Medicaid entitlement for 30 - FY 2026 - T19

The Department of Health and Human Services Centers for Medicare and Medicaid Services awarded the Michigan Department of Health and Human Services $70.372 billion on October 1, 2025, under the Grants to States for Medicaid program (CFDA 93.778), obligating funds through September 30, 2026. This block grant entitlement funds state administration of medical assistance payments for cash assistance recipients, children, pregnant women, aged individuals, and categorically eligible groups meeting income and resource requirements, including coverage of Medicare premiums, copayments, and deductibles for qualified beneficiaries.

The Michigan Department of Health and Human Services, headquartered in Lansing, administers this federal Medicaid entitlement and passes funds to county-level agencies, local health departments, and nonprofit service providers statewide. Sub-recipients deliver Children's Special Health Care Services care coordination, Medicaid elevated blood lead case management, and the MI Choice Home and Community Based Services Waiver Program across all Michigan counties. Named sub-recipients include 51 county health departments, area agencies on aging, health districts, community health agencies, and nonprofit organizations spanning Antrim through Wayne counties, alongside the Regents of the University of Michigan for healthcare engineering and patient safety research.

The award covers the period October 1, 2025 through September 30, 2026, with place of performance in Michigan. Michigan Department of Health and Human Services functions as the sole prime administrator of this massive entitlement allocation, distributing obligated funds to local and county entities that deliver direct Medicaid services, public health surveillance, emergency preparedness coordination, disease prevention, and community-based long-term care alternatives to vulnerable populations throughout Michigan.