Medicaid entitlement for 26 - FY 2026 - T21

The Department of Health and Human Services Centers for Medicare and Medicaid Services awarded The Commonwealth of Massachusetts $835.918 million in Medicaid entitlement funding on October 1, 2025, under the Children's Health Insurance Program (CHIP, CFDA 93.767).

The award supports medical assistance payments to low-income individuals, children, pregnant women, and elderly residents in Massachusetts. The period of performance runs from October 1, 2025, through September 30, 2027. Performance takes place in Massachusetts.

CHIP is a federal-state matching program with capped federal funding designed to enable states to maintain and expand child health care coverage to uninsured, low-income children and, at state option, low-income pregnant women. States may operate a separate CHIP program, expand eligibility for children under their state Medicaid program, or operate a combination of these two options. The program currently covers over seven million children nationally.

The Commonwealth of Massachusetts serves as both a direct recipient and a pass-through entity, distributing federal funding to municipalities, nonprofit organizations, universities, and local service providers throughout the state.