Center for Clinical Standards and Quality

The Centers for Medicare and Medicaid Services (CMS), a sub-agency of the Department of Health and Human Services, administers federal grant funding primarily for state Medicaid programs and related healthcare delivery initiatives. CMS operates as the civilian federal agency responsible for managing Medicare, Medicaid, and the Children's Health Insurance Program (CHIP), channeling federal dollars to states and healthcare entities to sustain and expand coverage and payment infrastructure.

CMS has obligated $2.86 billion across 1,205 federal grant awards since 2002, working with 82 distinct recipients. Grant-award activity has accelerated in recent years, with 100 awards in 2016, 186 in 2017, 175 in 2018, 209 in 2019, and 236 in 2020. The most recent recorded grant award closed on October 1, 2020.

The grant portfolio is composed almost entirely of Formula Grants—1,202 awards (100%)—reflecting CMS's role in distributing mandatory and statutorily-determined federal shares to state Medicaid agencies and related entities. Only 3 Project Grants appear in the historical portfolio, indicating that discretionary project-based funding is not a primary mechanism at the agency.

No recent contract activity is recorded against CMS or its descendant offices. No recent grant opportunities are recorded in the current solicitation pipeline. The grant-award portfolio has not closed any awards after October 2020, suggesting a six-year gap in recorded grant-making activity as of the current date.