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 $32.886 billion on October 1, 2025, under the Grants to States for Medicaid program (CFDA 93.778), a block grant providing financial assistance to states for medical assistance payments on behalf of cash assistance recipients, children, pregnant women, the aged meeting income and resource requirements, and other categorically-eligible groups, including medically-needy persons in states electing such coverage and qualified Medicare beneficiaries for premium, copayment, and deductible assistance.

The Oklahoma Health Care Authority, Oklahoma's state Medicaid agency, administers the award with place of performance in Oklahoma City, Oklahoma. The period of performance runs October 1, 2025, through September 30, 2026. The obligated amount is $32.886 billion. States receive quarterly awards based on their estimates of funds needed to provide medical assistance; OHCA must submit quarterly estimates no later than August 8, November 15, February 15, and May 15 to receive timely quarterly grant awards. Individuals receive medical care from participating Medicaid providers and may apply for assistance at any time, with states typically providing immediate medical assistance within up to 60 days. OHCA must maintain records substantiating direct and indirect costs charged to the grant and operate under an HHS-approved Medicaid State Plan in compliance with all federal regulations.