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This brief—based on interviews with eight Tribal MIECHV grantees1 —will (1) discuss the importance of cultural enrichments of evidence-based home visiting models; (2) highlight three different approaches Tribal MIECHV grantees have pursued to shape programs to best reflect their communities; and (3) offer guidance for programs that are searching for a way to best fit home visiting within the cultural context of their communities. The brief discusses ways that grantees have approached cultural enrichment in the first 5 years of the Tribal MIECHV program.

This document provides guidance for submission of the implementation plan for both Tribal MIECHV Development and Implementation grantees and Tribal MIECHV Implementation and Expansion grantees. The document also includes Appendices containing supplementary information and resources, including key definitions. This document also includes Tribal MIECHV Form 1: Demographic and Service Utilization Data, which grantees will submit annually.

Between 2012 and 2018, the Tribal Home Visiting Program provided 90,298 home visits and conducted an average of 346 visits per week. In 2018 the program served 3,751 parents and children and 63% of home visitors were AIAN.

ACF and the Tribal Home Visiting Program are continuing to monitor the COVID-19 situation and will continue to keep grantees updated with the most current guidance. This guidance differs from existing Tribal MIECHV policies; the information supersedes the grantee responsibilities outlined in the cooperative agreement. Please note that the flexibilities outlined are specific to the COVID-19 emergency and will no longer apply once the emergency designation has been lifted.

Tribal Home Visiting Map

Southcentral Foundation Grantee Profile

The Tribal Maternal, Infant, and Early Childhood Home Visiting Program (Tribal MIECHV) is funded by a 3% set-aside from the larger Affordable Care Act (ACA) Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV). Tribal MIECHV grants, to the greatest extent practicable, are to be consistent with the MIECHV grants to States, including conducting a needs assessment and establishing 3- and 5-year benchmarks for demonstrating results for participating families.

To date, the Administration for Children and Families (ACF), in partnership with the Health Resources and Services Administration (HRSA), has awarded 25 grants (cooperative agreements) totaling $32.5 million to three "cohorts" of Tribes, consortia of Tribes, Tribal Organizations, and Urban Indian Organizations. Grants for all three cohorts were awarded competitively for 5 years, contingent on availability of funds.

This letter was to stress the importance of providing home visiting services to homeless families and their young children within their tribal communities.

ED and HHS MIECHV Part C Guidance

Letter to Tribal Leaders (STAC)