Federal Block Grant Award Summary

The Centers for Medicare and Medicaid Services awarded the State of Montana Department of Health and Human Services $1,960,784.00 under the Grants to States for Medicaid program (CFDA 93.778) on October 1, 2025, with a completion date of December 31, 2025. This block grant provides quarterly financial assistance to Montana for medical assistance payments on behalf of eligible low-income populations, including cash assistance recipients, children, pregnant women, elderly individuals, and other categorically-eligible groups who meet specific income and resource requirements. The funding enables Montana to deliver essential healthcare services through participating Medicaid providers across the state.

As the prime recipient, the Montana Department of Health and Human Services' Business and Financial Services Division administers the Medicaid entitlement through its established state infrastructure and frequently sub-awards portions of grant funding to local health departments, tribal organizations, non-profits, and healthcare providers to implement medical assistance programs at the community level throughout Montana. The state maintains records substantiating costs charged to the grant and operates under an HHS-approved Medicaid State Plan in compliance with all federal regulations governing medical assistance to eligible needy individuals.