Medicaid entitlement for 16 - FY 2026 - T19

The Government of Guam – Department of Administration, Bureau of Statistics and Plans received a $2.28 million Medicaid Entitlement block grant from the Centers for Medicaid and Chip Services (CMCS) under the Grants to States for Medicaid program (CFDA 93.778), awarded October 1, 2025, with completion scheduled for September 30, 2026. This quarterly entitlement funding supports Guam's provision of medical assistance payments to categorically eligible populations, including cash assistance recipients, children, pregnant women, aged individuals, and medically needy persons meeting applicable income and resource requirements. The award also funds Medicare premium, copayment, and deductible payments for qualified Medicare beneficiaries within the territory.

As the designated state agency equivalent administering federal health entitlements for Guam's approximately 170,000 residents, the Bureau operates the Medicaid program in compliance with the HHS-approved Medicaid State Plan and applicable federal regulations. This award represents one component of Guam's substantial annual Medicaid entitlement portfolio, which exceeds $400 million in combined federal allocations for low-income healthcare coverage. The Bureau maintains required records substantiating direct and indirect costs and submits quarterly reports to CMCS consistent with federal grant administration requirements under the Uniform Guidance (2 CFR Part 200).