Federal Block Grant Award Summary

The Centers for Medicare and Chip Services awarded North Carolina Department of Health & Human Services a Medicaid Entitlement Block Grant totaling $982.2 million under the Children's Health Insurance Program (CHIP, CFDA 93.767). Effective October 1, 2025, through September 30, 2027, this award enables North Carolina to maintain and expand child health assistance coverage to uninsured, low-income children and, at state option, low-income pregnant women. The funds support the state's administration of health care coverage through either separate CHIP program operations, Medicaid expansions, or combined approaches to reduce the number of uninsured children in the state.

As the designated state health agency, NC DHHS leverages this substantial block grant allocation to deliver essential healthcare services across North Carolina's 100 counties through coordinated partnerships with regional managed care organizations, community health centers, and local governmental entities. The federal-state matching program structure allows the state flexibility in implementation while maintaining compliance with Title XXI requirements, with funds delivered via Electronic Funds Transfer to recipient accounts established in the Payment Management System.