Medicaid entitlement for 30 - FY 2026 - T19

The Department of Health and Human Services Centers for Medicare and Medicaid Services awarded $1.356632563 billion to the Michigan Department of Health and Human Services on October 1, 2025, under the Medicaid entitlement block grant program (CFDA 93.778), with a period of performance through September 30, 2026. This award provides financial assistance to Michigan for Medicaid medical assistance payments on behalf of cash assistance recipients, children, pregnant women, the aged meeting income and resource requirements, and other categorically eligible groups, including medically needy persons and qualified Medicare beneficiaries.

MDHHS administers the award across Michigan, with place of performance spanning Lansing and subordinate component offices statewide. The department functions as the state pass-through entity, distributing Medicaid funds to Michigan's 83 counties and incorporated service regions for local implementation. The award obligates $1.356632563 billion in combined state and federal funding.

MDHHS sub-awarded portions of this entitlement block grant to 36 named sub-recipients across multiple program areas. Sub-recipients include county governments (Chippewa, Berrien, Grand Traverse, Ionia, Lapeer, Alpena, Lenawee, St. Clair, Monroe, Muskegon, Genesee, Ingham, Kalamazoo, Livingston, Allegan, Ottawa, Bay, Washtenaw, Jackson), local and district health departments (Northwest Michigan Community Health Agency, Delta-Menominee, Mid-Michigan District Health Department, Luce Mackinac Health Department, Barry Eaton District Health Department, Dickinson Iron District Health Department), community mental health authorities (Northern Lakes, Kent County CMH Authority/Network180, Barry County CMH Authority, Branch County, Ionia County, St. Clair County, Sanilac County, Tuscola Behavioral Health Systems, Allegan County/Onpoint, Ausable Valley, Jackson-Hillsdale/Lifeways, Community Mental Health for Central Michigan, Hiawatha Behavioral Health, Newaygo County), Centers for Independent Living and aging services organizations (Disability Network Capital Area, Disability Network Eastern Michigan, ANN Arbor Center for Independent Living, Area Agency on Aging of Western Michigan, The Disability Network, Northeast Michigan Community Service Agency, Region II Area Agency on Aging, Senior Alliance, Detroit Area Agency on Aging), the University of Michigan, Michigan State University, and Western Michigan University, among others. Sub-recipients deliver services including Medicaid outreach and enrollment, Children's Special Health Care Services coordination and advocacy, pre-admission screening and annual resident reviews for nursing facility admission, nursing facility transition support, harm reduction programming, sickle cell services, psychiatric treatment systems, long-term care data management, parenting support, quality improvement initiatives, and evaluation and research support.