While often similar in design, home visiting models eligible for MIECHV and Title IV-E Prevention Services reflect the different programmatic goals of child and family wellbeing versus foster care prevention.

This brief address the HHS programs that fund evidence-based home visiting models. It provides a high-level comparison of the primary federal funding streams supporting home visiting. Key points are:

• Several HHS programs, including the Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV) and the Title IV-E Prevention Services Program, fund home visiting models with evidence of effectiveness for improving child safety, child permanency, child well-being, adult well-being, positive parenting practices, or other related outcomes. 
• MIECHV and Title IV-E Prevention Services both aim to improve parenting and child outcomes; MIECHV addresses a wide range of child and family outcomes for a broad target population, while Title IV-E Prevention Services focus specifically on preventing foster care entry. 
• Out of a combined 29 home visiting models approved across the two programs, only one-quarter (seven models, or 24 percent) are eligible for funding from both programs.  
• Across both MIECHV and Title IV-E Prevention Services in FY23, Parents as Teachers was the most common model (37 MIECHV awardees, 31 Title IV-E Prevention Services jurisdictions) implemented by MIECHV awardees or included in a Title IV-E Prevention Services state plan. Other common models in FY23 were Healthy Families America (39 MIECHV awardees, 23 Title IV-E Prevention Services jurisdictions) and Nurse-Family Partnership (37 MIECHV awardees implemented, 16 Title IV-E Prevention Services jurisdictions).

• Federal programs that fund home visiting have distinct statutory requirements. As a result, states and service providers can face administrative challenges in carrying out home visiting programs supported by multiple federal funding sources.

  Administrator Tom Engels (Health Resources and Services Administration) and Assistant Secretary Alex Adams (Administration for Children and Families) also provided a cover letter describing how the two agencies coordinate to improve outcomes for children and families through home visiting.