Medicaid entitlement for 44 - FY 2026 - T19

The Department of Health and Human Services Centers for Medicare and Medicaid Services awarded the Oklahoma Health Care Authority $837,986,762 in Medicaid entitlement funding on October 1, 2025, under the Grants to States for Medicaid program (CFDA 93.778). This block grant funds payments of medical assistance on behalf of cash assistance recipients, children, pregnant women, and the aged who meet income and resource requirements, as well as other categorically-eligible groups and, in Oklahoma's case, medically-needy persons. The award covers the period of October 1, 2025, through September 30, 2026, with place of performance in Oklahoma City, Oklahoma. The Oklahoma Health Care Authority, the state's Medicaid agency, administers the program in compliance with the HHS-approved Medicaid State Plan and federal regulations. States receive quarterly Medicaid grants based on their estimates of funds needed to provide medical assistance, with awards made on October 1, January 1, April 1, and July 1 of each fiscal year.