Federal Block Grant Award Summary

The State of Montana Department of Health and Human Services received a Medicaid Entitlement block grant from the Centers for Medicaid and Chip Services (CMCS) valued at $88,026,985.00, awarded on October 1, 2025, with performance through September 30, 2027. Under the Children's Health Insurance Program (CHIP, CFDA 93.767), this federal-state matching program provides funds to Montana to maintain and expand health care coverage to uninsured, low-income children and, at state option, low-income pregnant women. The block grant enables the state to continue delivering comprehensive medical assistance to eligible low-income populations through either a separate CHIP program, Medicaid expansion, or a combination approach.

As the lead state agency for public health and human services, DPHHS implements the grant through its Business and Financial Services Division and frequently sub-awards portions of funding to local health departments, tribal organizations, nonprofits, and healthcare providers to deliver coverage enrollment, retention, and related services at the community level throughout Montana. The award supports the state's ongoing obligation to provide health care access and improve quality of life outcomes for millions of vulnerable children under 19 years of age enrolled in the state's CHIP and Medicaid programs.