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Catalog of Federal Domestic Assistance

Program Descriptions

CATALOG OF FEDERAL DOMESTIC ASSISTANCE

93.994: Maternal and Child Health Services Block Grant to the States

Objectives: 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.

PROGRAM AND AWARD FINANCIAL AND INFORMATION CONTACTS

ELIGIBILITY REQUIREMENTS FINANCIAL AND ADMINISTRATIVE INFO.

APPLICATION AND AWARD PROCESS INFORMATION CONTACTS

RELATED PROGRAMS ASSISTANCE CONSIDERATIONS

PROGRAM ACCOMPLISHMENTS POST ASSISTANCE REQUIREMENTS

93.994 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.

93.994 APPLICATION AND AWARD PROCESS:

Preapplication 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.

Criteria for Selecting Proposals: Not applicable.

Examples of Funded Projects: Each of the 59 States and jurisdictions determines its individual program priorities under its Block grant.

Range and Average of Financial Assistance: The range is from $155,128 to $41,903,121; $9,738,077.

93.994 RELATED PROGRAMS:

93.110 Maternal and Child Health Federal Consolidated Programs.

93.994 PROGRAM ACCOMPLISHMENTS:

All 59 States and jurisdictions were awarded grants in fiscal year 1999. All 59 States and jurisdictions are expected to be awarded funding in fiscal years 2000 and 2001. 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, they have been modified according to the Bureau's performance measurement model to collect quantitative data as well.

93.994 FINANCIAL AND ADMINISTRATIVE INFO:

Federal Agency: HEALTH RESOURCES AND SERVICES ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES

Type of Assistance: Formula Grants.

Obligations: (Grants) FY 99 $576,227,297; FY 00 est $576,391,197; and FY 01 est $576,000,000.

Budget Account Number: 75-0350-0-1-550.

Authorization: Social Security Act, Title V, Section 501(a) (1), as amended.

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.

93.994 INFO 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 Bldg., 5600 Fishers Lane, Rockville, MD 20857. Phone: (301) 443-2204. Grants Management Contact: Grants Management Branch, Maternal and Child Health Bureau, Health Resources and Services Administration, Room 18-12, Parklawn Bldg., 5600 Fishers Lane, Rockville, MD 20857. Phone: (301) 443-1440. Use the same numbers for FTS.

(See Appendix IV for more contact info.)

93.994 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.

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.

93.994 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 Non-Profit Organizations," nonfederal entities that receive 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.