Medicaid entitlement for 48 - FY 2026 - T19

The Centers for Medicare and Medicaid Services (CMCS) awarded Puerto Rico Department of Health a Medicaid entitlement block grant of $83.7 million under the Grants to States for Medicaid program (CFDA 93.778) effective October 1, 2025, through September 30, 2026. This block grant provides quarterly financial assistance for medical assistance payments to categorically eligible populations in Puerto Rico, including cash assistance recipients, children, pregnant women, the aged, and other medically needy persons who meet income and resource requirements. The funding also supports Medicare premium payments, copayments, and deductibles for qualified Medicare beneficiaries.

Puerto Rico Department of Health, operating as the territorial Medicaid administrator under an HHS-approved Medicaid State Plan, delivers medical assistance services through participating Medicaid providers throughout Puerto Rico. The award is one component of the department's substantially larger FY 2026 Medicaid entitlement portfolio totaling $3.597 billion, distributed quarterly across the fiscal year to ensure continuous coverage and timely medical care access for eligible beneficiaries. The department maintains required records substantiating direct and indirect costs and operates in compliance with all applicable federal regulations governing Medicaid administration and medical assistance delivery.