Alert: Beginning July 1, 2018, the Department of Early Learning will become the Department of Children, Youth, and Families (DCYF). After June 30, 2018, this website will no longer be updated. For the latest information on early learning, visit the DCYF website at

Information about HVSA


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Washington State pioneered a unique approach to home visiting, with a public, private partnership between the Department of Early Learning and Thrive Washington. Thrive Washington is a key partner in building the statewide home visiting system. Jointly administered by the state Department of Early Learning and Thrive Washington, the Home Visiting Services Account (HVSA) brings together state, federal and private dollars to support a portfolio of high-quality proven and promising programs - and make sure they deliver results.

The HVSA was established by the Washington state legislature in 2010. Read RCW 43.215.130. Since the account was created in 2010, it has grown from funding four grantees serving 120 children to 36 grantees with the capacity to serve 2,000 children statewide. The HVSA only funds a portion of all of the early childhood home visiting that happens in Washington State. To better understand the full landscape of early childhood home visiting, DEL periodically conducts a “Home Visiting Scan” to inventory home visiting programs around the state. Click here to view the latest of these scans. The HVSA only funds a portion of all of the early childhood home visiting that happens in Washington State.

Home Visiting Assessment

To complement the Home Visiting Scan, the Washington State Department of Health recently completed a Home Visiting Needs Assessment – a tool that estimates need for home visiting services based on various population-based community indicators of risk. Previously DOH completed a similar home visiting needs assessment in 2011. The purpose of updating this Needs Assessment from the 2011 version is not to redistribute current funds, but rather to use for future planning. We also wanted to analyze communities at a smaller scale than the county level to support planning in smaller geographic areas. Click here to read the final report. For information on the methods, click here.


Recently, we were asked by the state legislature to provide an update letter on the status of the HVSA. Click here to read that letter.

For more information, visit Thrive Washington's Home Visiting Services Account webpage.

HVSA Models


Home Visiting at a Glance

A primary funding source of the home visiting program in Washington State is the federal Maternal, Infant Early Childhood Home Visiting Program, MIECHV. Since 2010, Washington has received several formula and competitive grants to both fund existing programs and expand the programs reach across the state. Read more

RISE Study

The Department of Early Learning, in partnership with Thrive Washington and SRI International, have just concluded the RISE Home Visiting Evaluation. This was a three-year study that ran from fall of 2013 to fall of 2016  and was designed to include both a process and an outcome evaluation.

The process evaluation answered the primary research question: How does the Implementation HUB develop to support high-quality home visiting services in Washington?

The outcome evaluation measured the impact of the HUB on three major outcomes: use of training and TA; model fidelity and implementation quality; and program staff competency and self-efficacy.

The primary research question was: How do the identified programs in Washington that receive support from the Implementation HUB differ from comparison programs in other states with regard to the three major outcomes


During fall of 2016 to fall of 2017, a follow-up evaluation occurred to collect an additional year of outcome data for the rural substudy.

The rural substudy used mixed methods to learn more about the experiences of rural programs to answer the primary research question: What are the unique features of implementing evidence-based home visiting in rural communities?


For more information on the study, or to read the results for yourself, please click on the links below. If you have any questions, please email us at


Rise Home Visiting Evaluation Summary      Rise Home Visiting Final Evaluation Report     Rise Home Visiting Administrative Brief  

What happens during a home visit      Selected Findings 2015     How are home visitors putting their skills to use       Rural Case Study Brief Report