1.01Introduction and Program Description
The Department of Health, Division of Public Health, is requesting proposals from eligible applicants to provide evidence-based Parents as Teachers affiliate services for the State of Alaska in SFY2026 through SFY2028. These services are funded and supported through the federal Health Resources and Services Administration (HRSA) Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program, and thus are subject to the associated federal requirements in addition to PAT National model developer requirements.
As identified in the Alaska MIECHV Needs Assessment in 2020, entities in one of more of the following communities are eligible to apply:
- Anchorage Census Area
- Bethel Census Area
- Kusilvak Census Area
- Mat-Su Census Area
- Nome Census Area
- North Slope Borough
- Northwest Arctic Borough
Program Services are authorized under 7 AAC 78 Grant Programs. State of Alaska statutes and regulations are accessible at the Department of Law Document Library or through the contact person identified on the cover page of this Request for Proposals (RFP).
The MIECHV Program is authorized by 42 U.S.C. § 711(c) (Title V, § 511(c) of the Social Security Act, as amended) to support the provision of home visiting services to eligible families by states, non-profit organizations serving states, and U.S. jurisdictions. Section 6101 of the Consolidated Appropriations Act, 2023 (P.L. 117-328), recently amended Title V, section 511 of the Social Security Act to reauthorize and extend appropriated funding for the MIECHV Program through Federal Fiscal Year 2027.
***Applicants who are already providing home visiting services through existing State of Alaska Department of Health Parents as Teachers Grant Programs are not eligible to apply in response to this solicitation, "Parents as Teachers MIECHV FY26-FY28" for grant program funding. ***
1.02Program Goals and Anticipated Outcomes
The proposed project must demonstrate a thorough understanding and support of the grant program goals and outcomes anticipated by the Department and HRSA.
The Parents as Teachers Evidence-Based Home Visiting Model is the comprehensive parent education model used by Parents as Teachers affiliates. The model provides a wide array of services to families with children from prenatal through kindergarten and offers deep insights into early childhood development. Since 1984, the model has been rigorously tested by peer-reviewed studies and shown to produce outstanding results for families.
This evidence-based model is delivered by a global network of affiliates and Parent Educators. Affiliates follow the essential requirements of the model, which provide minimum expectations for program design, infrastructure, and service delivery. There are four dynamic components to the Parents as Teachers model:
- Personal Visits
- Group Connections
- Resource Network
- Child and Caregiver Screening
Together, they form a comprehensive set of services with seven goals/outcomes:
- Increase parent knowledge of early childhood development and improve positive parenting practices
- Provide early detection of developmental delays and connection to services
- Improve parent, child, and family health and well-being
- Prevent child abuse and neglect
- Increase children’s school readiness and success
- Improve family economic well-being
- Strengthen community capacity and connectedness
Awardees will be expected to provide the Parents as Teachers evidence-based model to fidelity by gaining or maintaining affiliate status with Parents as Teachers National, as well as actively pursue or maintain Parents as Teachers blue ribbon status. The PAT National Annual Performance Report (APR) and the outcome of the APR must be shared with the State of Alaska to demonstrate proof of affiliate status annually. For more information, please visit: https://parentsasteachers.org/affiliates/
In addition, Awardees will be expected to meet all MIECHV federal program requirements, as listed in Appendix A.
Projects must meet or exceed anticipated minimum outcomes described in this RFP.
1.03Program Services/Activities
Applicants agree to comply with the following program requirements and service standards.
The program uses the Parents as Teachers evidence-based model to deliver parent education services to eligible children, and to their parents and caregivers. Trained parent educators visit homes to support and build on parent and caregiver strengths, while teaching about optimal early childhood developmental learning. Further information regarding the Parents as Teachers National Office Essential Requirements is available at https://parentsasteachers.org/quality-improvement/.
Successful project proposals will offer all components of the PAT model, which includes:
Personal visits – Individualized, strength-based visits where parent educators focus on child development and parent-child interaction. The training and curriculum, together with the parent educator’s interpersonal and communication skills, bring a valuable service to families and result in measurable impacts. The personal visit goal for families with one or fewer stressors is that 60% receive at least 9 personal visits per year. This is 75% of the PAT National Requirement of 12 annual personal visits. The personal visit goal for families with two or more stressors is that 60% receive at least 18 personal visits per year, or 75% of the PAT National Requirement of 24 personal visits per year.
Resource Connections– Facilitating and supporting families' connections to resources that meet their needs and interests is a key component of the PAT model. PAT affiliates actively foster connections with a variety of community organizations- both as referral sources and resources for the families they serve. Collectively, these connections are called a resource network. An effective resource network closes gaps in services, linking families to needed support.
Group connection events – The group connection component of the PAT model offers opportunities to bring parents together to learn, interact with their children in a setting outside the home and engage with other parents. Intentional planning and facilitation of groups enable families to get to know one another, share common experiences, explore parenting issues and learn about child development. Additionally, quality group connections provide experiences for parents that promote empowerment and leadership.
Screening – Developmental screenings to help parents understand their child’s development, recognize strengths, and identify areas of concern that might suggest the need for follow-up services. Health screenings should include overall health, vision, and hearing screenings performed by healthcare professionals. All programs are required to utilize the following screening tools, in addition to any other PAT National screening requirements:
- Ages and Stages Questionnaire (ASQ-3 or most recent version provided by the publisher)
- Ages and Stages Questionnaire: Social Emotional 2 (ASQ:SE-2)
- Parenting Interactions with Children: Checklist of Observations Linked to Outcomes (PICCOLO™) or Home Observation Measurement of the Environment (HOME) Inventory
- Patient Health Questionnaire-9 (PHQ-9) or Edinburgh Postnatal Depression Scale
- Hurt, Insulted, Threatened with Harm and Screamed (HITS) Intimate Partner Violence (IPV) screening.
In response to the RFP, applicant proposals must address or provide the following:
- A copy of the most recent PAT affiliation certificate, or a complete plan to become an affiliate within 6 months of the award. If a program already maintains a blue ribbon status, a copy of that certificate should also be provided.
- The proposed parent, family, and community gathering activities that link groups of families to local supports and resources, and the ways in which Strengthening Families™ will be incorporated into the project. Strengthening Families is a research-informed, strength-based approach to helping families reduce stress, address risk factors, and promote healthy development by embedding protective factors in programs and communities. For more information, visit http://dhss.alaska.gov/ocs/Pages/families/default.aspx.
- The ways in which the project proposes to link individual families to needed support services. Support services include, but are not limited to, special education; Women, Infants, and Children (WIC) programs; housing authorities; health, dental and mental health programs; other needed social services provided Tribally, by the State, or by the local community.
- Applicants will include a timeline for the initiation of services and project activities in the first state fiscal year, starting July 1, 2025 through June 30, 2027.
Project proposals must describe the ways in which the project aligns with program intent. The submitted proposal will identify agency resources available to the project; describe project activities; and clearly state the project’s anticipated goals, outputs, and outcomes.
Applicants agree to comply with all of the additional program requirements and service standards listed above, in addition to PAT affiliate requirements.
1.04Program Evaluation Requirements and Reporting
Results Based Budgeting Framework
Results based budgeting provides a framework in which allocated resources support, and are justified by, a set of outputs and expected results. Within this framework, actual performance and achieved outcomes are measured by objective performance measures.
Projects are required to align with program objectives expressing Department priorities and core services. Projects will use performance measures to evaluate progress toward meaningful outcomes, and to initiate data collection and reporting consistent with Department priorities.
The Department Priorities, Core Services, Objectives, and Performance Measures of Effectiveness and Efficiency for this program are:
Department Priorities
- 3 Safe & Responsible Individuals, Families & Communities
Department Core Services
- 3.2 Protect Vulnerable Alaskans
Performance Measures
Effectiveness
Continuous Quality Improvement
The program must engage in ongoing quality improvement for individual and collective activities. Quality improvement activities should be designed to reflect on the team’s own nursing practices, utilize program performance data, and enhance the program’s quality and outcomes over time. Activities will include participation by the program supervisor and all parent educators and will be led collaboratively with State Women's Children's and Family Health Staff at the State of Alaska Department of Health, Division of Public Health and the PAT State Office.
Quality Improvement Activities must actively work to demonstrate improvements for caregivers and children served in the benchmark areas. The Grantee will demonstrate evidence of work towards making improvements from baseline data measurements. Examples of evidence will include data reported through the PAT reporting system, summaries of chart audits and outcomes of quality improvement work. Activities will include Plan-Do-Study-Act (PDSA) or other tests of change and may involve requesting and participating in technical assistance from state or federal resources. Grantee will provide feedback and input into the Alaska MIECHV CQI Plan which is annually updated for the federal funder.
In addition, the Grantee must actively participate in the PAT National Target Fidelity Project if they are in provisional status at any time. This will occur with the PAT State Office representative.
Efficiency
Grantees must meet a minimum caseload capacity of 85% based on the funding and FTEs allowed.
Please note: The Alaska MIECHV program aims to maintain a caseload of 20-24 families per full-time Parent Educator. However, the final number of families per educator will be determined in collaboration with the State of Alaska and the PAT State Office representative, following the PAT Essential Requirements and guidance from PAT National.
The applicant's proposed evaluation plan must incorporate the performance measures of effectiveness and efficiency identified above. Applicants can propose additional performance measures for evaluating the project’s progress in achieving results supportive of program goals and outcomes. The applicant's evaluation plan must include indicators and data gathering strategies that will be used.
Grant Reporting
The program is designed to meet all PAT National and MIECHV requirements.
Required reporting will include:
1. Cumulative Fiscal Reports - recording overall grant and match expenditures by budget line in GEMS, due quarterly (within 30 days of the end of each reporting period); and
2. Program Reports- recording of monthly program statistics and activities to include training, CQI, referrals and community advisory board updates in the format prescribed by the program and due monthly.
3. PAT National Annual Performance Report (APR) and the outcome of the APR as evaluated by PAT State Office, due as a project deliverable within 5 days upon receiving the results.
4. PAT National Blue Ribbon status - due as a project deliverable within 5 days of receiving certification, if applicable.
5. Visit Tracker Raw Data Report - data collected and exported from the system in a format determined by the Program Manager, due monthly. Note: The Grantee must give ongoing permission for read-only access to Visit Tracker to the State of Alaska MIECHV Data Analyst and CQI Lead.
1.05Target Population and Service Area
Applicants must clearly describe the population targeted by the project, including the area or communities that will be served. Proposals will be evaluated for compatibility with the program’s intended target population identified in this solicitation.
Target Population: See Appendix A, Section A.1.
Service Areas and Communities: Services are solicited to the regions listed above in Section 1.01. However, prioritized consideration will be given to Alaska communities within the identified regions who are currently experiencing a home visiting service desert (excluding Part C- Early Intervention services).
In response to this RFP, applicants must clearly describe the population targeted by the project, including the area or communities to be served. The target population narrative must identify sub-populations most in need of services, must cite community factors that place the targeted population at risk, and identify other factors considered in the selection of the targeted population. Proposals will be evaluated for compatibility with the program’s intended target population identified in this solicitation.
Each proposer must include a brief needs assessment supporting the need for PAT services in the proposed service area.
1.06Program Funding
Funds available for this program are $390,000 each year for three years. Funding available for this procurement is contingent upon federal awards for the MIECHV program by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA). The Department of Health intends to make one or two awards with the available funds.
Proposed Budget: The applicant must submit a detailed budget proposal for the first fiscal year of the project, covering the period from July 1, 2025, to June 30, 2026. The budget should align with the program's results-based service delivery and staffing requirements outlined in this RFP. Please refer to the attached guidance from PAT National regarding wage compensation for home visitors. The applicant is strongly encouraged to offer competitive wages to home visitors, taking into account the local cost of living, to help reduce staff turnover.
The proposed budget will be fully compliant with the limitations described in this RFP, and those detailed in 7 AAC 78.160 (Costs). Regulations are provided under the GEMS Documents tab.
Due to HRSA funding restrictions, no money from this grant can be used for direct medical/ dental/ mental health, or legal services.
Resources specific to budgeting are also available under the GEMS Documents tab. The Department's Grant Budget Preparation Guidelines provide information and guidance about budget lines, cost detail groupings, and narrative requirements. Grantee User Manual Part I provides detailed instructions for entering a budget proposal in the chapter "Responding to a Solicitation."
Other Agency Funding: Prior to submitting a proposal, applicants are required to list all other agency funding received and applied for. This task must be completed by an Agency Power User in the Other Funding section of the Agency Administration tab. This is part of the pre-award risk assessment required under Uniform Guidance 2 CFR 200.
Applicants will also address the project’s financial sustainability efforts, describing the other agency resources available for the project's continued operations.
Indirect Costs: If the proposed budget includes indirect costs, 7 AAC 78.160(p) requires a copy of the agency’s current federally approved Indirect Cost Rate Agreement. The agreement is to be uploaded in the Agency Administration tab. Lapsed agreements can be used if uploaded with the negotiating federal agency’s written approval to continue using the rate until a new agreement is negotiated. Indirect costs should not exceed 10%.
Payment for Services/Grant Income: No fees will be charged for services under this program.