Medicaid entitlement for 5 - FY 2026 - T19

The Department of Health and Human Services Centers for Medicare and Medicaid Services awarded the American Samoa Medicaid Agency $462,067 in block grant funding on October 1, 2025, under the Grants to States for Medicaid program (CFDA 93.778). The award funds medical assistance payments on behalf of cash assistance recipients, children, pregnant women, the aged, and other categorically-eligible groups meeting income and resource requirements in American Samoa. The American Samoa Medicaid Agency administers Medicaid services including healthcare claims processing, eligibility determination, premium assistance, and medical procedure payments to eligible territory residents. Performance runs through September 30, 2026, with place of performance across the United States. The funding obligation of $462,067 represents a single quarterly tranche; the agency has received substantial allocations totaling approximately $103.8 million across multiple grant tranches for fiscal year 2026 under both the Medical Assistance Program and the Children's Health Insurance Program. The agency operates as a prime awardee with no identified sub-recipients in the award documentation.