Federal Block Grant Award Summary

The Centers for Medicaid and CHIP Services awarded the Ohio Department of Medicaid a $695.98 million block grant on October 1, 2025, under the Children's Health Insurance Program (CFDA 93.767) to provide health care coverage to uninsured, low-income children and eligible pregnant women throughout Ohio. This entitlement award, effective through September 30, 2027, enables Ohio to maintain and expand child health assistance programs that improve access to healthcare for vulnerable populations under 19 years of age. The grant operates as a federal-state matching program allowing Ohio to implement CHIP through various state-level strategies to reduce the number of uninsured children across the state.

The Ohio Department of Medicaid delivers comprehensive Medicaid and CHIP administration services, including eligibility determination, medical claims processing, and community outreach initiatives to promote healthcare enrollment and access. The department distributes sub-awards to county governments and local agencies to facilitate service delivery at the county level. Sub-grantees identified include Hancock County, Trumbull County, Geauga County, and Washington County—all of which perform Medicaid eligibility determination functions as part of the integrated service delivery system. This distributed funding structure enables Ohio to provide healthcare coverage and economic support across multiple jurisdictions while maintaining compliance with federal program requirements.