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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 2018 Application & 2016 Annual Report

The initial version of the MCHBG / Title V 2018 Application & 2016 Annual Report was submitted on July 17th.  Staff from the Maternal and Child Health Section met with a HRSA review panel on August 22, 2017, and then had until September 30th to add 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 (7/15/16).  The updated sections are open for public comment.  Please submit comments to: MCHBlockGrant@mt.gov.

County Public Health Contractor Materials - SFY18

Contractor's SFY18 Deliverables Calendar

Quarterly Reports are submitted via email, and the template is available in two versions (PDF and Word).  If needed, please email the MCHBG State Liaison listed on the contract for a template.

Updated Annual Report templates and examples will be added to this web page by March 31, 2018.

MCH Newsletters

2017 MCHBG Newsletters:

- April 2017, topics include:  National Women's Health Week, MT Guide to Turning 18, Child ATV Injuries, Youth Suicide and Self-Harm Prevention Resource Guide, Rural Health Information Hub, and Medicaid's Role in the Delivery & Payment of Substance Use Disorder Services

- February 2017, topics include:  The Art of Saving a Life (stories & photos telling the positive impact of vaccines), Human Trafficking of U.S. Teenagers, E-Cigarettes & Youth Don't Mix, HPV Vaccine Champion Toolkit

MCHBG Federal Funds to Montana

 

FY 2014

FY 2015

FY 2016

Total Federal Funds Received**

$2,154,629

$2,219,096

$2,284,817

Children’s Special Health Services*

$646,389

$665,729

$685,445

Local Health Departments

$997,661

$980,128

$1,033,694

Administration & State Programs

$460,579

$499,864

$565,678

*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*

  •     4,083 pregnant women
  •   12,529 infants under one
  •   28,998 children and adolescents
  •     6,763 children with special health care needs
  •   55,296 others (especially women ages 22-44)

           107,669 total served

*2015 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 Coordination 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.

Promising Pregnancy Care Information

Promising Pregnancy 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. The program especially focuses on providers who service Montana's American Indian 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 billing model is designed for individuals providing direct prenatal care, i.e. Direct Entry Midwife, Certified Nurse Midwife, Nurse.

Additional MCH Focused Resources

~ Infant Safe Sleep Practices Report - The 2015 Health Survey of Montana's Mothers & Babies included questions about infant safe sleep practices.  This report details analysis of the answers received.

~ Practical Steps to Tackle Montana's Substance Abuse Problems - Montana can take practical and cost-effective steps to address its growing substance abuse crisis, according to a new report released on March 21, 2017, by the Montana Healthcare Foundation and the Montana Department of Public Health and Human Services, and authored by national experts at Manatt Health.

~ Montana Independent Living Project - provides direct, one-on-one orientation and mobility instruction to Montana's children who are blind or have low vision.

For More Information Contact:
Ann Buss, MPH
Maternal Child Health Coordination Section Supervisor
Family and Community Health Bureau
Phone: (406) 444-4119
E-mail: abuss@mt.gov