States and tribes that opt to provide Title IVE Prevention Programs must submit a Title IVE Family First Prevention Plan for review and approval by the HHS Children’s Bureau. States and tribes have broad discretion in designing their Prevention Programs given the flexibility to define eligible individuals and families and determine the scope of programs and services available. Federal reimbursement is available for services and programs that have been approved by the Family First Prevention Services Clearinghouse.
As of February 2023, the Department of HHS has approved 39 prevention plans from 35 states, 3 tribes, and the District of Columbia. Updated status of submitted plans and links to approved plans can be accessed on the Children’s Bureau website here.
HHS reported in the President’s FY 2024 HHS Budget Request that an estimated 6,200 children were served by title IV-E prevention services programs in FY 2022, and, as more prevention programs are implemented, 672,500 children will be served annually by FY 2033
HHS provides regular updates on the status of submitted Title IV Prevention Plans which is presented below.