Federal Block Grant Award Summary

The North Carolina Department of Health and Human Services received a $1,960,784.00 Medicaid entitlement block grant from the Centers for Medicare and Medicaid Services under the Grants to States for Medicaid program (CFDA 93.778), effective October 1, 2025 through December 31, 2025. This quarterly allocation supports North Carolina's provision of essential medical assistance to low-income individuals, including cash assistance recipients, children, pregnant women, elderly individuals, and other categorically-eligible groups who meet income and resource requirements. The funding enables the state to cover medical care costs through participating Medicaid providers across the state's service delivery network.

As the designated state Medicaid administrator, NC DHHS leverages this block grant to maintain continuous healthcare access for vulnerable populations while operating under a federal Health and Human Services-approved Medicaid State Plan. The agency manages this substantial funding stream as part of its broader Medicaid entitlement portfolio exceeding $7 billion annually, ensuring beneficiaries receive timely medical assistance and enabling the state to meet federal compliance requirements for Medicaid service delivery and record maintenance across North Carolina's 100 counties.