Medicaid entitlement for 16 - FY 2026 - T21

The Government of Guam – Department of Administration, Bureau of Statistics and Plans received a $35.66 million Block Grant from the Centers for Medicare and Chip Services (CMCS) under the Children's Health Insurance Program (CHIP, CFDA 93.767) awarded on October 1, 2025, with an ultimate completion date of September 30, 2027. This entitlement funding enables Guam to maintain and expand child health assistance coverage to uninsured, low-income children and, at state option, low-income pregnant women. As a federal-state matching program, CHIP provides health care coverage to targeted populations, supporting Guam's health insurance infrastructure for vulnerable children under 19 years of age.

The funds allocated to Guam support the territory's administration of health insurance eligibility determination, enrollment, and benefit delivery through either a separate CHIP program, expanded Medicaid eligibility, or a combination approach. This block grant represents Guam's quarterly entitlement distribution under the federal formula-based allocation structure. The award is part of a broader federal entitlement framework that has enrolled over seven million children nationally and requires Guam to maintain compliance with 42 CFR Part 457 record-keeping requirements and submission of programmatic and financial reports to CMCS according to established schedules.