Medicaid entitlement for 16 - FY 2026 - T19

The Centers for Medicaid and Chip Services awarded the Government of Guam - Department of Administration, Bureau of Statistics and Plans Division $3.22 million under the Grants to States for Medicaid program (CFDA 93.778) effective October 1, 2025, through September 30, 2026. This quarterly entitlement block grant provides financial assistance to support medical assistance payments on behalf of categorically eligible populations in Guam, including cash assistance recipients, children, pregnant women, the aged, and medically needy persons who meet income and resource requirements. The award also funds Medicare premium payments, copayments, and deductibles for qualified Medicare beneficiaries.

As the territorial equivalent of a state Medicaid agency, the Government of Guam administers this funding to ensure continuous medical coverage for eligible beneficiaries through participating healthcare providers operating under the territory's HHS-approved Medicaid State Plan. The quarterly distribution structure reflects the program's formula-based allocation methodology, with funds distributed based on the territory's estimated quarterly needs for providing medical assistance to the needy population of approximately 170,000 residents.