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 .

Montana's  Title V MCHBG 2024 Application & 2022 Annual Report was submitted on July 31, 2023.  Staff from the Maternal and Child Health Section met with a HRSA review panel on November 1, 2023.

Additional information is available here:, including a state snapshot for Montana:

MCHBG Federal Funds to Montana


FY 2020

FY 2021

FY 2022

Total Federal Funds Received**




Children’s Special Health Services*




Local Health Departments




State Programs








*Children’s Special Health Services must receive at least 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.

People Served by the Montana MCH Program*

  •   4,515 pregnant women
  • 11,245 infants under one
  • 36,633 children and adolescents
  • 11,778 children with special health care needs
  •   8,139 others (especially women ages 22-44)

      72,310 Total Served

*2022 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 federal fiscal year 2023, county public health departments are addressing national and state performance measures in the following areas:

  • Access to Care and Public Health Services
  • Infant Safe Sleep
  • Family Support and Health Education
  • Medical Home
  • Oral Health
  • Bullying Prevention
  • Women's Preventive Healthcare / Annual Wellness Visit

State programs which receive funding support include:

  • Children's Special Health Services
  • Fetal, Infant, Child and Maternal Mortality Review
  • Newborn Metabolic and Hearing Screening
  • Adolescent Health
  • Maternal and Child Health Coordination
  • Oral Health
  • Primary Care Office

2020 Statewide 5-Year MCHBG Needs Assessment Summary

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 is directed select five of 15 possible National Performance Measures (NPMs) for programmatic emphasis over the five-year reporting period. In addition, the state was allowed to develop State Performance Measures (SPMs) to address unique needs not addressed by any of the NPMs.  Montana has two SPMs.

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


Blair Lund
Maternal & Child Health Block Grant Program Specialist
Family & Community Health Bureau
Phone (406) 444-0276