Medicaid entitlement for 36 - FY 2026 - T19

The Centers for Medicare and Medicaid Services awarded the North Dakota Department of Human Services $497,535,399 on October 1, 2025, under the Grants to States for Medicaid program (CFDA 93.778) for the fiscal year ending September 30, 2026.

This block grant funds Medicaid medical assistance payments on behalf of eligible populations including cash assistance recipients, children, pregnant women, the aged, and other categorically-eligible groups meeting income and resource requirements. The program provides financial assistance to states for direct medical assistance payments as well as Medicare premiums, copayments, and deductibles for qualified Medicare beneficiaries. The North Dakota Department of Human Services, a division of the State of North Dakota, administers the state's Medicaid program and distributes funding to participating medical providers and local welfare agencies operating under an HHS-approved Medicaid State Plan.

The award spans the period October 1, 2025, through September 30, 2026, with performance in North Dakota. States under this program typically receive awards quarterly based on estimated funding needs, with beneficiaries receiving medical assistance from participating Medicaid providers.

The source identifies one sub-award under this grant: a sub-grant to the University of North Dakota's Division of Research & Economic Development (awarded January 1, 2026) supporting opioid-related work under CFDA 93.788.