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Maternal and Child Health

Maternal and Child Health Block Grant

Mother lifting up smiling baby.The Maternal and Child Health Services Block Grant, Title V of the Social Security Act, is the only federal program devoted to improving the health of all women, children and families. Title V provides funding to state maternal and child health (MCH) programs, which serve 35 million women and children in the U.S. To learn more about Title V, visit The Official Website of the U.S. Social Security Administration or The Association of Maternal & Child Health Programs.

MCHBG 2017 Application & 2015 Annual Report

The initial version of the MCHBG 2017 Application & 2015 Report was submitted on July 15, 2016.  Staff from the Maternal and Child Health Section (MCHS) will met with a HRSA review panel on August 11, 2016.  The MCHS has until September 30th to add any additional information and clarification detail requested by the panel.

This document builds upon information submitted for last year's application and report.  Updates have been added to cover any activities and changes since that time (7/15/15).  The updated sections are open for public comment.  Please submit comments to: MCHBlockGrant@mt.govA summary of Public Input received as of 9/23/16 is available here.

Perinatal Mood Disorders Training

Perinatal Mood Disorders: Components of Care Training

October 20 and 21, 2016 - Helena, Montana

Register Online 

Flyer for Complete Information

The two-day Postpartum Support International Certificate of Completion Course, taught by expert and engaging faculty, is a thorough and evidence-based curriculum designed for nurses, physicians, psychologists, social workers, mental health providers, childbirth professionals, social support providers, or anyone interested in learning skills and knowledge for assessment and treatment of perinatal mood and anxiety disorders.

March of Dimes Community Grants

March of Dimes Accepting Grant Proposals for 2017

The March of Dimes (MOD) is seeking applicants to apply for their 2017 community grants, which focus on group prenatal care and smoking cessation for pregnant women.

The MOD community grant fund is approximately $4,000. It is anticipated that one to four projects will be funded with grants ranging from $1000 to $4,000 each. Applicants may include government agencies, for-profit organizations and not-for-profit 501(c)(3) organizations.  Applicants must provide services in Montana. 

Proposed projects must aim to improve access to or delivery of care, or education to pregnant women/women of childbearing age; or to deliver education to health care providers on one or more of the following priority areas:

  1. Reducing tobacco use among pregnant women
  2. Implementation or expansion of group prenatal care

Applications must be submitted by 4:00 p.m., December 1, 2016.  Direct any questions to Gina Legaz, MOD Regional Director Maternal & Child Health at: (206) 452-6638 or

Click to download the Grant Application Template and/or Application Instructions

Promising Pregnancy Care Information

Promising Pregnancy Care Training: 

July 2016 Conference - Presentation Documents for Download:

Introduction to Promising Pregnancy Care

Brush, Book and Bed: Oral Health

Coming of the Blessing

Neonatal Abstinence Syndrome - Handout

Neonatal Abstinence Syndrome - Presentation

Tobacco Use and Pregnancy

Safe Sleep & Sudden and Unexplained Infant Deaths

Integrating Cultural Traditions into Group Prenatal Care


Promising Pregnancy Care is an evidence-based health care delivery system that combines the prenatal visit with group education.  It is a joint collaboration between Montana Medicaid and Family Community Health Bureau to allow state approved Medicaid providers to be reimbursed for group prenatal care. This particular training in July is specifically to work with providers who service our Native American population to incorporate culturally appropriate education into a group pregnancy care program. Each program must include specific elements and must report defined data elements to the department.


A 2007 study showed low risk women who participated in group care are 33% less likely to deliver a preterm infant. The women also reported improvements in pregnancy knowledge, readiness for labor, satisfaction with care, and breastfeeding initiation rates. A 2012 study performed at Greenville Memorial Hospital in South Carolina showed a higher mean gestational age for women who participated in centering care than those who participated in traditional care. The mean birth weight for the women in the centering group was also higher than that of the traditional care group. This study showed an overall 47% reduction in preterm birth for low-risk women involved in group care in comparison to traditional care.


The Promising Pregnancy Care training is designed for individuals providing direct prenatal care, i.e. Direct Entry Midwife, Certified Nurse Midwife, Nurse.  See the Registration Form for a more extensive list of healthcare providers for whom the training is targeted.   

MCHBG Federal Funds to Montana


FY 2014

FY 2015

FY 2016

Total Federal Funds Received**




Children’s Special Health Services*




Local Health Departments




Administration & State Programs




*Children’s Special Health Services receives 30% of the MCH Block Grant

**States must provide a three dollar match for every four Federal dollars allocated.

Funds are awarded to local health departments to address one of the National Performance Measures or State Performance Measures.

Montana's 2016 - 2020 National and State Performance Measures

People Served by the Montana MCH Program

People Served by the Montana MCH Program*

  • 3,178 pregnant women
  • 12,326 infants under one
  • 21,031 children and adolescents
  • 7,786 children with special health care needs
  • 53,253 others
  • 97,574 total served

*2013 State/Jurisdiction Annual Reports Submitted to the Maternal and Child Health Bureau.

The Maternal and Child Health Services Block Grant provides financial support to county health departments and state MCH programs. For fiscal year 2016, county public health departments are addressing national and state performance measures in the following areas:

  • Access to Care and Public Health Services
  • Breastfeeding
  • Family Support and Health Education
  • Immunizations
  • Smoking During Pregnancy and in Household
  • Teen Pregnancy Prevention

State programs which receive funding support include:

  • Children's Special Health Services
  • Fetal, Infant, Child and Maternal Mortality Review
  • Newborn Metabolic and Hearing Screening
  • Family Planning
  • Maternal and Child Health Coordination
  • Office of Epidemiology and Scientific Support

MCHBG Needs Assessment

The federal Title V Maternal and Child Health Block Grant legislation requires the state to prepare and submit a statewide Needs Assessment every five years which identifies the specific needs for:
(1) Preventive and primary care services for pregnant women, mothers and infants up to age one;
(2) Preventive and primary care services for children; and
(3) Services for children with special health care needs (CSHCN).

The findings of the State Five-year Needs Assessment are expected to serve as the “drivers” in determining state Title V program priorities, and in developing a five-year Action Plan to address them. They should indicate where the greatest needs are for its MCH and CSHCN populations, and support services which can have a direct positive impact.

Based on its priority needs, as identified in the Five-year Needs Assessment, the State was directed select eight of 15 possible National Performance Measures (NPMs) for programmatic emphasis over the five-year reporting period. In addition, the state was required to develop five State Performance Measures to address unique needs not addressed by any of the NPMs.

The DPHHS Maternal and Child Health (MCH) Section began work on the 2015 Needs Assessment in December 2013. The workgroup identified information gathered for the 2012 State Health Improvement Plan and the 2013 Public Health and Safety Division Strategic Plan as a good foundation. In order to facilitate additional stakeholder input, an online survey was created for the County Health Departments to complete during May 2014. Other organizations with an interest in maternal and child health were also asked to complete a similar survey as a part of the process, and key stakeholder interviews were held.

A summary of the 2015 Statewide 5-Year Needs Assessment is included in the 2016 Annual Application & 2014 Report, on pages 14 - 39.

County Health Department Needs Assessment Survey Example, May 2014

Montana 2010 MCH Needs Assessment

MCH Newsletters

County Public Health Contractor Materials - SFY17

Referral and Follow-Up Form Example

Referral and Follow-Up Procedure Example

Contractor's SFY17 Deliverables Calendar

SFY17 Quarterly Report Template to be submitted via email (a.k.a. Attachment C), two versions available:

Sample Health Department Customer Satisfaction Surveys:

For More Information Contact:
Ann Buss, MPH
Maternal Child Health Coordination Section Supervisor
Family and Community Health Bureau
Phone: (406) 444-4119