Medicaid entitlement for 49 - FY 2026 - T21

The State of Rhode Island Department of Administration, Office of Library & Information Services, received a $121.3 million block grant from the Centers for Medicaid and Chip Services (CMCS) under the Children's Health Insurance Program (CHIP, CFDA 93.767) effective October 1, 2025, through September 30, 2027. This block grant provides federal funding to enable Rhode Island to maintain and expand health insurance coverage for low-income, uninsured children and eligible pregnant women under Title XXI of the Social Security Act. CHIP operates as a federal-state matching program, allowing states to operate a separate CHIP program, expand Medicaid eligibility, or implement a combination approach.

The award supports Rhode Island's state child health plan administration and direct medical assistance payments to expand health care access for vulnerable populations. As the recipient agency, the Office of Library & Information Services manages this entitlement funding in coordination with state health administration priorities. The block grant funding reflects the program's entitlement nature, with recent awards to all 50 states and territories issued in October 2025 to cover fiscal year 2026 operations. Records and compliance documentation must be maintained in accordance with 42 CFR 457, and nonfederal entities expending $750,000 or more in federal awards annually are subject to audit requirements under 2 CFR 200, Subpart F.