Title V Maternal and Child Health Block Grant Program

Authorized under Title V of the 1935 federal Social Security Act, the Title V MCH Block Grant is a federal-state partnership administered by the Health Resources and Services Administration (HRSA) and is the only federal program devoted to improving the health of all women, children, and families. 

Application and Annual Report

The current NC MCH Block Grant Application is available for download. HRSA’s Title V Information System (TVIS) provides state-reported financial, performance, and program data for all states, state and national snapshots, and each state’s current and historical applications and annual reports.

NC Priority Needs​

An MCH Needs Assessment is required every five years. The framework for the 2025 NC Title V MCH Needs Assessment focused on a life-course approach driven by whole person integrated approach, health equity, community health factors, family and consumer voice, and ensuring data-driven and evidence-based approach. 

The 2026-30 priority needs across the six reporting domains are: ​

Women/Maternal Health​

  • Promote comprehensive reproductive health care, including postpartum care and support

Perinatal/Infant Health​​

  • Prevent infant/fetal deaths

Child Health​

  • Promote safe and nurturing relationships for children and adolescents
  • Improve access to quality whole child and adolescent health care 

Adolescent Health​

  • Promote safe and nurturing relationships for children and adolescents 
  • Improve access to quality whole child and adolescent health care

Children and Youth with Special Health Care Needs (CYSHCN)​

  • Improve access to quality whole child and adolescent health care 
  • Ensure all CYSHCN receive care in a system that works well and ensures health for all, family and child well-being and quality of life, access to services, and financing of services​

Cross-Cutting/Systems Building​

  • Engage individuals and families with lived experience, as well as community-based organizations, as partners in the development and implementation of people-centered programs and policies that reduce health disparities and address community health factors 
  • Improve access to mental and behavioral health services for maternal and child health populations