Federal Block Grant Award Summary

The Ohio Department of Medicaid received a Medicaid Entitlement Block Grant from the Centers for Medicaid and Chip Services (CMCS) totaling $591.6 million, effective October 1, 2025 through September 30, 2026, under the Grants to States for Medicaid program (CFDA 93.778). This federal entitlement provides financial assistance to Ohio for medical assistance payments on behalf of categorically eligible populations, including low-income children, pregnant women, elderly individuals, persons with disabilities, and cash assistance recipients who meet specified income and resource requirements. The funding enables the state to maintain comprehensive Medicaid services and supports economic security and health outcomes for vulnerable Ohio populations across the state.

The Ohio Department of Medicaid distributed sub-awards totaling millions of dollars to 33 county-level entities, The Ohio State University, and other local service providers to implement critical program functions. County job and family services departments and commissioners' offices across Ohio utilized sub-award funding to conduct Medicaid eligibility determinations and enrollment activities for local residents. The Ohio State University Office of Sponsored Programs received funding to support program evaluation, quality improvement, patient safety initiatives, data analytics, and other projects to enhance the efficient and effective administration of the Medicaid program. This distributed funding structure enabled the state to deliver essential healthcare access and medical assistance services across multiple jurisdictions while maintaining compliance with federal Medicaid requirements and supporting vulnerable populations throughout Ohio.