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Title V is currently administered by the US Department of Health and Human Services agency Health Resources and Services Administration (HRSA) and, in Massachusetts, by the Massachusetts Department of Public Health.
The Title V Block Grant Program funds states through Formula Block Grants. The grants' purpose is the creation of Federal-State Partnerships to develop state and local systems to meet critical challenges facing women, children and families. The challenges Title V Federal-State Partnerships currently address include:
A description of HRSA's Maternal and Child Health Bureau or HRSA's description of Title V.
States prepare and transmit a standardized grant request based on the Block Grant Guidance, a comprehensive resource book of required application forms and submission guidelines. There are major requirements in the application, including a periodic Statewide needs assessment, a plan for meeting the needs identified by that assessment, and other specific items on which States must report.
The Title V Block Grant Program requires that every $4 of federal Title V money must be matched by at least $3 of State and local money. This "match" results in the availability of more than 2 billion additional dollars for MCH programs annually at the State and local level. The program also requires that a minimum of 30% of federal Block Grant funds be used to support services for Children with Special Health Care Needs and that a minimum of 30% of federal funds be used to provide preventive and primary care services for children. The States may spend no more than 10% of federal Title V funds on administrative costs.
State MCH programs, usually housed in each State's department of health, meet their Title V Block Grant responsibilities through a wide range of programs, with specific goals for: