Federal Block Grant Award Summary

The Oklahoma Health Care Authority (OHCA) received a Medicaid entitlement block grant award of $163.4 million from the Centers for Medicaid and CHIP Services (CMCS) under the Grants to States for Medicaid program (CFDA 93.778), effective October 1, 2025, through September 30, 2026. This award provides quarterly financial assistance to Oklahoma to fund medical assistance payments on behalf of eligible low-income populations, including cash assistance recipients, children, pregnant women, elderly individuals, and medically-needy persons who meet Oklahoma's income and resource requirements. The funding enables OHCA to deliver comprehensive healthcare services through participating Medicaid providers across the state.

As Oklahoma's designated Medicaid agency, OHCA utilizes these federal entitlement funds to administer the state's Medicaid program in compliance with federal regulations and the HHS-approved Oklahoma State Plan. The award supports the organization's mission to provide essential healthcare access and coordinated medical services to vulnerable populations while maintaining required documentation of direct and indirect costs charged to the program. This funding represents a standard quarterly allocation mechanism through which the federal government reimburses states for their medical assistance expenditures under the Medicaid entitlement structure.