Medicaid entitlement for 4 - FY 2026 - T19

The Department of Health and Human Services Centers for Medicare and Medicaid Services awarded the Arkansas Department of Human Services Division of Medical Services $1.014 billion on October 1, 2025, under the Grants to States for Medicaid program (CFDA 93.778).

The award funds Medicaid entitlements for cash assistance recipients, children, pregnant women, the aged, and other categorically-eligible groups in Arkansas. The Division of Medical Services administers healthcare coverage, eligibility determination, and claims processing to deliver medical assistance to eligible individuals across the state. The Division operates under an HHS-approved Medicaid State Plan and maintains records substantiating direct and indirect costs charged to the award.

The obligated amount is $1.014 billion. Performance runs from October 1, 2025, through September 30, 2026, with all work performed in Arkansas. The award is structured as a block grant, with funds distributed quarterly based on the state's estimates of need submitted by established deadlines. Individuals apply for assistance at any time and receive medical care from participating Medicaid providers. Applicants denied assistance have the right to a fair hearing on appeal.