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California Home Visiting Program (CHVP)

Policy Number:



November 15, 2017


CHVP Program Consultant or Contract Manager

Health Resources and Services Administration (HRSA) Definition of Maximum Caseload Capacity

To:  California Home Visiting Program (CHVP) Directors, Coordinators and Designees;
Maternal, Child and Adolescent Health (MCAH) Directors And Coordinators; 
Nurse Family Partnership (NFP) Nurse Supervisors; 
Healthy Families America (HFA) Program Managers, Supervisors And Designees


The purpose of this letter is to inform CHVP contractors receiving Maternal, Infant, and Early Childhood Home Visiting (MIECHV) funds of guidance regarding the purchase of gift cards and medical supplies.


A three‐day comprehensive site visit was conducted from June 20, 2017 through June 22, 2017 of the California Department of Public Health (CDPH) Home Visiting Program. The purpose of the site visit was to review programmatic and fiscal operations to identify best practices and uncover opportunities for technical assistance to enhance program services and ensure compliance with statutory and programmatic requirements.

During the site visit, it was determined that Target gift cards as participant support items are not an allowable expense because Target stores in California sell alcohol. In addition, CDPH identified that purchasing gift cards from establishments that sell tobacco products is unallowable.

The Health Resources & Services Administration (HRSA) emphasized that the purchase of medical supplies are only allowed for sites implementing the NFP model and are to be used for health assessment and education only.

Site Action

Effective immediately, CHVP sites are prohibited from purchasing gift cards from establishments that sell alcohol or tobacco using MIECHV funds. Page 2 of 2 NFP Sites: Refer to the NFP Implementation Agency Orientation Packet for guidance on recommended equipment and supplies for nurse home visitors.

CHVP Action

CHVP has updated the Participant Support Materials and Services Policy 400-20 to reflect the guidance provided by HRSA regarding the purchase of gift cards and the use of medical supplies. Please see attached. The revised policy will be available on the CDPH website at a later date.

Contract managers will review FY 17-18 and FY 18-19 budgets and contact those agencies whose budgets include gift cards to determine the establishments from which the gift cards are to be purchased. The name of the establishment will be added to the justification.

For questions or concerns regarding this policy update, please contact your CHVP Program Consultant or Contract Manager.

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