Medicaid entitlement for 48 - FY 2026 - T19

The Department of Health and Human Services Centers for Medicare and Medicaid Services awarded the Puerto Rico Department of Health $127.615 million in Medicaid entitlement funding on October 1, 2025, under the Grants to States for Medicaid program (CFDA 93.778).

The award funds medical assistance payments for low-income Puerto Ricans, including cash assistance recipients, children, pregnant women, the aged, and other categorically eligible groups meeting income and resource requirements. The recipient administers Medicaid as a territorial health agency, delivering medical assistance through participating providers throughout Puerto Rico. The funding covers one quarter of Puerto Rico's FY 2026 Medicaid entitlement; PRDOH receives quarterly allocations through September 30, 2026, with a combined annual T19 entitlement of $3.597 billion for the fiscal year. The assistance type is a block grant, distributed quarterly based on Puerto Rico's estimates of funds needed for medical assistance.