, young first-time mothers, families involved with the child welfare system, and military families. Home visitors—including nurses, social workers, and other trained professionals—will provide services beginning prenatally through kindergarten entry to improve maternal and child health outcomes, prevent child abuse and neglect, promote child development and school readiness, and increase family economic self-sufficiency. Service delivery will be targeted to at-risk communities identified through Washington State's comprehensive needs assessment, with family slot allocation to each local implementing agency determined by organizational capacity and community-specific needs.

Maternal, infant and early childhood homevisiting grant program - purpose washington state will continue to integrate voluntary home visiting services into our statewide early learning and child welfare systems. We aim to develop a robust home visiting portfolio that supports the highest-risk families, with a focus on those impacted by health disparities, poverty, substance use disorder, young first-time mothers, families involved with child welfare, and military families. Through this grant, dcyf and our partners will strengthen the existing nurse-family partnership and parents as teachers home visiting programs throughout washington state. Goals and objectives attachment 1 contains washingtons detailed work plan. The work plan highlights washington state's strong commitment to home visiting and continues to guide the planning and development of our statewide home visiting system. For the FFY25 grant period washington will continue to work towards all the goals and objectives outlined in the plan. Approach the proposed funding will be directed toward supporting at-risk communities identified through washington state's comprehensive needs assessment. Please refer to attachment 2 for the specific communities that will be serve. For the FFY25 grant period, the state will allocate resources to support 1207 family slots and fund 18 local implementing agencies (LIAS) operating within designated service areas across washington. These agencies will implement two evidence-based home visiting models: nurse-family partnership (NFP) and parents as teachers (PAT). The number of family slots assigned to each LIA will be determined based on organizational capacity and the specific needs of the communities they serve. Caseloads for home visitors will vary according to model-specific guidelines and the number of slots awarded. Currently under the PAT model, the maximum caseload is 18 families per home visitor; under the NFP model, the maximum number is 25 families. Matching funds washington has established a strong statewide home visiting system, supported by a robust infrastructure and a strong network of community-based providers. The source of matching funds will be general fund state allocated to three LIAS in miechv eligible communities. For more detail, please refer to the budget narrative. Matching funds will be used to further strengthen this infrastructure, with an emphasis on advancing progress toward the following objectives: 1.objective 1.3: by september 2027, the dcyf home visiting team will collaborate with the dcyfffpsa child welfare team to develop a referral protocol that aligns with the dcyf ffpsa plan. This protocol will ensure that case managers in child welfare can refer families involved with child welfare to home visiting services statewide. Referrals to home visiting local implementing agencies (LIAS) will be one-way dcyf provides families with secondary prevention supports, as outlined in the ffpsa plan. 2.objective 3.2: throughout the project period, support local programs to conduct culturally appropriate outreach to recruit and retain families in home visiting programs in underserved communities.