Medicaid entitlement for 17 - FY 2026 - T19

The Department of Health and Human Services Centers for Medicare and Medicaid Services awarded $563.934 million in Medicaid entitlement block grant funding to the Department of Human Services Hawaii on October 1, 2025, under the Grants to States for Medicaid program (CFDA 93.778) for the period ending September 30, 2026.

The award funds medical assistance payments on behalf of cash assistance recipients, children, pregnant women, the aged, and other categorically-eligible groups meeting income and resource requirements within Hawaii. The program provides financial assistance to states for direct medical care delivery, Medicare premium support, copayments, and deductibles for qualified beneficiaries. The Department of Human Services Hawaii, a state entity and child organization of the University of Hawaii Systems, serves as Hawaii's designated administrator for this federal Medicaid entitlement funding stream.

Funding is obligated quarterly based on state estimates of funds needed, with awards distributed on October 1, January 1, April 1, and July 1 of each fiscal year. States operate under HHS-approved Medicaid State Plans and must comply with federal regulations governing medical assistance to eligible populations. Individuals may apply for assistance at any time, and states typically provide immediate medical assistance. Recipients receive benefits as long as they remain qualified under state requirements. Place of performance is Hawaii.