Medicaid entitlement for 14 - FY 2026 - T21

The Centers for Medicare and Medicaid Services awarded the Florida Agency for Health Care Administration $827,627,965 on October 1, 2025, under the Children's Health Insurance Program (CFDA 93.767) to maintain and expand child health assistance to uninsured, low-income children and, at state option, low-income pregnant women across Florida through September 30, 2027.

FAHCA, as Florida's designated state Medicaid agency, administers comprehensive healthcare coverage to eligible beneficiaries including cash assistance recipients, children, pregnant women, the elderly, and individuals with disabilities. The agency processes medical claims, determines eligibility, and conducts outreach activities serving approximately 1.2 to 1.8 million low-income Floridians annually. CHIP is a federal-state matching program with capped federal funding; states may operate a separate CHIP program, expand eligibility for children under their state Medicaid program, or combine both options.

FAHCA passed funds to the Florida Healthy Kids Corporation as a sub-recipient on August 17, 2026, to support the administration and delivery of children's health insurance program services in Florida. The recipient must collect and verify application and enrollment data to enable CMS to monitor grant program administration, compliance, and effectiveness. As a nonfederal entity expending financial assistance exceeding $750,000 annually in federal awards, FAHCA is subject to single or program-specific audit requirements under 2 CFR 200, Subpart F.