Medicaid entitlement for 10 - FY 2026 - T19

The Centers for Medicare and Medicaid Services awarded the State of Colorado Department of Health Care Policy & Financing $41.712 billion in Medicaid entitlement block grant funding on October 1, 2025, under the Grants to States for Medicaid program (CFDA 93.778). The award covers the fiscal year 2026 period of performance from October 1, 2025, through September 30, 2026, and funds medical assistance payments on behalf of cash assistance recipients, children, pregnant women, the aged, and other categorically-eligible groups meeting Colorado's income and resource requirements. The funding supports both direct medical assistance payments to eligible Colorado residents and program administration delivered through the state Medicaid agency. Colorado distributes substantial portions of this federal funding through sub-awards to counties for Medicaid administration, case management services for low-income individuals, and home and community-based services. The assistance type is block grant funding awarded quarterly on a fiscal year basis, with states estimating quarterly fund needs to support ongoing Medicaid operations.