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 $128.284 billion in Medicaid entitlement funding on October 1, 2025, under the Grants to States for Medicaid program (CFDA 93.778). The award funds medical assistance payments on behalf of low-income individuals, children, pregnant women, elderly persons, and other categorically eligible groups throughout Ohio for the period October 1, 2025 through September 30, 2026. The Grants to States for Medicaid program provides financial assistance to state Medicaid agencies to pay for medical services, Medicare premiums, copayments, and deductibles for qualifying beneficiaries meeting income and resource requirements. The Ohio Department of Medicaid serves as the primary state administrator of Medicaid and Children's Health Insurance Program services and delivers healthcare access and medical assistance across the state through eligibility determination, medical claims processing, and enrollment outreach. The department passes funding to sub-recipients including county governments, children's services agencies, universities, and nonprofit organizations to deliver local services such as child welfare, foster care, adoption assistance, and child care. This is a block grant assistance type, with quarterly award disbursements based on state estimates of funds needed.