Tribal MIECHV Guidance for Submitting an Annual Report to the Secretary

OMB Control No.: 0970-0409
Expiration Date: 9/30/2015

U.S. Department of Health and Human Services
Administration for Children and Families
Office of Child Care

Affordable Care Act
Tribal Maternal, Infant, and Early Childhood
Home Visiting Program
Guidance for Submitting an
Annual Report to the Secretary

U.S. Department of Health and Human Services
Administration for Children and Families
Office of Child Care
370 L’Enfant Promenade SW, 5th Floor East
Washington, DC 20447

OMB Control No.: 0970-0409 Expiration Date: 9/30/2015
Affordable Care Act Tribal Maternal, Infant, and Early Childhood Home Visiting Program
Background Information:
Guidance for Submitting an Annual Report to the Secretary
Section 511(e)(8)(A) of the Social Security Act, as added by Section 2951 of the Affordable Care Act,
requires that grantees under the MIECHV program for States and Jurisdictions submit an annual report
to the Secretary of Health and Human Services regarding the program and activities carried out under
the program, including such data and information as the Secretary shall require. Section 511 (h)(2)(A)
further states that the requirements for the MIECHV grants to Tribes, Tribal Organizations, and Urban
Indian Organizations are to be consistent, to the greatest extent practicable, with the requirements for
grantees under the MIECHV program for States and Jurisdictions. In the Affordable Care Act Tribal
Maternal, Infant, and Early Childhood Home Visiting Program Needs Assessment and Plan for
Responding to Identified Needs (Phase 2 Implementation Plan) (OMB Control No. 0970-0389, Expiration
Date 6/30/14), Tribal MIECHV grantees were notified that in Years 2-5 of their grant they must comply
with the requirement for submission of an Annual Report to the Secretary regarding the program and
activities carried out under the program.
This report shall be submitted to HHS by Tribal MIECHV grantees 90 days following the end of Years 2-5
of the grant. Reports shall be submitted via GrantSolutions.gov per instructions provided to each
grantee by the Federal Project Officer.
Any questions and comments regarding this guidance may be addressed to:
Moushumi Beltangady
Senior Policy Analyst for Early Childhood Development
Office of the Deputy Assistant Secretary for Early Childhood Development
Administration for Children and Families, HHS
901 D St SW, 6th Floor West 6B0001
Washington, DC 20447
[email protected]
(202) 260-3613

OMB Control No.: 0970-0409 Expiration Date: 9/30/2015
Guidance for Submitting an Annual Report to the Secretary
Following Years 2-5 of the grant, Affordable Care Act Tribal Maternal, Infant, and Early Childhood Home
Visiting grantees must provide a written update regarding the program and activities carried out under
the program that includes the following.
Section 1: Update on Home Visiting Program Goals and Objectives
Progress made under each goal and objective (as stated by the grantee in its Phase 2
Implementation Plan) during the reporting period
Barriers to progress that have been encountered and strategies/steps taken to overcome them
Any updates/revisions to goals and objectives identified in the Implementation Plan
Updates or changes to logic model, if necessary
Section 2: Update on the Implementation of Home Visiting Program in Targeted Community(ies)
Please provide updates regarding experience in planning and implementing the home visiting programs
selected for targeted community(ies), as identified in the Implementation Plan, addressing each of the
items listed below. Where applicable, grantees should discuss any barriers/challenges encountered and
steps taken to overcome the identified barriers/challenges.
Update on the grantee’s progress in engaging the targeted community(ies) around the home
visiting program
Update on work to-date with the developer of the implemented home visiting model(s),
including:
o Description of any technical assistance and support provided to-date through the
model(s)
o Update on securing curriculum and other materials needed for the home visiting
program
o Update on training and professional development activities obtained from the home
visiting model developer
Update on staff recruitment, hiring, professional development activities, and retention for all
positions including subcontracts
Update on participant recruitment and retention efforts
Update on challenges to maintaining quality and fidelity of each home visiting program, and the
responses to the issues identified
Update on grantee efforts to meet the following legislative requirements, including a discussion
of any barriers/challenges encountered and steps taken to overcome the identified
barriers/challenges:
o Training efforts to ensure well-trained, competent staff
o Steps taken to ensure high quality reflective supervision
o Steps taken to ensure referral and services networks to support the home visiting
program and the families it serves in at-risk communities
o Updates on new policy(ies) created by the grantee, Tribe, organization, or community to
support home visiting programs
Update on the development of a coordinated early childhood system that includes home visiting
programs, including coordination and collaboration between home visiting program(s) and other
existing programs and resources for pregnant women, expectant fathers, young children, and
families in the community(ies)
Testimonials, vignettes, and photos regarding the implementation of the home visiting program,

OMB Control No.: 0970-0409 Expiration Date: 9/30/2015
if desired
Section 3: Progress toward Meeting Legislatively Mandated Benchmark Requirements
Please provide a narrative discussing the benchmark data collection efforts, including a summary of
barriers/challenges encountered during data collection efforts and steps taken to overcome them.
Section 4: Update on Rigorous Evaluation Activities
Please provide an update on the grantee’s rigorous evaluation activities, including:
General update on the progress of rigorous evaluation
Any revisions to your evaluation plan
Barriers and challenges encountered and steps taken to overcome them
List of materials/products or publications developed for dissemination. If applicable, please also
provide copies of reports or materials developed. Relevant materials/products could include:
o Peer-reviewed publications in scholarly journals – published and submitted
o Books and book chapters
o Reports and monographs (including policy briefs and best practices reports)
o Conference presentations and posters presented
o Web-based products (Blogs, podcasts, Web-based video clips, etc.)
o Electronic products (CD-ROMs, DVDs, audio or videotapes)
o Press communications (TV/Radio interviews, newspaper interviews, public service
announcements, and editorial articles)
o Newsletters (electronic or print)
o Pamphlets, brochures, or fact sheets
o Academic course development and distance learning modules
o Doctoral dissertations/Master’s theses
Section 5: Home Visiting Program Continuous Quality Improvement (CQI) Efforts
Update on the grantee’s efforts regarding planning and implementing CQI for the home visiting
program, including CQI opportunities, changes implemented, data collected, and results obtained. If
applicable, please provide copies of CQI reports developed.
Section 6: Administration of Home Visiting Program
Updated organizational chart and fiscal/management plan for program implementation and
evaluation, if applicable
Updates regarding changes to key personnel, if any (note: changes in key personnel require
prior approval by HHS)
Section 7: Technical Assistance Needs
An update on technical assistance needs anticipated for implementing and evaluating the home visiting
program or for developing a coordinated early childhood system. For example:
• Programmatic (e.g., outreach and recruitment, workforce and professional development,
effective collaboration, implementation)
• Evaluation-related
• Benchmarks
• Data Systems
• Continuous Quality Improvement
• Sustainability