MIECHV Program

The federal Maternal, Infant, and Early Childhood Home Visiting program (MIECHV) was established in 2010 to give at-risk pregnant women and families necessary resources and skills to raise children who are healthy and ready to learn. The program provides grants to states and Indian Tribes to support voluntary home visiting models with an evidence-based track record of effectiveness. States and communities choose from among these models the approach that best meets community needs.

States and Tribes must address at least four of six benchmarks as outlined in the law:

  • Improved maternal and newborn health
  • Reduced child injuries, abuse, and neglect
  • Improved school readiness and achievement
  • Reduced crime or domestic violence
  • Improved family economic self-sufficiency
  • Improved coordination and referrals for community resources

In 2017, MIECHV reached families in 888 counties in all 50 states, the District of Columbia and five territories. MIECHV programs also operate in 25 Tribal communities, many of which operate enhanced or adapted models to fit culture and context. 50% of all MIECHV home visiting programs operate in rural communities. The program serves over 150,000 parents and children and provides about one million home visits each year. In 2017, 72% of participating families had household incomes below the poverty line. Of newly enrolled households,

  • 22% reported a history of child abuse or maltreatment
  • 15% included pregnant teens
  • 12% reported substance abuse

 MIECHV & Home Visiting Models

Under the law, MIECHV funding is limited to evidence-based program models with a demonstrated track record of effectiveness. The US Department of Health and Human Services began the Home Visiting Evidence of Effectiveness review to examine home visiting research literature and assess the evidence of effectiveness of home visiting program models.  Any state or program model may request a review to be deemed an evidence-based model, but standards for acceptance are high.

 MIECHV legislation requires a minimum of 75% of grant funding be spent on program models proven to be effective. If the state chooses, a smaller percentage of funding can be used to enroll families in models with promising practices. To date, states have opted to fund only evidence-based models.

The following models have been determined to meet HHS criteria: