Federal Block Grant Award Summary

The Commonwealth of Massachusetts received a Medicaid Entitlement block grant award of $11.28 billion from the Centers for Medicare and Medicaid Services (CMMS) under the Grants to States for Medicaid program (CFDA 93.778). Awarded on October 1, 2025, with an ultimate completion date of September 30, 2026, this federal funding supports the provision of medical assistance payments to eligible low-income populations, including cash assistance recipients, children, pregnant women, elderly individuals, and other categorically-eligible groups who meet state income and resource requirements.

Through this block grant, the Commonwealth delivers comprehensive healthcare services to qualifying Medicaid beneficiaries through participating providers and administers state-level payment mechanisms for medical care. The quarterly funding allocation structure enables Massachusetts to provide continuous medical assistance coverage while maintaining compliance with HHS-approved Medicaid State Plan requirements and federal regulations. As the parent state entity, the Commonwealth serves as both the direct recipient and pass-through administrator, leveraging the substantial federal entitlement to support essential healthcare access across the state's eligible populations.