Medicaid entitlement for 32 - FY 2026 - T19

The Department of Health and Human Services Centers for Medicare and Medicaid Services awarded the Missouri Department of Social Services $1.566 billion in Medicaid entitlement funding for fiscal year 2026 on October 1, 2025, under the Grants to States for Medicaid program (CFDA 93.778).

The funding supports medical assistance payments on behalf of cash assistance recipients, children, pregnant women, the aged, and other categorically-eligible groups meeting income and resource requirements. The recipient administers Medicaid enrollment and benefit processing statewide in Missouri. The period of performance runs from October 1, 2025 through September 30, 2026.

The Department of Social Services passed through a portion of this funding to the Missouri Coalition for Primary Health Care (doing business as Missouri Primary Care Association) on October 2, 2025, for women and minority community health worker initiatives and foster care support under the Medicaid entitlement. The assistance type is a block grant.