Medicaid entitlement for 41 - FY 2026 - T21

The Nevada Department of Health & Human Services received a $98.7 million block grant from the Centers for Medicaid and CHIP Services under the Children's Health Insurance Program (CFDA 93.767) for Medicaid entitlement, effective October 1, 2025, through September 30, 2027. This award supports Nevada's administration and expansion of child health assistance coverage to uninsured, low-income children and, at state option, low-income pregnant women. As a federal-state matching program, the funding enables Nevada to maintain and expand health care coverage under Title XXI of the Social Security Act, with the state having the flexibility to operate a separate CHIP program, expand Medicaid eligibility, or utilize a combination of both approaches.

The block grant represents Nevada's annual entitlement allocation within the nationwide CHIP portfolio, which has enrolled over seven million children across all 50 states and territories. Nevada's award reflects the entitlement nature of the program, with funding directed to support comprehensive health insurance administration, enrollment processing, and ongoing coverage maintenance for eligible low-income populations. The award period extends through fiscal year 2027, aligning with the standard federal-state grant cycles for health insurance entitlements.