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Maternal and Child Health

Maternal and Child Health Block Grant

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 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

MCHBG 2016 Application & 2014 Annual Report

The final version of Montana's MCHBG 2016 Annual Application and 2014 Report was submitted to the Health Resources and Services Administration (HRSA) on September 23, 2015.  The initial version was submitted on July 15th, and then staff from the Maternal and Child Health Section (MCHS) met with a HRSA review panel on August 20, 2015.  After the review, the MCHS had six weeks to add the small amount of additional information and clarification detail requested by the panel.

This application and report also includes a summary of the 2015 Statewide 5-Years Needs Assessment.

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

Additional Resources & Newsletters

MCHBG Newsletters:

 - March 2016

 - January 2016

 - November 2015

 - September 2015

 - May 2015

 - March 2015

 - February 2015

 - September 2014

 - November 2014

 - December 2014

Montana Immunization Program

Sample Health Department Customer Satisfaction Surveys:

County Public Health Contractor Materials - FY16

Referral and Follow-Up Form Example

Referral and Follow-Up Policy Example

Slide Presentation on: National level structure and format changes (called MCH Transformation 3.0), the 2015 Statewide 5-Year Needs Assessment Results, and the County Public Health Department performance measure choices for FY16.

Contractor's FY16 Deliverables Calendar

FY16 Annual Compliance and Activities Report - Draft, PDF of version to be completed online (a.k.a. Attachment A).

FY16 Annual Financial and Data Report - Excel Spreadsheet version to be submitted via email (a.k.a. Attachment B).

FY16 Quarterly Report Template to be submitted via email (a.k.a. Attachment C), two versions available:


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