North Carolina Department of Health and Human Services receives $8M Maternal, Infant and Early Childhood Home Visiting Grant from the Health Resources and Services Administration

Maternal, infant and early childhood homevisiting grant program - project title: miechv recipient name: nc dhhs, division of child and family well-being address: 1915 health services way raleigh, nc 27607 project director: hope newsome, miechv project director phone number: 919-812-9961 e-mail address: [email protected] purpose: nc miechv will provide high-quality comprehensive home visiting service delivery based on experienced endemic poverty; economic and health disparities; poor maternal and child health outcomes; and high rates of child maltreatment. Nc miechv will provide healthy families america (hfa) and nurse-family partnership (nfp) home visiting programs in 28* high-need counties. Through hfa and nfp, targeted and voluntary evidence-based home visiting (ebhv) programs will be provided to serve eligible families who are most at risk for adverse outcomes who would benefit from support. With the HRSA match, nc miechv will budget for each lead implementing agency (lia) to increase the salaries and fringe for home visiting staff. The match funding will also provide sustainability for the existing sites. An rfa will be developed and issued for FY26 and FY27 and will allow for current site expansion and/or new lias implementing ebhv programs. Goals and objectives: goal 1: provide targeted and voluntary services to help and serve families across nc who are most at risk for adverse health and life outcomes. Objective 1.1: use the 2025 nc needs assessment update to increase the number of miechv-eligible counties to provide high-quality ebhv. Objective 1.2: partner with ebhv models at the national level to ensure model fidelity and high-quality service implementation in all funded lias. Goal 2: foster collaborations among other early childhood and parenting education services and stakeholders across nc to coordinate and improve services for families. Objective 2.1: serve as leader of the nc home visiting consortium and convene to coordinate statewide efforts and services. Objective 2.2: the team will participate in four national and state-level conferences related to enhancing home visiting services and delivery. Objective 2.3: assist and guide lias on leading their community advisory boards and participating in collaboratives and initiatives with community partners in their local geographic area(s). Goal 3: use quality data and technical assistance (ta) to inform and implement improvements in service delivery at miechv-funded lias. Objective 3.1: monitor performance and outcomes specified in the six statutorily mandated benchmark areas quarterly and use findings to guide ta and continuous quality improvement initiatives at both the state and local levels. Objective 3.2: provide routine consultation and targeted training opportunities based on lias’ feedback and programmatic needs. Approach: as identified in the 2025 needs assessment update, families at risk for toxic stress, child abuse, and neglect will continue to be served in avery, buncombe, burke, caldwell, catawba, durham, henderson, iredell, madison, mcdowell, mitchell, person, watauga, and yancey counties during FY26-28 through hfa (3 sites). Nc miechv will continue to serve low-income, pregnant and parenting families in bertie, bladen, buncombe, columbus, edgecombe, gaston, halifax, hertford, lincoln, martin (new community added november 2025), nash, northampton, robeson, scotland, and wilson counties during FY26-28 through nfp (4 sites). In nc’s total proposed caseload of family slots at the 7 miechv sites is 774 and 798 for ffy 1 and 2, respectively. Nc general funds provide annual recurring allocations of $1.5M to nfp in additional counties across nc, allowing us to meet the HRSA federal match. Through the matching funds, nc miechv will issue and request for application (rfa) for FY27. Current sites may propose plans for expansion, and we will encourage new sites in the 75 miechv funding eligible counties through the implementation of an ebhv model. *hfa and nfp both serve buncombe county and it is counted once