Local Maternal Child Health (LMCH) Program

Local Maternal Child Health (LMCH) Program is sponsored by Michigan Department of Health and Human Services (MDHHS). This opportunity supports mission-aligned projects and measurable outcomes.

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The continuum is inclusive of primary, secondary, and tertiary prevention activities. Visit this page to learn more.

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Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan. gov has to offer. Michigan's Local Maternal Child Health Program # Michigan's Local Maternal Child Health Program 1.

[](https://www. michigan. gov/mdhhs "MDHHS") 2.

Adult & Children's Services 4. Child & Adolescent Health 5. Michigan's Local Maternal Child Health Program Local Maternal Child Health (LMCH)funding is made available to all 45 local health departments to support the health of women, children, and families in communities across Michigan.

Funding is made available through the Title V Maternal and Child Health (MCH) Services Block Grant to address national and state priority areas and/or a local MCH priority need identified through a needs assessment process.

Local health departments complete an annual LMCH plan, which describes the jurisdiction's priority maternal and child health needs, the strategies/activities that will be used to address these needs, and the service categories from the MCH pyramid of services. Priority populations are women of childbearing age, mothers, infants, children ages 1-21 and their families, and children with special health care needs.

The focus of local programming is to provide the priority populations with increased access to and the provision of gap-filling direct clinical services; enabling services such as health education, case management, and care coordination; public health services and systems like epidemiological support, workforce development, and health promotion campaigns; and interventions to address community specific MCH needs.

Public Health Code, Public Act 368 of 1978, Part 23 Basic Health Services; Title V of the Social Security Act (SSA, P. L. 74-121, as amended; 42 U.S.C.

§§701-709) #### Program Effectiveness Local health departments are required to provide an annual year-end report that includes a summary of the fiscal year's activities, a brief description of any challenges and successes, and the number of individuals served and the amount of MCH funds expended.

MCH funds provide critical gap-filling services at the local level and support public health infrastructure costs to deliver essential public health services. In FY 2024, the LMCH Program served approximately 147,000 individuals. * Title V Maternal and Child Health Services Block Grant Title V of the Social Security Act of 1935 authorized funding for Maternal and Child Health (MCH) Services.

The Title V MCH Block Grant is the nation's oldest federal-state partnership focused on improving the health of mothers, infants, and children, including children with special health care needs. Since its original authorization in 1935, Title V of the Social Security Act has been amended to reflect a continuing national focus on maternal and child health.

In 2015, Title V was transformed to reflect updated performance measures, utilization of data-driven processes, and family engagement. In 2024, the Title V guidance introduced a revised performance measure framework and builds on/refines the reporting structure and vision outlined in previous editions.

Each State's health agency is responsible for the administration (or supervision of the administration) of programs carried out with allotments made to the State under Title V. In Michigan, the Title V MCH Block Grant supports a wide range of critical MCH programs and services across the state.

The overarching goal is to improve the health and well-being of the state's mothers, infants, children, and adolescents-including children with special health care needs. Title V funding is allocated to each of Michigan's 45 local health departments (LHDs) through the Local Maternal Child Health (LMCH) program. Approximately one-third of the state's Title V funding supports the MCH work of these 45 LHDs across the state.

LMCH funds are available to support one or more Title V national performance measures or state performance measures plus locally identified needs. Each LHD completes a work plan for every performance measure selected. The LMCH grants play an important role in building and sustaining LHD public health systems and supporting the delivery of needed programs and services.

* Title V Pyramid of Services The conceptual framework for services supported by the Title V Maternal and Child (MCH) Health Services Block Grant is envisioned as a pyramid with three tiers of services: direct, enabling, and public health services and systems. The three tiers align with the 10 MCH Essential Services.

The 10 Essential Public Health Services (EPHS)framework was updated in 2020 and describes the public health activities that all communities should undertake. **Direct Services** are preventive, primary, or specialty clinical services to individuals for which funds reimburse or provide payment to providers for services.

**Enabling Services** are non-clinical services (i.e., not included as direct or public health services) that enable individuals to access health care and improve health outcomes. **Public Health Services and Systems** are activities and infrastructure to carry out the core public health functions of assessment, assurance, and policy development, and the 10 essential public health services.

Reference:U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau, Title V Maternal and Child Health Services Block Grant to States Program. Guidance and forms for the Title V application/annual Report. Tenth Edition.

OMB NO 0915-0172, Expires 12/31/2026, p. 79;Title V Block Grant Guidance and Reporting Forms (hrsa. gov) * Title V State Priorities Every five years, states are required to perform a statewide MCH needs assessment to determine Title V health priorities for women, infants, and children, including children with special health care needs.

States must identify 7-10 state priority needs and then link those needs with national performance measures or state performance measures. States must also choose a minimum of one federally defined national performance measure from each Title V population domain: women/maternal health; perinatal/infant health; child health; adolescent health; and children with special health care needs.

Beginning in 2024, states must also report on two Universal Measures, Postpartum Visit and Medical home for Children and for CSHCN. #### State Priorities 2026-2030 Through the most recent needs assessment process, Michigan assessed MCH population data, community needs and strengths, MCH system and program capacity, funding needs, and the potential to impact change.

Based on the 2025 needs assessment findings, Michigan's Title V state priority needs are: * Improve the quality and accessibility of respectful care before, during, and after pregnancy. * Maintain access to and information about contraceptives and reproductive health. * Expand parent and