Medicaid entitlement for 30 - FY 2026 - T21

Award: Medicaid Entitlement for CHIP (Children's Health Insurance Program) FY 2026 – Title XXI

Funding Agency: Centers for Medicaid and Chip Services (CMCS)

CFDA Program: 93.767 – Children's Health Insurance Program

Award Amount: $528,742,242.00

Award Date: October 1, 2025

Completion Date: September 30, 2027

Prime Recipient: Michigan Department of Health and Human Services (MDHHS)

The Michigan Department of Health and Human Services administers this federal-state matching block grant to maintain and expand health insurance coverage for low-income, uninsured children and eligible pregnant women under Title XXI of the Social Security Act. As a federal entitlement program, CHIP provides health care benefits to vulnerable populations under age 19 across Michigan, with the state exercising the option to operate a separate CHIP program, expand Medicaid eligibility, or operate a combination of both. MDHHS functions as the state's principal administrator and pass-through entity, distributing funds to county-level agencies, local health departments, community action agencies, and nonprofit service providers to enable statewide service delivery and enrollment support.

The sub-awardee network—including the City of Detroit Finance Division, City of Grand Rapids, County of Oakland, City of Battle Creek, Muskegon City, Community Action Agencies in Jackson and Caro (Human Development Commission), and the Delta-Menominee District Health Department—implements complementary lead hazard control and community development initiatives targeted at low-income children and families. These sub-awards support lead-based paint hazard identification, control, and abatement in pre-1960 housing; Medicaid outreach and enrollment coordination; and integrated public health services including lead poisoning prevention, WIC administration, and family planning support to enhance health outcomes and access to coverage for eligible populations across Michigan.