Home Visiting

Home Visiting is a service provided in the homes of pregnant women, children from birth to eight years, and their families. Home Visiting has been found to improve parenting, school readiness, and health. It can help prevent child abuse and neglect. The Patient Protection and Affordable Care Act (Health Care Reform Act) requires each state to conduct a needs assessment in order to receive the 2011 Title V (Maternal and Child Health) Block Grant funds. This needs assessment will identify communities at risk, the quality and capacity of existing early childhood home visiting programs and the State's capacity for providing substance abuse treatment and counseling services.

For the Needs Assessment, Wisconsin will look at information about factors that put children at-risk for health or learning problems, such as premature birth, poverty, and crime rates. We will collect information about current home visiting programs and substance abuse services throughout the state. The Department of Children and Families (DCF) and the Department of Health Services (DHS) along with their partners will use this information to decide the best use of resources for home visiting services in Wisconsin.

  • On March 23, 2010, the Patient Protection and Affordable Care Act (Health Care Reform Act) became law. Sec. 2951 of the law (pages 216-225): Maternal, Infant, and Early Childhood Home Visiting Program, requires states to complete a Home Visiting Needs Assessment and gives them an option to apply for a Home Visiting Program Grant.
  • On June 17, 2010, Governor Jim Doyle designated DCF as the lead agency sharing management of the program with the DHS. The needs assessment must be submitted to the U. S. Department of Health & Human Services no later than September 20, 2010.
  • On June 10, 2010, the Department of Health and Human Services released the first of three Funding Opportunity Announcements for the Maternal, Infant and Early Childhood Home Visiting Program.
  • On July 9, 2010, DCF submitted the Affordable Care Act (ACA) Maternal, Infant and Early Childhood Home Visiting Program initial application on behalf of all partners interested in evidence-based home visiting.
  • On July 26, 2010, DCF and DHS distributed a statewide survey to gather comprehensive information on the existing home visiting programs including the models used, populations served, geographic area covered, basic services covered and impacts. Stakeholders were used to help develop and distribute the survey.
  • On July 27, 2010, the Health Resource Services Administration (HRSA) notified Wisconsin that it had been awarded the first $500,000 of the $1.16 million allocation of the Maternal, Infant, and Early Childhood Home Visiting Program funds. The remainder of the funds will be available after the needs assessment and implementation plan is completed and approved by the HRSA.

The initial $500,000 funding available from this grant can be used for the needs assessment and planning process. DCF and DHS are using existing staff to complete the needs assessment and plan to hire additional staff for implementation of the plan. This process will determine how we identify communities of highest need and the high risk populations to be served and determine what model(s) will be used to deliver evidence-based early childhood home visiting services.

This work will require a collaborative effort from many partners. A "shared governance" model is proposed to oversee this work. DCF and DHS in cooperation with the Department of Public Instruction and the Children's Trust Fund are charged with the oversight of the project. We recognize the importance of working with our partners and are proposing a variety of opportunities for participation during the planning process including interactive webcasts, workgroups, and face-to-face meetings.

The home visiting needs assessment must be completed by September 20, 2010, with the home visiting program design and implementation plan due in early 2011. The remaining funds for this fiscal year will be released after the plan is approved.

Overview of The Wisconsin Family Foundations Home Visiting Program
Wisconsin's Grant Submission
Wisconsin's Needs Assessment Submission
Wisconsin Home Visiting Needs Assessment County Data Reports
Wisconsin's Submission of the State Home Visiting Plan
Wisconsin State Home Visiting Plan
FY 2011 Home Visiting Competitive Grant Application
FY 2011 Home Visiting Formula Grant Application
2013 Home Visiting Expansion Project Narrative
2013 Formula Grant Project Narrative 

Preliminary Findings from Baseline Interviews and Focus Groups  - Year One

Home Visiting Cross-Site Report  Fall 2013


Developed by the Washington State Department of Health

The Department of Children and Families, protecting children, strengthening families, building communities.