Federal Block Grant Award Summary

The North Dakota Department of Health and Human Services received a $26.7 million block grant award from the Centers for Medicaid and CHIP Services (the federal agency administering the Children's Health Insurance Program under CFDA 93.767) effective October 1, 2025, through September 30, 2027. This Medicaid entitlement funding supports the state's provision of health care coverage to uninsured, low-income children and, at state option, low-income pregnant women. The block grant enables North Dakota to maintain and expand child health assistance programs, improving access to healthcare for vulnerable populations under 19 years of age within the state.

As the designated state agency for administering CHIP, the North Dakota Department of Health and Human Services utilizes this federal funding to deliver comprehensive health coverage services to eligible children. The department typically sub-awards portions of this funding to local government entities, tribal organizations, non-profit providers, and community-based organizations to ensure localized service delivery and enrollment assistance across the state. Through these coordinated efforts, the department works to identify, enroll, and retain eligible children in Medicaid and CHIP programs, directly supporting the federal program's objective of reducing the number of uninsured children in the United States.