Maternal, infant and early childhood homevisiting grant program - requesting $1,669,091 base & $1,140,234 match

The Nebraska Department of Health & Human Services received a $2.81 million Project Grant from the Health Resources and Services Administration's Maternal and Child Health Bureau under the Maternal, Infant and Early Childhood Home Visiting Grant Program (CFDA 93.870) awarded on September 30, 2025. The grant, which represents a base allocation of $1.67 million with a $1.14 million non-federal match requirement, supports the delivery of voluntary, evidence-based home visiting services to at-risk families across 30 of 31 priority counties in Nebraska through September 29, 2027. The program targets pregnant women and families with young children up to kindergarten entry who face risk factors including poverty, teen parenthood, child welfare involvement, exposure to relationship violence or substance use, parental developmental disabilities, or military family status with multiple deployments.

The grant funds direct home visiting service delivery coordinated through twelve sub-awardees representing local health departments, nonprofit organizations, and community action agencies, including Southeast District Health Department, Two Rivers Public Health, Central District Health Department, Panhandle Public Health District, Southwest Nebraska Public Health Department, The Visiting Nurse Health Services, Nebraska Children's Home Society, South Heartland District Health, Four Corners Public Health Department, Public Health Solutions, Northeast Nebraska Community Action Partnership, and Lincoln City of Public Works & Utilities Division. Key program objectives include expanding service capacity from 704 to 947 families, ensuring all implementing agencies maintain accreditation or achieve satisfactory fidelity assessments under the Healthy Families America model, implementing child welfare protocols, and achieving federal performance benchmarks while maintaining high-fidelity delivery of evidence-based home visiting services that prevent child maltreatment and improve long-term health and developmental outcomes.

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.