Title IV-E Prevention Services Make Up Less Than Two Percent of Overall Program Expenditure Reimbursement Claims: Many States Do Not Claim Expenses at All

This brief, focused on the Title IV-E Prevention Program, explores how states, territories, and Tribes have been engaging in the program since it began. The content highlights the Title IV-E Prevention Services Clearinghouse process, as well as information from jurisdictions’ prevention plans and claimed expenditures. Key findings include:

• As of December 2025, fewer than one-third (28 percent) of the 95 programs rated by the Title IV-E Prevention Services Clearinghouse as well-supported, supported, or promising are included in the approved prevention plans written by states, territories, and Tribes.
• Sixty percent of states, territories, and Tribes had never submitted any claims for prevention expenditures, as of FY2023.
• Approved plans most commonly include the programs Multisystemic Therapy (12 jurisdictions), Parents as Teachers (12), and Functional Family Therapy (11).
• Plans incorporate an average of 5 programs (range 1 to 11 programs).
• While reported expenditures for Title IV-E prevention services have increased nearly 20-fold from FY2020 to FY2023, this bucket of spending is miniscule compared to other Title IV-E program spending. In FY2023, reported reimbursement claims on Title IV-E prevention services amounted to less than two percent of overall Title IV-E program reimbursement claims.
• Similarly, while the average monthly number of children served from Title IV-E prevention services has increased more than 15-fold between FY2020 and FY2023, this is only around two percent of the total number of children served from Title IV-E programs.

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