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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

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.

Its funds, dispersed 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).

A Formula for Funding

Funding for States and Jurisdictions

A total of 59 states and jurisdictions receive Title V funding. In FY 2013, 42 million individuals were served through Block Grant-funded programs. Included in this total are: 

  • 2.3 million pregnant women
  • 4 million infants
  • 27.6 million children
  • 2.7 million children with special health care needs.

State maternal and child health agencies, which are usually located within a state health department, are required to submit a yearly application (PDF) and annual report, 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.

Each year, Congress sets aside funding for the Maternal and Child Health Block Grant. Individual state allocations 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—which results in over $5 billion being available annually for maternal and child health programs at the state and local levels.

Transforming the Grant for Measurable Results

Transformational changes have been made to the MCH Services Block Grant program to reduce reporting burden for states, maintain state flexibility in meeting their unique MCH population needs and improve federal and state program accountability. The changes are intended to drive improvements throughout the program, but they will be particularly noticeable in the revision of the performance measure framework.

A new performance measure system is intended to show more clearly the contributions of Title V programs in impacting health outcomes while still maintaining flexibility for states. This three-tiered framework includes:

  • 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 facilitate state efforts to more directly measure the impact of specific strategies on the NPMs.

The federal program will ensure that each measure has a national data source, allowing 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. States will implement the new reporting requirements beginning with the submission of their fiscal year (FY) 2016 Applications/FY 2014 Annual Reports.      

Not only can states use this data to showcase the impact of Title V funding on maternal and child health but it can spur the need for further improvements to the program – a benefit to the health and well-being of the national community.

Tools & Resources

Program Information 
and Data

The 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.

The Discretionary Grant Information System (DGIS) captures annual financial, performance measure, program and abstract data for the Bureau’s discretionary grants. These data help assess the effectiveness of the programs and to ensure that quality health care is available to the Nation’s maternal and child health populations.

Technical Assistance

Technical Assistance is provided to state grantees. It includes expert consultation and training, peer-to-peer (i.e. state-to-state) consultation, best practices exchange, and workshops and conferences arranged on an individual, multi-state or regional basis.  

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