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Title V Maternal and Child Health Block Grant Massachusetts: At a glance

The nation’s oldest federal-state partnership, the Title V MCH program has helped ensure the health of mothers, women, children and youth, including children and youth with special health care needs, and their families, for over 75 years. 

Title V funding

In Fiscal Year 2017, Massachusetts received $11 million in federal funds. States are required to match every $4 of Federal Title V money they receive by at least $3 of State and/or local money. Massachusetts provides significantly more state funding ($16 state for every $4 federal).

Title V services provided to

Pregnant Women 12,358
Infants <1 year 70,902
Children 1 - 22 years 1,007,810
          Includes Children with Special Healthcare Needs 208,536
Others 71,339
FY18 Totals 1,162,409

Title V priorities

A statewide needs assessment is conducted every five years. Based on the findings, Massachusetts identifies priorities to address the needs of the MCH population and develops the Title V Block Grant five-year state action plan. Title V priorities and other key maternal and child health objectives are below.

Annual report and application

Massachusetts submits an application and report every year detailing successes and challenges in implementing our state action plan and plans for the coming year. The most recent report can be viewed at Title V Maternal and Child Health Block Grant.

Massachusetts Title V priorities

  • Substance use prevention: Prevent the use of substances, including alcohol, tobacco, marijuana and opioids, among youth and pregnant women.
  • Mental health and emotional well-being: Strengthen the capacity of the health system to promote mental health and emotional well-being.
  • Nutrition and physical activity: Foster healthy nutrition and physical activity through equitable system and policy improvements.
  • Health transition: Support effective health-related transition to adulthood for adolescents with special health needs.
  • Sexual and reproductive health: Promote equitable access to sexuality education and sexual and reproductive health services.
  • Maternal mortality and morbidity: Reduce rates of and eliminate inequities in maternal morbidity and mortality.
  • Racism: Eliminate institutional and structural racism in internal DPH programs, policies, and practices to improve maternal and child health.
  • Social determinants of health: Eliminate health inequities caused by unjust social, economic, and environmental systems, policies and practices.
  • Healing and trauma: Support equitable healing centered systems and approaches to mitigate the effects of trauma, including racial, historical, structural, community, family, and childhood trauma.
  • Family, father, and youth engagement: Engage families, fathers and youth with diverse life experiences through shared power and leadership to improve MCH services.

Other key MCH objectives

  • Ensure access to quality care, especially for those with low-incomes or limited availability of care
  • Reduce infant mortality
  • Ensure access to comprehensive perinatal care to women (especially low-income & at risk pregnant women)
  • Increase the number of children receiving health assessments, follow-up diagnostic and treatment services.
  • Ensure access to preventive care and rehabilitative services for certain children
  • Implement family-centered, community-based, systems of care for children with special healthcare needs
  • Provide toll-free hotlines & assistance in applying for services to pregnant women with infants and children who are eligible for Title XIX (Medicaid).

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