Office of Financial Management

The Centers for Medicare and Medicaid Services, a civilian sub-agency within the Department of Health and Human Services, administers federal grant programs supporting state attorneys general and law-enforcement agencies in health-care fraud prevention, Medicaid integrity, and related compliance activities.

CMS has obligated $6.02 billion in federal grant funding across 668 awards since 2010, with a steady cadence of 53 awards per year over the last five years. The most recent grant award closed on October 1, 2025. The combined federal and non-federal share totals $6.25 billion. Grants flow to 260 distinct recipients, predominantly state and local government agencies.

Grant recipient concentration is fragmented by award count (the top five recipients hold 9 percent of recent awards, each capturing only 4 awards) but moderately concentrated by federal dollars (the top five hold 17 percent of recent federal dollars obligated). The New York State Attorney General leads by federal-dollar volume with $505.5 million obligated across 4 awards, followed by the Florida Department of Legal Affairs ($198.6 million, 4 awards) and the Ohio Attorney General ($152.5 million, 4 awards). The Idaho Office of the Attorney General, North Dakota Attorney General, Oregon Department of Justice, and Montana Department of Justice each hold 4 awards at substantially lower federal-dollar values, ranging from $8.7 million to $38.8 million. The long tail of 255 other recipients spreads the remainder of the portfolio.

CMS grant assistance skews heavily toward Formula Grants, which account for 389 awards (58 percent of the portfolio), followed by Cooperative Agreements (180 awards, 27 percent) and Project Grants (99 awards, 15 percent). This formula-heavy structure reflects the agency's role funding recurring state compliance and enforcement initiatives rather than time-limited projects.

No recent federal contract opportunities or grant opportunities are recorded against the agency or its descendant offices in the source material.