Medicaid Entitlement Block Grant Summary

The North Carolina Department of Health and Human Services received a $662.1 million Medicaid block grant award from the Centers for Medicare and Medicaid Services (CMS) under the Grants to States for Medicaid program (CFDA 93.778), effective October 1, 2025 through September 30, 2026. This award provides financial assistance to support medical assistance payments on behalf of low-income individuals, including cash assistance recipients, children, pregnant women, elderly individuals, and other categorically-eligible groups who meet North Carolina's income and resource requirements. The funding enables the state to deliver essential healthcare services to eligible Medicaid beneficiaries through participating providers across the state.

As the designated state health agency and Medicaid administrator, NC DHHS leverages this federal entitlement funding as part of its comprehensive portfolio exceeding $7 billion in Centers for Medicare and Medicaid Services block grants to provide ongoing medical coverage and related services to vulnerable populations. The state administers the program through quarterly funding allocations, maintains compliance with all federal Medicaid regulations and state plan requirements, and coordinates service delivery across North Carolina's 100 counties in partnership with regional managed care organizations, community health centers, and local governmental entities.