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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.

MCH Block Grant Federal Funds to Montana

FY 2013

FY 2014

FY 2015

Total Federal Funds Received**




Children’s Special Health Services*




Local Health Departments








*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.

National and State Performance Measures

MCH Block Grant 2015 Application & 2013 Annual Report
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 2015, county health departments are addressing national and state performance measures in the following areas:

  • Immunizations
  • Smoking during pregnancy
  • Breastfeeding
  • Teen pregnancy
  • Oral health
  • Suicide
  • Prenatal Care
  • Unintentional Injury

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
  • Oral Health
  • Public Health Home Visiting
MCH Block Grant 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 will select eight of 15 possible National Performance Measures (NPMs) for programmatic emphasis over the five-year reporting period. In addition, the state will develop five State Performance Measures to address its unique needs to the extent that they are not addressed by the NPMs.

The DPHHS Maternal and Child Health Coordination (MCHC) Section began work on the 2015 Needs Assessment in December 2013.  The workgroup has 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 will also be asked to complete a similar survey as a part of the process.

County Health Department Needs Assesment Survey Example, May 2014

Montana 2010 MCH Needs Assessment

Additional Resources


For more information, contact:

Maternal & Child Health
Ann Buss MPA
Maternal Child Health Coordination
Family and Community Health Bureau
Phone: (406) 444-4119
E-mail: abuss@mt.gov