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Arizona Home Visiting Services for MIECHV ID: RFGA2022-003 Title: Home Visiting Services for MIECHV Application Start Date:09/02/2021 Application End Date:10/14/2021 CFDA:93.870 Summary: ADHS, BWCH supports efforts to improve the health of Arizona’s women and children. Within BWCH, the Office of Children’s Health supports the increased focus within the state and nation on the importance of early childhood programs. It also supports enhanced integration of existing children’s programs both within the ADHS and among other state and federal agencies and our outside partners. The Office of Children’s Health administers the Maternal, Infant and Early Childhood Home Visiting (MIECHV) (https://mchb.hrsa.gov/maternal-child-health-initiatives/home- visiting-overview) federal grant funded by the Health Resources and Services Administration (HRSA). The MIECHV program is funded entirely through federal funds; The goal of the MIECHV Program is to deliver evidence-based home visiting models to communities identified to be at risk based on the Needs Assessment developed as a requirement for the grant and based on increasing health equity to health disparity affected populations. HRSA commissioned a study by Mathematica to determine which models of home visiting were considered evidence-based. Based on these findings, HRSA determined which models would be eligible for funding. States are able to determine which models they will implement; IALT was organized and convened to plan and implement the first MIECHV grant application in 2009 and awarded to the ADHS. The IALT committed to work together on the process of developing a statewide system of evidence-based and evidence-informed home visiting programs. This collaborative decision making guided the initial implementation process to ensure that services were not supplanted, duplicated or saturated in a community. The IALT continues to meet regularly to identify statewide home visiting system priorities, develop goals and objectives aligned with the identified priorities, execute the action plan created to improve on the identified priorities and collaborate and coordinate all efforts pertaining to the Arizona Home Visiting System; HRSA has nineteen (19) approved models for implementation (https://homvee.acf.hhs.gov/). Arizona currently implements seven (7) of the HRSA approved models. The MIECHV funds four (4) of the HRSA approved models including: Family Spirit, Healthy Families, Nurse Family Partnership and Parents as Teachers through federal fiscal year 2022.; HRSA allows for up to twenty-five-percent (25%) of the grant award to support a Promising Approach; a home visiting program that is being evaluated to become evidence-based but has not yet received evidence-based status from Mathematica; MIECHV provided funding for the Family Spirit program, a home visiting program culturally tailored to Native American families between 2010-2015, when the program received evidence-based status from Mathematica. MIECHV provides funding for the Health Start program, a home visiting program in Arizona that provides home visits to pregnant persons and families with young children beginning in 2019. Data collection across programs is a critical component of the MIECHV grant. Data collection is also critical to the success of the Arizona Home Visiting System. Through the partnerships of IALT, Arizona procures a contract to establish the AZ ETO Home Visiting Data Management System. As a result, there are four (4) evidence-based and evidence-informed models across three (3) state agencies and five (5) funders entering home visiting data into the same system. This collaborative effort and continued coordination allow for home visiting to be implemented throughout the state to ensure that programs are effective, non-duplicative and reaches the highest need and most underserved communities. 09/02/2021 EXHIBIT ONE (1) 2 CFR 200.332 ARIZONA DEPARTMENT OF HEALTH SERVICES 150 N. 18th Avenue, Suite 530 Phoenix, Arizona 85007 REQUEST FOR GRANT APPLICATION RFGA NO. RFGA 2022-003 Home Visiting Services for MIECHV 77 Exhibit - 2 CFR 200.332 § 200.332 Requirements for pass-through entities. All pass-through entities must: (a) Ensure that every subaward is clearly identified to the subrecipient as a subaward and includes the following information at the time of the subaward and if any of these data elements change, include the changes in subsequent subaward modification. When some of this information is not available, the pass-through entity must provide the best information available to describe the Federal award and subaward. Prime Awardee: Arizona Department of Health Services DUNS # 804745420 Federal Award Identification (Grant Number): X10MC39672 Subrecipient name (which must match the name associated with its unique entity identifier): New Solicitation Subrecipient's unique entity identifier (DUNS #): New Solicitation Federal Award Identification Number (FAIN, sometimes it’s the same as the Grant Number): X10MC39672 Federal Award Date (see the definition of Federal award date in § 200.1 of this part) of award to the recipient by the Federal agency; 08/13/2020 Subaward Period of Performance Start and End Date; 9/30/2020 - 9/29/2022 Subaward Budget Period Start and End Date: 9/30/2020 - 9/29/2022 Amount of Federal Funds Obligated by this action by the pass-through entity to the subrecipient (this is normally the contract amount): $3,888,761.25 Total Amount of Federal Funds Obligated to the subrecipient by the pass-through entity including the current financial obligation (how much is available for contracts): $10,971,101.00 Total Amount of the Federal Award committed to the subrecipient by the pass-through entity $10,971,101.00 Federal award project description, as required to be responsive to the Federal Funding Accountability and Transparency Act (FFATA) Maternal, Infant, and Early Childhood Home Visiting Grant Program EXHIBIT ONE (1) 2 CFR 200.332 ARIZONA DEPARTMENT OF HEALTH SERVICES 150 N. 18th Avenue, Suite 530 Phoenix, Arizona 85007 REQUEST FOR GRANT APPLICATION RFGA NO. RFGA 2022-003 Home Visiting Services for MIECHV 78 Name of Federal awarding agency, pass-through entity, and contact information for awarding official of the Pass-through entity Health Resources and Services Administration (HRSA) Sandra Springer 601 E. 12th St. Kansas City, MO, 64106-2818 Email: sspringer@hrsa.gov Phone: (816) 426-5200 Assistance Listings number and Title; the pass-through entity must identify the dollar amount made available under each Federal award and the Assistance Listings Number at time of disbursement: 93.87 Identification of whether the award is R&D No Indirect cost rate for the Federal award (including if the de minimis rate is charged) per § 200.414