Medicaid entitlement for 5 - FY 2026 - T21

The Centers for Medicaid and CHIP Services (CMCS) awarded $9.16 million to the American Samoa Medicaid Agency under the Children's Health Insurance Program (CHIP, CFDA #93.767) Block Grant, effective October 1, 2025, through September 30, 2027. This award provides entitlement funding to support and expand child health insurance coverage for low-income uninsured children and eligible pregnant women in American Samoa. The agency administers comprehensive CHIP services including healthcare claims processing, eligibility determination, premium assistance, medical procedure payments, and program oversight to ensure compliance with federal Medicaid requirements.

As the direct prime awardee, the American Samoa Medicaid Agency delivers medical assistance services to eligible American Samoa residents in accordance with federal CHIP program standards and territorial healthcare delivery requirements. The award is part of a broader FY 2026 allocation totaling approximately $103.8 million to the agency across multiple Medicaid and CHIP grant tranches, reflecting the program's entitlement structure and sustained commitment to expanding health coverage to vulnerable populations in U.S. territories.