Medicaid entitlement for 16 - FY 2026 - T19

The Government of Guam - Department of Administration, Bureau of Statistics and Plans, received a $4.82 million Medicaid entitlement block grant award from the Centers for Medicaid and Chip Services (CMCS) under the Grants to States for Medicaid program (CFDA 93.778), effective October 1, 2025, through September 30, 2026. This award funds medical assistance payments on behalf of categorically eligible populations, including cash assistance recipients, children, pregnant women, the elderly, and medically needy persons who meet Guam's income and resource requirements. The quarterly distribution structure ensures sustained funding for Medicaid beneficiaries throughout the fiscal year, with funds supporting direct medical care services delivered through participating Medicaid providers throughout the territory.

As a U.S. territorial equivalent to a state, Guam administers this entitlement program in compliance with HHS-approved Medicaid State Plan requirements and federal regulations. The award represents a component of Guam's larger Medicaid entitlement portfolio, which exceeds $400 million annually and constitutes the largest federal grant allocation to the territory. Funds support essential healthcare coverage and cost-sharing assistance for approximately 170,000 territorial residents, with the Bureau responsible for maintaining compliance documentation, conducting required audits, and submitting quarterly programmatic and financial reports to CMCS per the Uniform Guidance (2 CFR Part 200).