Medicaid entitlement for 5 - FY 2026 - T19

The Center for Medicaid and Chip Services (CMCS), under the Department of Health and Human Services, awarded the American Samoa Medicaid Agency a $2.2 million block grant for Medicaid medical assistance payments under the Grants to States for Medicaid program (CFDA 93.778). The award, issued on October 1, 2025, with completion by September 30, 2026, provides quarterly funding to support Medicaid entitlements for eligible populations throughout American Samoa's territory.

Under this award, the American Samoa Medicaid Agency delivers comprehensive Medicaid administration and medical assistance services, including healthcare claims processing, eligibility determination, premium assistance, and medical procedure payments. The agency serves categorically eligible populations including low-income individuals, children, pregnant women, the elderly, and persons with disabilities. These block grant funds enable the agency to reimburse participating healthcare providers for covered medical services and maintain program operations in compliance with federal Medicaid requirements and the HHS-approved Medicaid State Plan. As a direct prime awardee, the agency administers these funds without identified subcontractors to ensure continued healthcare coverage and medical assistance delivery to vulnerable American Samoa residents.