Federal Block Grant Award Summary

Award Details: The State of Colorado Department of Health Care Policy & Financing (HCPF) received a Medicaid Entitlement block grant of $485,191,638 from the Centers for Medicare and Medicaid Services (CMCS), awarded October 1, 2025, under the Grants to States for Medicaid program (CFDA 93.778). This quarterly allocation funds Colorado's medical assistance payments and program administration for eligible low-income populations, including cash assistance recipients, children, pregnant women, and elderly individuals meeting income and resource requirements through September 30, 2026.

Products and Services Delivered: HCPF distributes federal Medicaid funding through a network of state agencies, county governments, and contracted service providers to deliver comprehensive healthcare services across Colorado. Key sub-awardees include Colorado counties providing case management and administrative functions; nonprofit organizations such as Developmental Pathways, Community Connections, Rocky Mountain Human Services, and Foothills Gateway delivering home and community-based services (HCBS), early intervention services, and specialized case management; and administrative contractors including Telligen and Maximus providing quality improvement support and enrollment processing services. The funding supports essential healthcare access, long-term services and supports for individuals with disabilities, behavioral health services, and critical administrative infrastructure enabling Colorado to administer its Medicaid program and serve vulnerable populations statewide.