The 2023 Home Visiting Yearbook provides updated information about who receives, administers, and could benefit from home visiting. Key takeaways include —

  • Evidence-based home visiting was implemented in all 50 states, the District of Columbia, 5 territories, 22 Indigenous communities, and 50 percent of U.S. counties in 2022.
  • More than 270,000 families received evidence-based home visiting services in 2022, over the course of more than 2.8 million home visits. Approximately 44 percent of these visits were provided virtually, down from nearly 70 percent the prior year, reflecting a partial return to in-person visits.
  • Over 40,000 additional families received home visiting services through 10 emerging models that provided more than 475,000 home visits in 2022. More than half of these visits were provided virtually.
  • More than 20,000 home visitors and supervisors delivered evidence-based services nationwide in 2022.
  • More than 17.3 million pregnant women and families (including nearly 23 million children) could benefit from home visiting. Of those, approximately 270,000 received services in 2022—only 1.6 percent of all potential beneficiaries or 3.3 percent of high-priority families.
  • In 2022, the federal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program helped fund services for more than 68,000 families in states, the District of Columbia, territories, and Indigenous communities—a portion of the total families served by home visiting that year. Of the more than 844,000 home visits provided, half were delivered virtually.
  • Congress reauthorized MIECHV for 5 more years in December 2022. Reauthorization included an increase in funding—and doubling of Tribal MIECHV funds—to help home visiting programs continue and expand services, meet families’ basic needs, address workforce well-being, and more.

A Note About Virtual Home Visiting

The data in this yearbook are from 2022, a time when many home visiting programs offered both in-person and virtual services. To reflect this hybrid approach, we present data on both service types. However, we also note a significant decline in the percentage of home visits provided virtually in 2022—44 percent compared to nearly 70 percent the prior year.