Title V Maternal and Child Health (MCH) Block Grant


The Title V Maternal and Child Health (MCH) Block Grant provides funds to states to improve the health of mothers and children. The program is authorized under Title V of the 1935 Social Security Act and, federally, the grant is administered by the Maternal and Child Health Bureau of the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services.
At the state level in Maryland, the grant is administered by the Prevention and Health Promotion Administration (PHPA) of the Maryland Department of Health.  Within PHPA, the grant is jointly administered by two offices within the Maternal and Child Health Bureau:  the Office of Family and Community Health Services and the Office for Genetics and People with Special Health Care Needs.
For more information about Maryland's Title V initiatives, please visit the Federal Maternal and Child Health Bureau State Data System website for Maryland, where a State Snapshot is available to download.


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/or local money. This "match" results in the availability of more than 2 billion additional dollars for MCH programs annually at the State and local levels. 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 (CSHCN), and that a minimum of 30% of federal funds be used to provide preventive and primary care services for children. States may spend no more than 10% of federal Title V funds on administrative costs.


As required, the Maryland Maternal and Child Health Bureau  (MCHB) reports annually to the federal Maternal and Child Health Bureau on activities and expenditures supported with Title V funds, progress made on performance measures, and plans for the coming year.  Details related to Maryland’s most recent annual application can be found online at:


As part of Maryland's Title V Block Grant activity requirements, the MCHB conducts a statewide needs assessment every five years. The needs assessment provides direction and guidance on Title V activities for the next five years by identifying state maternal and child health priority issues and performance measures.  Maryland completed a five year needs assessment in 2015 and a summary can be found in the 2016 annual application:
The next comprehensive needs assessment is planned for 2020.  In the meantime, MDH welcomes your comments about the health and needs of Maryland’s children and families.

 June, 2017