Block Grant 2605MA5ADM

The Commonwealth of Massachusetts received a Medicaid Entitlement Block Grant award of $859.89 million from the Centers for Medicare and Medicaid Services (CMMS) under the Grants to States for Medicaid program (CFDA 93.778), effective October 1, 2025, through September 30, 2026. This funding provides financial assistance to the state for medical assistance payments on behalf of eligible low-income populations, including cash assistance recipients, children, pregnant women, elderly individuals, and other categorically-eligible groups who meet specified income and resource requirements. The award supports the state's Medicaid program operations and enables participating healthcare providers to deliver essential medical services to qualifying beneficiaries throughout Massachusetts.

As a quarterly entitlement block grant, the funding represents one of the state's allocated quarterly payments for fiscal year 2026 and is distributed based on the Commonwealth's estimates of funds needed to support ongoing Medicaid operations. The state serves as the administrator and pass-through entity for these federal resources, operating under an HHS-approved Medicaid State Plan while maintaining compliance with all applicable federal regulations. The Commonwealth may sub-award portions of this funding to municipalities, local welfare agencies, and healthcare providers participating in the Medicaid program to facilitate the delivery of covered medical services and support the healthcare access infrastructure throughout the state.