To
enable States to maintain and strengthen their leadership in planning,
promoting, coordinating and evaluating health care for pregnant
women, mothers, infants, and children and children with special
health care needs in providing health services for mothers and children
who do not have access to adequate health care.
TYPES
OF ASSISTANCE:
Formula Grants. Place Cursor Here for Definition
USES
AND USE RESTRICTIONS:
States
may use funds to develop systems of care for the provision of health
services and related activities, including planning, administration,
education and evaluation consistent with the State's annual application.
Funds may not be used for (1) Inpatient services other than those
provided to children with special health care needs or to high-risk
pregnant women and infants and such other inpatient services as
the Secretary may approve; (2) cash payments to intended recipients
for health services; (3) purchase and improvement of land, construction
or permanent improvement of buildings or purchase of major medical
equipment; (4) matching other Federal grants; or (5) providing funds
for research or training to any entity other than a public or private
nonprofit entity. Beginning in FY 1991, States must use at least
30 percent of their Federal allotment for preventive and primary
care services for children, and at least 30 percent for services
for children with special health care needs. In addition, each State
must establish and maintain a toll-free information number for parents
on maternal and child health (MCH) and Medicaid providers. No more
than 10 percent of each State's allotment may be used for administration.
ELIGIBILITY
REQUIREMENTS:
Applicant
Eligibility: Maternal and Child Health Block
Grants are limited to States and insular areas.
Beneficiary
Eligibility: Mothers, infants and children,
and children with special health care needs particularly those
of low-income families.
Credentials/Documentation:
None. This program is excluded from coverage under OMB Circular
No. A-87.
Pre-application
Coordination: Not applicable. This program is
excluded from coverage under E.O. 12372.
Application
Procedure: Annual submission of a State application
and Annual Report are required prior to allocation of funds.
Award
Procedure: Funds are allocated to States by
way of the Letter of Credit system subsequent to the review and
approval of the State application and Annual Report.
Deadlines:
July 15th each year.
Range
of Approval/Disapproval Time: From 1 to 2
months.
Appeals:
Not applicable.
Renewals:
Funds will be made available annually to any State submitting
an acceptable application.
ASSISTANCE
CONSIDERATIONS:
Formula
and Matching Requirements: Funds are allocated
among the States and Jurisdictions in proportion to their relative
shares of funds received under eight antecedent programs in fiscal
year 1981. When funding exceeds the amount appropriated in fiscal
year 1983, the additional funds are allocated in proportion to the
poverty population under age 18. States must assure that $3 of State
or local funds will be expended for Maternal and Child Health purposes
for every $4 of Federal funds allotted through the formula mechanism.
Length
and Time Phasing of Assistance: Funds are
awarded each fiscal year in quarterly installments and remain
available for expenditure for the current and subsequent fiscal
year.
POST
ASSISTANCE REQUIREMENTS:
Reports:
Each State must prepare and submit an annual report on the activities
undertaken. Such reports will be in such form, and contain such
information as the Secretary may require.
Audits:
In accordance with the provisions of OMB Circular No. A-133 (Revised,
June 24, 1997), "Audits of States, Local Governments, and Nonprofit
Organizations," nonfederal entities that expend financial assistance
of $300,000 or more in Federal awards will have a single or a
program-specific audit conducted for that year. Nonfederal entities
that expend less than $300,000 a year in Federal awards are exempt
from Federal audit requirements for that year, except as noted
in Circular No. A-133.
Records:
Records of the recipient shall be made available to the Secretary
to secure an accurate description of the activities for which
funds were spent in achieving the purposes of this title. States
shall make available copies of reports and audits for public inspection
within the State.
FINANCIAL
INFORMATION:
Account
Identification: 75-0350-0-1-550.
Obligations:
(Grants) FY 01 $582,224,933; FY 02 est $595,727,279; and FY 03
est $602,382,530.
Range
and Average of Financial Assistance:
From $155,128 to $41,903,121. Average: $9,945,456.
All 59 States and jurisdictions were awarded grants in fiscal year
2001. All 59 States and jurisdictions are expected to be awarded
funding in fiscal years 2002 and 2003. The Maternal and Child Health
Bureau has developed an Electronic Reporting Package (ERP) and an
electronic information system, the Title V Information System (TVIS),
that captures data contained in the States' Block Grant Application/Annual
Reports. Designed initially to capture the qualitative programmatic
information of the States, it has been modified according to the
Bureau's performance measurement model to collect quantitative data
also.
REGULATIONS,
GUIDELINES, AND LITERATURE:
There are no specific program regulations. Only the general Block
Grant regulations are currently applicable. Federal Register Vol.
52, No. 197, Dated October 13, 1987, pp. 37957 - 37968. In addition,
the Central Office may issue guidance to the States on a periodic
basis.
INFORMATION
CONTACTS:
Regional
or Local Office: Not applicable.
Headquarters
Office: Central Office Contacts: Program Contact:
Division of State and Community Health, Maternal and Child Health
Bureau, Health Resources and Services Administration, Department
of Health and Human Services, Room 18-31, Parklawn Building, 5600
Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-2204.
Grants Management Contact: Grants Management Branch, Maternal
and Child Health Bureau, Health Resources and Services Administration,
Room 18-12, Parklawn Building, 5600 Fishers Lane, Rockville, MD
20857. Telephone: (301) 443-1440. Use the same numbers for FTS.
Web
Site Address: http://www.hrsa.gov
EXAMPLES
OF FUNDED PROJECTS:
Each of the 59 States and jurisdictions determines its individual
program priorities under its Block grant.
