Medicaid entitlement for 43 - FY 2026 - T19

The Department of Health and Human Services Centers for Medicare and Medicaid Services awarded the Ohio Department of Medicaid $2.590658901 billion on October 1, 2025, under the Grants to States for Medicaid program (CFDA 93.778) for the period October 1, 2025 through September 30, 2026. This block grant provides financial assistance to Ohio to pay for medical assistance on behalf of cash assistance recipients, children, pregnant women, the aged, and other categorically-eligible groups meeting income and resource requirements.

The Ohio Department of Medicaid distributes funds to 88 county-level sub-recipients across Ohio to perform Medicaid eligibility determination. Sub-recipients include county departments of job and family services, county commissioners' offices, and local government entities in all 88 Ohio counties. Representative sub-recipients include the County of Summit, Cuyahoga County (through its Central Services Department), Franklin County Board of Commissioners, County of Hamilton, County of Mahoning, and Lorain County Common Pleas Court, among numerous others. Eligibility determination work involves processing applications, verifying income and resource eligibility, and enrolling qualifying individuals in Medicaid coverage.

The award obligates the total stated amount for the fiscal year beginning October 1, 2025. Place of performance is Ohio. The Ohio Department of Medicaid functions as the state Medicaid agency administering the federal block grant and passing through sub-award allocations to county governments and county agencies that conduct front-line eligibility work.