Summary: Medicaid Entitlement Block Grant Award

The Commonwealth of Massachusetts received a Block Grant award of $1.96M from the Centers for Medicare and Medicaid Services (CMMS) under the Grants to States for Medicaid program (CFDA 93.778) for FY 2026. The award, issued on October 1, 2025, with a completion date of December 31, 2025, provides quarterly financial assistance to support medical assistance payments on behalf of eligible low-income populations, including cash assistance recipients, children, pregnant women, elderly individuals, and other categorically-eligible groups meeting income and resource requirements. As a state-level grantee, Massachusetts utilizes these funds to reimburse healthcare providers participating in the Medicaid program and to ensure eligible beneficiaries receive timely access to essential medical services.

This award represents one component of Massachusetts's substantial Medicaid entitlement portfolio, which totals over $5.9B across fiscal years 2025 and 2026. The Grants to States for Medicaid program operates on a quarterly allocation basis, enabling states to adjust funding requests based on estimated expenditure needs. Massachusetts, as the parent entity administering the grant, serves as both a direct recipient and pass-through entity, distributing federal resources to support healthcare delivery infrastructure and medical assistance coverage across the commonwealth.