The priorities from the statewide Needs Assessment are addressed using various strategies to improve the needs or the systems to address need. To the extent feasible, the actions taken have data evidence that it will make a difference. The largest categories of current obligations of Nebraska’s federal portion are shown in this graph.
A portion of the Block Grant provides assistance to community-based organizations to support those strategies. Presently 22% of the federal dollars are working in local communities across Nebraska to address local needs that contribute to addressing statewide priorities. This is done primarily through subgrants to private and non-profit entities, for example, the current subgrants are awarded to local health departments, Tribal governments, and community action agencies. Subgranted organizations provide matching resources, which paired with State funds, help meet the federal match requirement. For more information about the current subgrants, view subgrant brief overview
Subgrant opportunities are announced about every three years using a competitive Request for Applications (RFA) process. The RFA document details the purposes, goals, and defined outcomes that the subgranted Block Grant funds will support for a multi-year project period. Community-level work may also include service contracts performed for the State. The RFA
for the current FY 2013 – 2014 awarded subgrants. FY2014 is a non-competitve, continuation year. It is not open for application for period October 1, 2013-September 30, 2014.
State-level programs and infrastructure.
A number of State-level programs and activities within Nebraska DHHS that include a MCH-specific focus are supported in part with Title V/MCH Block Grant funds. In addition to the Block Grant, State general funds and cash revenue share in the cost to implement state-level MCH functions. These programs include:
Obligations of the federal portion for the period October 1, 2012–September 30, 2013
* The category ‘other state-level’ includes partial MCH funding for these DHHS programs/units:
- Birth Defects Registry
- Health Disparities & Health Equity
- Immunization Program
- Child Death Review
- Oral Health & Dentistry
- Pregnancy Risk Assessment Monitoring System (PRAMS)
- Reproductive Health Program
- Women’s Health
Title V Information System
The Title V Information System
(TVIS) electronically captures data from the annual Title V Maternal and Child Health Block Grant applications and reports. TVIS is a web-based, searchable database that captures key financial, program and performance/indicator data as reported by the State Title V Maternal and Child Health programs.
State-by-State, as well as Regional and National composite data, can be searched, viewed, and printed. Other available information includes each State’s and jurisdiction’s five-year Needs Assessment, the narrative sections and data forms from each State’s and jurisdiction’s most recent application and annual report, and the contact information for each State’s and jurisdiction’s Title V Maternal and Child Health Director and Children with Special Health Care Needs Director.