Statutory Requirements and Process Standardization: Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program Model Eligibility Review, 53329-53331 [2021-20853]

Download as PDF Federal Register / Vol. 86, No. 184 / Monday, September 27, 2021 / Notices Diana Espinosa, Acting Administrator. SUPPLEMENTARY INFORMATION: Invitation to comment: HRSA invites comments regarding this notice. To ensure that your comments are clearly stated, please identify the section of this notice that your comments address. [FR Doc. 2021–20855 Filed 9–24–21; 8:45 am] BILLING CODE 4165–15–P DEPARTMENT OF HEALTH AND HUMAN SERVICES described in [statute] related to the purposes of the program.’’ 5 Home visiting programs could not achieve the standards described in the program’s authorizing statute without the support of home visiting models. HRSA, in collaboration with ACF, has developed a proposed transparent and standardized process for assessing home visiting service delivery model(s) against statutory requirements to determine model eligibility for implementation through the MIECHV Program. Through this notice, HRSA seeks to provide public notice of the proposed process and gather public comment, including from stakeholders. Since the establishment of this process may affect critical decision-making, and to better understand the implications of these changes for various stakeholders, HRSA seeks public comment on the proposed process for assessing home visiting models against the MIECHV statutory requirements. HRSA will consider these comments in finalizing this process. HRSA, in partnership with the Administration for Children and Families (ACF) within HHS, oversees the MIECHV Program, which supports voluntary, evidence-based home visiting services during pregnancy and to families with young children up to kindergarten entry. HRSA proposes to standardize a process for also assessing Home Visiting Evidence of Effectiveness (HomVEE)-approved home visiting models against the MIECHV statutory requirements for a model to determine which of the HomVEE-approved models can be used to implement the MIECHV Program. DATES: Comments on this request for public comment should be received no later than November 26, 2021. ADDRESSES: Submit your comments to homevisiting@hrsa.gov with ‘‘MIECHV Model Eligibility’’ in the subject line. 1.0 Background The MIECHV Program provides voluntary, evidence-based home visiting services to pregnant people and families with young children up to kindergarten entry living in at-risk communities.1 States, jurisdictions, certain non-profit organizations, and Tribal entities are eligible to receive funding from the MIECHV Program to implement service delivery model(s) that meet statutory requirements, including HHS criteria for evidence of effectiveness.2 3 The MIECHV authorizing statute specifies that a model selected by an eligible entity must include certain key components, including that it ‘‘conform to a clear consistent home visitation model that has been in existence for at least 3 years and is research-based, grounded in relevant empirically-based knowledge, linked to program determined outcomes, associated with a national organization or institution of higher education that has comprehensive home visitation program standards that ensure high-quality service delivery and continuous program quality improvement.’’ 4 In addition, the MIECHV-funded program must adhere to statutory standards applicable to model use, including adherence ‘‘to a clear, consistent model that satisfies the requirements of being grounded in empirically-based knowledge related to home visiting and linked to the benchmark areas specified in [statute] and the participant outcomes Requirement Standard used REQUIREMENT (1): Model is appropriate for voluntary service provision. REQUIREMENT (2): The model conforms to a clear consistent home visitation model. REQUIREMENT (3): The model . . . has been in existence for at least 3 years. There is evidence of model effectiveness in a voluntary setting. The model conforms to HomVEE’s definition of an early childhood home visiting model. The model is currently active and was first developed at least 3 years ago;. OR The model is inactive and was first developed at least 3 years before a model developer stopped providing implementation support; OR The model was implemented as a demonstration project that lasted at least 3 years. Social Security Act, Title V, § 511(e)(7)(A). target families with pregnant people and children from birth to kindergarten. Information about the HomVEE review is at https://homvee.acf.hhs.gov/. 3 By law, state and jurisdictional awardees must spend the majority of their MIECHV Program grants to implement evidence-based home visiting models, with up to 25 percent of funding available to implement a model that conforms to a promising and new approach to achieving the benchmark areas specified in Social Security Act, Title V, § 511 (d)(1)(A) and the participant outcomes described in Social Security Act, Title V, § 511 (d)(2)(B), has been developed or identified by a national organization or institution of higher education, and will be evaluated through well-designed and rigorous process. 4 Social Security Act, Title V, § 511(d)(3)(A)(i) 5 Social Security Act, Title V, § 511(d)(3)(B) Health Resources and Services Administration Statutory Requirements and Process Standardization: Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program Model Eligibility Review Health Resources and Services Administration (HRSA), Department of Health and Human Services (HHS). ACTION: Request for public comment. AGENCY: SUMMARY: lotter on DSK11XQN23PROD with NOTICES1 53329 1 The MIECHV Program is authorized by Social Security Act, Title V, § 511; Section 50601 of the Bipartisan Budget Act of 2018 (Pub. L. 115–123) (BBA) extended appropriated funding for the MIECHV Program through FY 2022. 2 In current practice, HHS uses the HomVEE review to conduct a thorough and transparent review of the home visiting research literature and provide an assessment of the evidence of effectiveness for home visiting program models that VerDate Sep<11>2014 18:08 Sep 24, 2021 Jkt 253001 PO 00000 Frm 00068 Fmt 4703 Sfmt 4703 2.0 Process for Assessing Eligibility Against Statutory Requirements for a Home Visiting Model This notice presents statutory requirements for a MIECHV service delivery model and the proposed process to assess home visiting models against each MIECHV statutory requirement. Then, the notice will present the proposed process, with timeline, for collecting information to assess whether the model(s) meet these requirements and therefore can be used to implement the MIECHV Program. 2.1 Model Eligibility Requirements Statutory citation of requirement Social Security Act, Title V, § 511(d)(3)(A)(i)(I). Social Security Act, Title V, § 511(d)(3)(A)(i)(I). E:\FR\FM\27SEN1.SGM 27SEN1 53330 Federal Register / Vol. 86, No. 184 / Monday, September 27, 2021 / Notices Requirement Standard used REQUIREMENT (4): The model . . . is research-based [and] grounded in relevant empirically-based knowledge. The model is evidence-based and grounded in relevant empirically-based knowledge, per the HHS HomVEE criteria for evidence of effectiveness. The model has demonstrated significant positive outcomes when evaluated, per the HHS HomVEE criteria for evidence of effectiveness. The model was developed by, is currently supported by, OR is currently being evaluated by, a national organization 6 or IHE7. This requirement is met if Requirement 6 is met. AND .................................................................. (A) The organization or IHE can provide implementing agencies with documentation of its home visitation program standards associated with the model that ensure high quality service delivery (such as fidelity standards or implementation guidance);. AND (B) The model supports continuous program quality improvement (such as through the use of specific processes, systems, or tools). (A) The model requires that home visiting staff, including home visitors and home visiting supervisors, receive pre- AND in-service training. Staff must include, at a minimum, home visitors and home visiting supervisors. AND (B) The model establishes educational requirements and/or competencies around knowledge, skills, abilities, and experience to ensure that program staff are able to deliver the model. (A) The model has quality supervisory requirements to establish and maintain home visitor competencies, including the mode and frequency of supervision; AND (B) The model has a documented plan for supporting and assessing the quality of supervision. The model has ongoing support to implement the model, including implementation tailored to the communities served. The model has guidance OR a process to support local implementing agencies’ ability to establish and document appropriate linkages and referrals to community resources and supports for eligible MIECHV program participants. (A) The model has standards OR a system for monitoring fidelity of program implementation on an ongoing basis; AND .................................................................. (B) The model provides training OR training materials for supervisors and home visitors on fidelity standards. Social Security Act, Title V, § 511 (d)(3)(A)(i)(I). queries to gather information necessary for assessing models against the MIECHV Program statutory requirements. Requirements related to HHS evidence of effectiveness (see Section 2.1; requirements 1, 2, 4, and 5; above) are currently collected and assessed through the HomVEE annual review process; HRSA has concluded that this process is sufficient to assess these requirements and is not proposing REQUIREMENT (5): The model . . . has demonstrated significant . . . positive outcomes . . . when evaluated using well-designed and rigorous . . . research designs. REQUIREMENT (6): The model [is] associated with a national organization or institution of higher education (IHE) . . .. REQUIREMENT (7): The national organization or IHE with which the model is associated has comprehensive home visitation program standards that ensure high quality service delivery and continuous program quality improvement. REQUIREMENT (8): Employ well-trained and competent staff. REQUIREMENT (9): Maintain high quality supervision to establish home visitor competencies. REQUIREMENT (10): Demonstrate strong organizational capacity to implement the activities involved. REQUIREMENT (11): Establish appropriate linkages and referral networks to other community resources and supports for eligible families. lotter on DSK11XQN23PROD with NOTICES1 REQUIREMENT (12): Monitor the fidelity of program implementation to ensure that services are delivered pursuant to the specified model. 2.2 Information Collection and Timeline HRSA, in collaboration with ACF, proposes to conduct model developer 6 A national organization may be in the United States (including tribal nations or within any of the U.S. territories) or non-U.S. based; an organization is ‘‘national’’ if it has an office that is able to VerDate Sep<11>2014 18:08 Sep 24, 2021 Jkt 253001 Statutory citation of requirement support implementation in two or more states, tribes, territories, or regions, or similarly defined geographic areas outside of the United States. 7 An IHE may be an accredited community college, college, or university in the United States or another country. PO 00000 Frm 00069 Fmt 4703 Sfmt 4703 Social Security Act, Title V, § 511 (d)(3)(A)(i)(I). Social Security Act, Title V, § 511 (d)(3)(A)(i)(I). Social Security Act, Title V, § 511 (d)(3)(A)(i)(I). Social Security Act, Title V, § 511(d)(3)(B)(ii). Title V, § 511(d)(3)(B)(iii). Title V, § 511(d)(3)(B)(iv). Title V, § 511(d)(3)(B)(v). Title V, § 511(d)(3)(B)(vi). E:\FR\FM\27SEN1.SGM 27SEN1 53331 Federal Register / Vol. 86, No. 184 / Monday, September 27, 2021 / Notices any changes to the HomVEE evidence review through this notice. Following the publication of this notice, the associated comment period, and publication of a final model eligibility review process, HRSA anticipates assessing all models that have been determined to meet the HHS criteria for evidence of effectiveness, as determined by HomVEE review, against the statutory requirements for model implementation through the MIECHV Program. HRSA intends to contact model developers and request they provide information about model characteristics, resources, and processes using a standard set of survey questions. HRSA will assess information and resources provided by models against the standards for each requirement, described above, to determine eligibility for implementation through the MIECHV Program. Following this initial review, all models determined to be eligible for implementation through the MIECHV Program will be reassessed against the statutory requirements for a model every 3 years. As the HomVEE review determines that new models meet HHS criteria for evidence of effectiveness, HRSA intends to assess these models against the MIECHV statutory requirements. Any such model that does not meet statutory requirements for implementation through the MIECHV Program will be reassessed annually until the model either meets remaining statutory requirements or a model developer indicates that they no longer want the model to be assessed for implementation through the MIECHV program. HRSA anticipates applying the updated process for assessing model eligibility against MIECHV statutory requirements beginning in Fiscal Year (FY) 2024. Specifically, the updated process will apply to all HomVEE- approved models to determine eligibility for implementation through the MIECHV Program beginning in the FY 2024 MIECHV Notice of Funding Opportunity. 3.0 Request for Information Through this notice, HRSA is soliciting information from a broad array of stakeholders on the proposed process for assessing home visiting models against the MIECHV statutory requirements for a model to determine eligibility for implementation through the MIECHV Program. Responses to this notice will inform HRSA’s ongoing discussion with the aim of publishing a final process for assessing home visiting models against statutory requirements. This notice is for information and planning purposes only and should not be construed as a solicitation or as an obligation on the part of HRSA or HHS. Diana Espinosa, Acting Administrator. [FR Doc. 2021–20853 Filed 9–24–21; 8:45 am] BILLING CODE 4165–15–P DEPARTMENT OF HEALTH AND HUMAN SERVICES [Document Identifier: OS–4040–0006] Agency Information Collection Request; 60-Day Public Comment Request Office of the Secretary, HHS. Notice. AGENCY: ACTION: In compliance with the requirement of the Paperwork Reduction Act of 1995, the Office of the Secretary (OS), Department of Health and Human Services, is publishing the following summary of a proposed collection for public comment. SUMMARY: Comments on the ICR must be received on or before November 26, 2021. DATES: Submit your comments to sagal.musa@hhs.gov or by calling (202) 205–2634. FOR FURTHER INFORMATION CONTACT: When submitting comments or requesting information, please include the document identifier 4040–0006– New–60D and project title for reference, to Sagal Musa, email: sagal.musa@ hhs.gov, or call (202) 205–2634 the Reports Clearance Officer. SUPPLEMENTARY INFORMATION: Interested persons are invited to send comments regarding this burden estimate or any other aspect of this collection of information, including any of the following subjects: (1) The necessity and utility of the proposed information collection for the proper performance of the agency’s functions; (2) the accuracy of the estimated burden; (3) ways to enhance the quality, utility, and clarity of the information to be collected; and (4) the use of automated collection techniques or other forms of information technology to minimize the information collection burden. Title of the Collection: Budget Information for Non-Construction Programs (SF–424A). Type of Collection: Renewal. OMB No.: 4040–0006. Abstract: Budget Information for NonConstruction Programs (SF–424A) is used by applicants to apply for Federal financial assistance. The Budget Information for Non-Construction Programs (SF–424A) form allows the applicants to provide budget details as part of their grant proposals. This form is evaluated by Federal agencies as part of the overall grant application. This IC expires on February 28, 2022. Grants.gov seeks a three-year clearance of these collections. ADDRESSES: lotter on DSK11XQN23PROD with NOTICES1 ANNUALIZED BURDEN HOUR TABLE Number of respondents Number of responses per respondents Average burden per response Forms (if necessary) Respondents (if necessary) Budget Information for Non-Construction Programs (SF–424A). Grant-seeking organizations. 12,775 1 1 12,775 Total ............................................................... ....................................... ........................ 1 ........................ 12,775 Sherrette A. Funn, Paperwork Reduction Act Reports Clearance Officer, Office of the Secretary. [FR Doc. 2021–20835 Filed 9–24–21; 8:45 am] BILLING CODE 4151–AE–P VerDate Sep<11>2014 20:21 Sep 24, 2021 Jkt 253001 PO 00000 Frm 00070 Fmt 4703 Sfmt 4703 E:\FR\FM\27SEN1.SGM 27SEN1 Total burden hours

Agencies

[Federal Register Volume 86, Number 184 (Monday, September 27, 2021)]
[Notices]
[Pages 53329-53331]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-20853]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Statutory Requirements and Process Standardization: Maternal, 
Infant, and Early Childhood Home Visiting (MIECHV) Program Model 
Eligibility Review

AGENCY: Health Resources and Services Administration (HRSA), Department 
of Health and Human Services (HHS).

ACTION: Request for public comment.

-----------------------------------------------------------------------

SUMMARY: HRSA, in partnership with the Administration for Children and 
Families (ACF) within HHS, oversees the MIECHV Program, which supports 
voluntary, evidence-based home visiting services during pregnancy and 
to families with young children up to kindergarten entry. HRSA proposes 
to standardize a process for also assessing Home Visiting Evidence of 
Effectiveness (HomVEE)-approved home visiting models against the MIECHV 
statutory requirements for a model to determine which of the HomVEE-
approved models can be used to implement the MIECHV Program.

DATES: Comments on this request for public comment should be received 
no later than November 26, 2021.

ADDRESSES: Submit your comments to [email protected] with ``MIECHV 
Model Eligibility'' in the subject line.

SUPPLEMENTARY INFORMATION: 
    Invitation to comment: HRSA invites comments regarding this notice. 
To ensure that your comments are clearly stated, please identify the 
section of this notice that your comments address.

1.0 Background

    The MIECHV Program provides voluntary, evidence-based home visiting 
services to pregnant people and families with young children up to 
kindergarten entry living in at-risk communities.\1\ States, 
jurisdictions, certain non-profit organizations, and Tribal entities 
are eligible to receive funding from the MIECHV Program to implement 
service delivery model(s) that meet statutory requirements, including 
HHS criteria for evidence of effectiveness.2 3
---------------------------------------------------------------------------

    \1\ The MIECHV Program is authorized by Social Security Act, 
Title V, Sec.  511; Section 50601 of the Bipartisan Budget Act of 
2018 (Pub. L. 115-123) (BBA) extended appropriated funding for the 
MIECHV Program through FY 2022.
    \2\ In current practice, HHS uses the HomVEE review to conduct a 
thorough and transparent review of the home visiting research 
literature and provide an assessment of the evidence of 
effectiveness for home visiting program models that target families 
with pregnant people and children from birth to kindergarten. 
Information about the HomVEE review is at https://homvee.acf.hhs.gov/.
    \3\ By law, state and jurisdictional awardees must spend the 
majority of their MIECHV Program grants to implement evidence-based 
home visiting models, with up to 25 percent of funding available to 
implement a model that conforms to a promising and new approach to 
achieving the benchmark areas specified in Social Security Act, 
Title V, Sec.  511 (d)(1)(A) and the participant outcomes described 
in Social Security Act, Title V, Sec.  511 (d)(2)(B), has been 
developed or identified by a national organization or institution of 
higher education, and will be evaluated through well-designed and 
rigorous process.
---------------------------------------------------------------------------

    The MIECHV authorizing statute specifies that a model selected by 
an eligible entity must include certain key components, including that 
it ``conform to a clear consistent home visitation model that has been 
in existence for at least 3 years and is research-based, grounded in 
relevant empirically-based knowledge, linked to program determined 
outcomes, associated with a national organization or institution of 
higher education that has comprehensive home visitation program 
standards that ensure high-quality service delivery and continuous 
program quality improvement.'' \4\ In addition, the MIECHV-funded 
program must adhere to statutory standards applicable to model use, 
including adherence ``to a clear, consistent model that satisfies the 
requirements of being grounded in empirically-based knowledge related 
to home visiting and linked to the benchmark areas specified in 
[statute] and the participant outcomes described in [statute] related 
to the purposes of the program.'' \5\ Home visiting programs could not 
achieve the standards described in the program's authorizing statute 
without the support of home visiting models.
---------------------------------------------------------------------------

    \4\ Social Security Act, Title V, Sec.  511(d)(3)(A)(i)
    \5\ Social Security Act, Title V, Sec.  511(d)(3)(B)
---------------------------------------------------------------------------

    HRSA, in collaboration with ACF, has developed a proposed 
transparent and standardized process for assessing home visiting 
service delivery model(s) against statutory requirements to determine 
model eligibility for implementation through the MIECHV Program. 
Through this notice, HRSA seeks to provide public notice of the 
proposed process and gather public comment, including from 
stakeholders. Since the establishment of this process may affect 
critical decision-making, and to better understand the implications of 
these changes for various stakeholders, HRSA seeks public comment on 
the proposed process for assessing home visiting models against the 
MIECHV statutory requirements. HRSA will consider these comments in 
finalizing this process.

2.0 Process for Assessing Eligibility Against Statutory Requirements 
for a Home Visiting Model

    This notice presents statutory requirements for a MIECHV service 
delivery model and the proposed process to assess home visiting models 
against each MIECHV statutory requirement. Then, the notice will 
present the proposed process, with timeline, for collecting information 
to assess whether the model(s) meet these requirements and therefore 
can be used to implement the MIECHV Program.

2.1 Model Eligibility Requirements

------------------------------------------------------------------------
                                                      Statutory citation
           Requirement               Standard used      of requirement
------------------------------------------------------------------------
REQUIREMENT (1): Model is         There is evidence   Social Security
 appropriate for voluntary         of model            Act, Title V,
 service provision.                effectiveness in    Sec.
                                   a voluntary         511(e)(7)(A).
                                   setting.
REQUIREMENT (2): The model        The model conforms  Social Security
 conforms to a clear consistent    to HomVEE's         Act, Title V,
 home visitation model.            definition of an    Sec.
                                   early childhood     511(d)(3)(A)(i)(I
                                   home visiting       ).
                                   model.
REQUIREMENT (3): The model . . .  The model is        Social Security
 has been in existence for at      currently active    Act, Title V,
 least 3 years.                    and was first       Sec.
                                   developed at        511(d)(3)(A)(i)(I
                                   least 3 years       ).
                                   ago;.
                                  OR
                                  The model is
                                   inactive and was
                                   first developed
                                   at least 3 years
                                   before a model
                                   developer stopped
                                   providing
                                   implementation
                                   support;
                                  OR
                                  The model was
                                   implemented as a
                                   demonstration
                                   project that
                                   lasted at least 3
                                   years.

[[Page 53330]]

 
REQUIREMENT (4): The model . . .  The model is        Social Security
 is research-based [and]           evidence-based      Act, Title V,
 grounded in relevant              and grounded in     Sec.   511
 empirically-based knowledge.      relevant            (d)(3)(A)(i)(I).
                                   empirically-based
                                   knowledge, per
                                   the HHS HomVEE
                                   criteria for
                                   evidence of
                                   effectiveness.
REQUIREMENT (5): The model . . .  The model has       Social Security
 has demonstrated significant .    demonstrated        Act, Title V,
 . . positive outcomes . . .       significant         Sec.   511
 when evaluated using well-        positive outcomes   (d)(3)(A)(i)(I).
 designed and rigorous . . .       when evaluated,
 research designs.                 per the HHS
                                   HomVEE criteria
                                   for evidence of
                                   effectiveness.
REQUIREMENT (6): The model [is]   The model was       Social Security
 associated with a national        developed by, is    Act, Title V,
 organization or institution of    currently           Sec.   511
 higher education (IHE) . . ..     supported by, OR    (d)(3)(A)(i)(I).
                                   is currently
                                   being evaluated
                                   by, a national
                                   organization \6\
                                   or IHE\7\.
REQUIREMENT (7): The national     This requirement    Social Security
 organization or IHE with which    is met if           Act, Title V,
 the model is associated has       Requirement 6 is    Sec.   511
 comprehensive home visitation     met.                (d)(3)(A)(i)(I).
 program standards that ensure    AND...............
 high quality service delivery    (A) The
 and continuous program quality    organization or
 improvement.                      IHE can provide
                                   implementing
                                   agencies with
                                   documentation of
                                   its home
                                   visitation
                                   program standards
                                   associated with
                                   the model that
                                   ensure high
                                   quality service
                                   delivery (such as
                                   fidelity
                                   standards or
                                   implementation
                                   guidance);.
                                  AND
                                  (B) The model
                                   supports
                                   continuous
                                   program quality
                                   improvement (such
                                   as through the
                                   use of specific
                                   processes,
                                   systems, or
                                   tools).
REQUIREMENT (8): Employ well-     (A) The model       Social Security
 trained and competent staff.      requires that       Act, Title V,
                                   home visiting       Sec.
                                   staff, including    511(d)(3)(B)(ii).
                                   home visitors and
                                   home visiting
                                   supervisors,
                                   receive pre- AND
                                   in-service
                                   training. Staff
                                   must include, at
                                   a minimum, home
                                   visitors and home
                                   visiting
                                   supervisors.
                                  AND
                                  (B) The model
                                   establishes
                                   educational
                                   requirements and/
                                   or competencies
                                   around knowledge,
                                   skills,
                                   abilities, and
                                   experience to
                                   ensure that
                                   program staff are
                                   able to deliver
                                   the model.
REQUIREMENT (9): Maintain high    (A) The model has   Title V, Sec.
 quality supervision to            quality             511(d)(3)(B)(iii)
 establish home visitor            supervisory         .
 competencies.                     requirements to
                                   establish and
                                   maintain home
                                   visitor
                                   competencies,
                                   including the
                                   mode and
                                   frequency of
                                   supervision;
                                  AND
                                  (B) The model has
                                   a documented plan
                                   for supporting
                                   and assessing the
                                   quality of
                                   supervision.
REQUIREMENT (10): Demonstrate     The model has       Title V, Sec.
 strong organizational capacity    ongoing support     511(d)(3)(B)(iv).
 to implement the activities       to implement the
 involved.                         model, including
                                   implementation
                                   tailored to the
                                   communities
                                   served.
REQUIREMENT (11): Establish       The model has       Title V, Sec.
 appropriate linkages and          guidance OR a       511(d)(3)(B)(v).
 referral networks to other        process to
 community resources and           support local
 supports for eligible families.   implementing
                                   agencies' ability
                                   to establish and
                                   document
                                   appropriate
                                   linkages and
                                   referrals to
                                   community
                                   resources and
                                   supports for
                                   eligible MIECHV
                                   program
                                   participants.
REQUIREMENT (12): Monitor the     (A) The model has   Title V, Sec.
 fidelity of program               standards OR a      511(d)(3)(B)(vi).
 implementation to ensure that     system for
 services are delivered pursuant   monitoring
 to the specified model.           fidelity of
                                   program
                                   implementation on
                                   an ongoing basis;
                                  AND...............
                                  (B) The model
                                   provides training
                                   OR training
                                   materials for
                                   supervisors and
                                   home visitors on
                                   fidelity
                                   standards.
------------------------------------------------------------------------

2.2 Information Collection and Timeline
---------------------------------------------------------------------------

    \6\ A national organization may be in the United States 
(including tribal nations or within any of the U.S. territories) or 
non-U.S. based; an organization is ``national'' if it has an office 
that is able to support implementation in two or more states, 
tribes, territories, or regions, or similarly defined geographic 
areas outside of the United States.
    \7\ An IHE may be an accredited community college, college, or 
university in the United States or another country.
---------------------------------------------------------------------------

    HRSA, in collaboration with ACF, proposes to conduct model 
developer queries to gather information necessary for assessing models 
against the MIECHV Program statutory requirements. Requirements related 
to HHS evidence of effectiveness (see Section 2.1; requirements 1, 2, 
4, and 5; above) are currently collected and assessed through the 
HomVEE annual review process; HRSA has concluded that this process is 
sufficient to assess these requirements and is not proposing

[[Page 53331]]

any changes to the HomVEE evidence review through this notice.
    Following the publication of this notice, the associated comment 
period, and publication of a final model eligibility review process, 
HRSA anticipates assessing all models that have been determined to meet 
the HHS criteria for evidence of effectiveness, as determined by HomVEE 
review, against the statutory requirements for model implementation 
through the MIECHV Program. HRSA intends to contact model developers 
and request they provide information about model characteristics, 
resources, and processes using a standard set of survey questions. HRSA 
will assess information and resources provided by models against the 
standards for each requirement, described above, to determine 
eligibility for implementation through the MIECHV Program. Following 
this initial review, all models determined to be eligible for 
implementation through the MIECHV Program will be reassessed against 
the statutory requirements for a model every 3 years.
    As the HomVEE review determines that new models meet HHS criteria 
for evidence of effectiveness, HRSA intends to assess these models 
against the MIECHV statutory requirements. Any such model that does not 
meet statutory requirements for implementation through the MIECHV 
Program will be reassessed annually until the model either meets 
remaining statutory requirements or a model developer indicates that 
they no longer want the model to be assessed for implementation through 
the MIECHV program.
    HRSA anticipates applying the updated process for assessing model 
eligibility against MIECHV statutory requirements beginning in Fiscal 
Year (FY) 2024. Specifically, the updated process will apply to all 
HomVEE-approved models to determine eligibility for implementation 
through the MIECHV Program beginning in the FY 2024 MIECHV Notice of 
Funding Opportunity.

3.0 Request for Information

    Through this notice, HRSA is soliciting information from a broad 
array of stakeholders on the proposed process for assessing home 
visiting models against the MIECHV statutory requirements for a model 
to determine eligibility for implementation through the MIECHV Program.
    Responses to this notice will inform HRSA's ongoing discussion with 
the aim of publishing a final process for assessing home visiting 
models against statutory requirements. This notice is for information 
and planning purposes only and should not be construed as a 
solicitation or as an obligation on the part of HRSA or HHS.

Diana Espinosa,
Acting Administrator.
[FR Doc. 2021-20853 Filed 9-24-21; 8:45 am]
BILLING CODE 4165-15-P