Federal Block Grant Award Summary

The Centers for Medicaid and Chip Services (CMCS) awarded the State of Montana Department of Health and Human Services $1.19 billion under the Grants to States for Medicaid program (CFDA 93.778) for fiscal year 2026, effective October 1, 2025 through September 30, 2026. This block grant provides financial assistance to Montana for medical assistance payments on behalf of low-income populations, including cash assistance recipients, children, pregnant women, elderly individuals, and medically-needy persons who meet established income and resource requirements. The funding supports the state's quarterly Medicaid entitlements, enabling Montana to deliver essential healthcare services through participating providers under the state's HHS-approved Medicaid State Plan.

As the prime recipient, Montana's Department of Health and Human Services, through its Business and Financial Services Division, administers the grant and frequently sub-awards portions of funding to local health departments, tribal organizations, nonprofit entities, and healthcare providers throughout Montana to implement medical assistance programs at the community level. The quarterly funding structure allows Montana to submit estimates of medical assistance needs on a regular basis and receive corresponding quarterly grant awards to ensure continuous coverage for eligible beneficiaries.