Medicaid entitlement for 42 - FY 2026 - T21

The Department of Health and Human Services Centers for Medicare and Medicaid Services awarded the New York State Department of Health $2,104,707,273 on October 1, 2025, under the Children's Health Insurance Program (CFDA 93.767), a federal-state matching program that provides funds to states to maintain and expand child health assistance to uninsured, low-income children and, at state option, low-income pregnant women.

The award funds New York State's operation of CHIP, which covers targeted low-income children under age 19. States may operate a separate CHIP program, expand eligibility for children under their Medicaid program, or combine both approaches. The New York State Department of Health administers the program as the designated state agency responsible for plan approval, enrollment, and compliance with federal requirements under Title XXI.

The period of performance runs from October 1, 2025, through September 30, 2027. Performance takes place in New York State. The assistance type is a block grant. The department distributes federal funds to local agencies, counties, healthcare providers, and community organizations across New York State as sub-recipients supporting Medicaid and CHIP operations.