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H H S Department of Health and Human Services
Health Resources and Services Administration
Maternal and Child Health

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Title V Maternal and Child Health Services Block Grant Program

Authorizing Legislation

Social Security Administration: Title V – Maternal and Child Health Services
Block Grant

Contact Us

Michelle Lawler 
Acting Director, Division of State and Community Health 

Contact your state or territory’s 
Title V Director

Alabama (800) 654-1385

Alaska (800) 799-7570

American Samoa (684) 633-4616

Arizona (800) 232-1676 

Arkansas (800) 232-0002 

California (866) 241-0395

Connecticut (800) 688-7777


Delaware (800) 464-4357

District of Columbia (800) 311-2229

Florida (800) 451-2229

Georgia (800) 822-2539 

Guam (671) 735-7111

Hawaii (800) 235-5477


Idaho (800) 296-2588 

Illinois (800)-843-6154

Indiana (800) 433-0746

Iowa (800) 369-3826 

Kansas (800) 332-6262


Kentucky (800) 462-6122

Louisiana (800) 251-2229

Maine (800 698-3624

Maryland (800) 456-8900


Massachusetts (800) 882-1435

Michigan (800 262-4784


Minnesota (800 728-5420

Mississippi (800) 721-7222

Missouri (800) 835-5465

Montana (887) 543-7669

Nebraska (800) 862-1889

Nevada (800) 429-2669

New Hampshire (800) 852-3345


New Jersey (800) 328-3838 

New Mexico (877) 725-2552

New York (800) 522-5006

North Carolina (800) FOR-BABY

North Dakota (800) 472-2286

Northern Marianas (670) 664-4850

Ohio (800) 755-4769

Oklahoma (800) 426-2747

Oregon (800) SAFENET

Pennsylvania (800) 986-2229

Puerto Rico (800) 981-5721

Rhode Island (800) 942-7434

South Carolina (800) 868-0404

South Dakota (800) 305-3064

Tennessee (800) 428-2229

Texas 2-1-1 (Texas Only)

Utah (800) 826-9662

Vermont (800) 649-HELP

Virginia (800) 230-6977

Virgin Islands (866) 248-4004

Washington (800) 322-2588

West Virginia (800) 642-8522

Wisconsin (800) 722-2295

Wyoming (800) 438-5795

The Title V Maternal and Child Health Block Grant Program—the Nation’s oldest federal-state partnership—aims to improve the health and well-being of women, particularly mothers, and children.

What are the Goals of Title V?

Title V funds, distributed to grantees from 59 states and jurisdictions, seek to provide:

  • Access to quality care, especially for those with low-incomes or limited availability of care
  • Assistance in the reduction of infant mortality
  • Access to comprehensive prenatal and postnatal care for women, especially low-income and at-risk pregnant women
  • An increase in health assessments and follow-up diagnostic and treatment services
  • Access to preventive and child care services as well as rehabilitative services for certain children
  • Family-centered, community-based systems of coordinated care for children with special healthcare needs
  • Toll-free hotlines and assistance in applying for services to pregnant women with infants and children who are eligible for Title XIX (Medicaid).

How Does the Title V MCH Block Grant Program Work?

Technical Assistance


MCH Digital Library

State maternal and child health agencies, which are usually located within a state health department, submit a yearly application/annual report (PDF – 1.1 MB), and also complete a statewide, comprehensive needs assessment every five years. Title V funds are then used to design and implement a wide range of activities that address state and national needs.

How Is the Title V MCH Block Grant Program Funded?

Each year, Congress sets aside funding for the Maternal and Child Health Block Grant. Individual state portions are then determined by a formula, which considers in part the proportion of the number of low-income children in a particular state compared to the total number of low-income children in the entire US.

States and jurisdictions must match every four dollars of federal Title V money that they receive by at least three dollars of state and/or local money (i.e., non-federal dollars.) Most states overmatch—and the resulting funds vary—but typically over $5 billion is available each year for maternal and child health programs at the state and local levels.

A total of 59 states and jurisdictions receive Title V funding. In FY 2014, states reported reaching over 50 million pregnant women, infants, children—including those with special health care needs—and others, through the Title V Block Grant..

How Have We Transformed the Title V MCH Block Grant Program?

To develop a common vision for improving, innovating, and transforming the Title V MCH Block Grant, we engaged stakeholders and other national, state, and local leaders, families and other partners. The triple aims of the transformation:

  • reduce burden,
  • maintain flexibility, and
  • increase accountability.  

Ultimately, the transformation aims to improve accountability of performance and impact, and better demonstrate the returns on investment for Title V in bettering the health and well-being of mothers, children, and families in the US.

Improvements should be seen throughout the program, but will be particularly noticeable in the revision of the performance measure framework.

What Does the Performance Measure Framework Include?

This three-tiered framework will more clearly show how Title V programs impact health outcomes while maintaining flexibility for states:

  • National Outcome Measures (NOMs) – intended to represent the desired result of Title V program activities and interventions. These measures for improved health are longer-term than NPMs.
  • National Performance Measures (NPMs) – intended to drive improved outcomes relative to one or more indicators of health status (i.e., NOMs) for the MCH population.  
  • Evidence-based Strategy Measures (ESMs) – intended to hold states accountable for improving quality and performance related to the NPMs and related public health issues. ESMs will assist state efforts to more directly measure the impact of specific strategies on the NPMs.

Each measure, tied to a national data source, allows for more timely, reliable and valid data reporting. The new performance measure framework intends to track areas where the state MCH programs can best demonstrate the impact of their Title V investments.

Related Resources

Title V Information System (TVIS)
Captures key financial, program and performance/indicator data as reported by the state Title V Maternal and Child Health programs.

MCH Training Program
Provides ongoing support to programs, including Title V, through a variety of education and training that serves to fulfill needs and complement state and local health agency efforts.

MCH Research Program
Supports innovative research through funded projects that have the potential to improve the health and well-being of the MCH population.

Association of Maternal and Child Health Programs (AMCHP) 
A national resource, partner and advocate for state public health leaders and others working to improve the health of women, children, youth and families, including those with special health needs.